TY - JOUR A1 - Oehme, Stephan A1 - Moewis, Philippe A1 - Boeth, Heide A1 - Bartek, Benjamin A1 - Lippert, Annika A1 - von Tycowicz, Christoph A1 - Ehrig, Rainald A1 - Duda, Georg A1 - Jung, Tobias T1 - PCL insufficient patients with increased translational and rotational passive knee joint laxity have no increased range of anterior–posterior and rotational tibiofemoral motion during level walking JF - Scientific Reports Y1 - 2022 U6 - https://doi.org/10.1038/s41598-022-17328-3 VL - 12 IS - 1 SP - 1 EP - 11 ER - TY - JOUR A1 - Moewis, Philippe A1 - Kaiser, René A1 - Trepczynski, Adam A1 - von Tycowicz, Christoph A1 - Krahl, Leonie A1 - Ilg, Ansgar A1 - Holz, Johannes A1 - Duda, Georg T1 - Patient specific resurfacing implant knee surgery in subjects with early osteoarthritis results in medial pivot and lateral femoral rollback during flexion: A retrospective pilot study JF - Knee Surgery, Sports Traumatology, Arthroscopy N2 - Purpose. Metallic resurfacing implants have been developed for the treatment of early, focal, small, condylar and trochlear osteoarthritis (OA) lesions. They represent an option for patients who are either too young to fulfill the criteria for total knee arthroplasty (TKA) or too old for biological treatment. Although relevant clinical evidence has been collected for different resurfacing types, the in vivo post-operative knee kinematics remains unknown. The present study aims to measure and analyse the knee joint kinematics in subjects with patient-specific Episealer implants Methods. Retrospective study design. Fluoroscopic analyses during high flexion activities (unloaded flexion-extension and loaded lunge) were conducted at >12 months post-surgery in ten Episealer knees. The post-operative knee joint kinematics was compared to equally assessed kinematic from ten healthy knees, twenty G-Curve TKA knees and 10 J-Curve knees. Pre- and postoperative clinical data of the Episealer knees were collected using a visual analog scale (VAS), the EQ 5d Health Questionnaire and the Knee Injury and Osteoarthritis Outcome Score (KOOS). Results. During unloaded flexion-extension and loaded lunge, the medial condyle in the Episealer knees remained relative stationary, indicating a medial pivot, while the lateral condyle translated consistently towards posterior. Similarly, reduced movement of the medial condyle and posterior translation of the lateral condyle was also observed in the healthy knees, although to a lesser extent. In contrast, the kinematics of both TKA cohorts during unloaded flexion-extension showed a tendency towards anterior displacement in the medial compartment, which led to significant differences in comparison with the Episealer knees. In the lateral compartment, a certain degree of femoral rollback was noted in the G-Curve TKA cohort. Improved scores were observed in the Episealer subjects between the preoperative and 1-year postoperative follow-up. Conclusion. At 12 months postsurgery, a physiological-like knee kinematics was observed in the group of patient-specific reconstructed chondral/osteochondral lesions by means of a resurfacing Episealer implant strategy. Considering that these patients are physically active and do not fulfill the criteria for TKA, the group is hard to be compared to TKA patients which usually are less active and more challenging. Nevertheless, the comparison to either healthy knee kinematics as well as to TKA reconstructed knees with different implant designs showed a more physiological-like kinematics in the resurfacing implants that seems more appropriate for such a patient group. Despite positive results, careful clinical follow-up of treated patients is recommended for the long-term OA progression. Further investigations need to be encouraged not only in larger patient groups but also in a prospective manner to assess the pre- to postoperative kinematic changes. Y1 - 2021 U6 - https://doi.org/10.1007/s00167-021-06749-8 ER - TY - JOUR A1 - Lang, Annemarie A1 - Helfmeier, Sarah A1 - Stefanowski, Jonathan A1 - Kuppe, Aditi A1 - Sunkara, Vikram A1 - Pfeiffenberger, Moritz A1 - Wolter, Angelique A1 - Damerau, Alexandra A1 - Hemmati-Sadeghi, Shabnam A1 - Ringe, Jochen A1 - Haag, Rainer A1 - Hauser, Anja E. A1 - Löhning, Max A1 - Perka, Carsten A1 - Duda, Georg A1 - Hoff, Paula A1 - Schmidt-Bleek, Katharina A1 - Gaber, Timo A1 - Buttgereit, Frank T1 - HIF-stabilization prevents delayed fracture healing JF - bioarxiv Y1 - 2020 U6 - https://doi.org/10.1101/2020.07.02.182832 ER - TY - JOUR A1 - Ngokingha Tchouto, Mireille A1 - Mehl, Julia A1 - Khomeijani Farahani, Saeed A1 - Baum, Daniel A1 - Duda, Georg T1 - Novel image registration approach for combining 2D Osterix and collagen bundles images with 3D µCT JF - Journal of Bone and Mineral Research Y1 - 2026 U6 - https://doi.org/10.1093/jbmrpl/ziag009 VL - 10 IS - 3 ER - TY - GEN A1 - Baumann, Felix A1 - Duda, Georg A1 - Schiela, Anton A1 - Weiser, Martin ED - Hintermüller, Michael ED - Herzog, Roland ED - Kanzow, Christian ED - Ulbrich, Michael ED - Ulbrich, Stefan T1 - Identification of Stress in Heterogeneous Contact Models BT - Simulation and Hierarchical Optimization, Part II T2 - Non-Smooth and Complementarity-Based Distributed Parameter Systems N2 - We develop a heterogeneous model of the lower limb system to simulate muscle forces and stresses acting on the knee joint. The modelling of the bone dynamics leads to an index-3 DAE, which we discretize by higher order collocation methods. Furthermore, we present an elastomechanical contact knee joint model of the articular cartilage. For the solution of the contact problem we develop an efficient multigrid solver, based on an Augmented-Lagrangian relaxation of the contact constraints. We formulate the identification of joint forces and resulting stresses with respect to different knee joint models as an inverse problem based on medical gait data. Y1 - 2026 VL - 173 PB - Springer Nature ER -