Alfred Hochrein

Alfred Hochrein
OCM Clinic · Knee Surgery and Sports Traumatology

MD

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26
Publications
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206
Citations

Publications

Publications (26)
Article
Full-text available
Background The best treatment for perforated colonic diverticulitis with generalized peritonitis is still under debate. Concurrent strategies are resection with primary anastomosis (PRA) with or without diverting ileostomy (DI), Hartmann’s procedure (HP), laparoscopic lavage (LL) and damage control surgery (DCS). This review intends to systematical...
Article
Background Even though realignment procedures have gained popularity as concomitant techniques in cartilage repair approaches with underlying malalignment, the clinical efficacy has not been proven to full extent. Methods Out of 5474 patients from the German Cartilage Registry, 788 patients with focal cartilage defects on the medial femoral condyl...
Article
Full-text available
Introduction Acute diverticulitis of the sigmoid colon is increasingly treated by a non-operative approach. The need for colectomy after recovery from a flare of acute diverticulitis of the left colon, complicated diverticular abscess is still controversial. The primary aim of this study is to assess the risk of interval emergency surgery by system...
Article
The goal was to examine gender differences of patient characteristics and outcome after cartilage repair based on a collective of nearly 5,000 patients. Patient characteristics, accompanying therapies, and outcome (Knee Injury and Osteoarthritis Outcome Score [KOOS], reoperations, patient satisfaction) of 4,986 patients of the German cartilage regi...
Article
Full-text available
Introduction Diverticulitis is among the most common abdominal disorders. The best treatment strategy for this complicated disease as well as for recurrent stages is still under debate. Moreover, little knowledge exists regarding the effect of different therapeutic strategies on the health-related quality of life (HrQoL). Therefore, the PREDIC-DIV...
Article
Full-text available
Background/aim: Colon interposition counts among the most common techniques for reconstruction after esophagectomy. Availability of data on metachronous mucosal pathologies is weak. The aim of this review was to identify all reports on the development of metachronous adenoma and adenocarcinoma in colon interposition after esophagectomy in adulthoo...
Article
Full-text available
Purpose To identify the impact of the severity of diverticular disease on long-term quality of life. Methods Consecutive patients, hospitalized between October 2009 and November 2015 due to uncomplicated (UD) and complicated diverticulitis (CD) of the left colon, were analyzed. Patients undergoing emergent surgery for perforated disease were exclu...
Article
Full-text available
In the context of cartilage repair, identification of the underlying pathologies depends on detailed preoperative evaluation. High tibial osteotomy (HTO) for varus deformities is one of the most common concomitant treatments, though scientific evidence about efficiency of concomitant HTO is still limited. The present study was initiated to describe...
Article
Purpose To evaluate the factors influencing the baseline Knee Injury and Osteoarthritis Outcome Score (KOOS) in patients with knee cartilage defects and planned cartilage repair surgery and to provide baseline KOOS data from a large patient population. Material and methods Between October 2013 and April 2017, a total of 2815 patients assigned for...
Article
Full-text available
Purpose: Damage control strategy (DCS) is a two-staged procedure for the treatment of perforated diverticular disease complicated by generalized peritonitis. The aim of this retrospective multicenter cohort study was to evaluate the prognostic impact of an ongoing peritonitis at the time of second surgery. Methods: Consecutive patients who under...
Article
Full-text available
Purpose: Optimal surgical management of perforated diverticulitis of the sigmoid colon has yet to be clearly defined. The purpose of this study was to evaluate efficacy of a "Damage Control Strategy" (DCS). Materials and methods: Patients with perforated diverticulitis of the sigmoid colon complicated by generalized peritonitis (Hinchey III and...
Article
Full-text available
Articular cartilage predominantly serves a biomechanical function, which begins in utero and further develops during growth and locomotion. With regard to its 2-tissue structure (chondrocytes and matrix), the regenerative potential of hyaline cartilage defects is limited. Children and adolescents are increasingly suffering from articular cartilage...
Article
Acute appendicitis is one of the most frequent disorders in abdominal surgery. Therefore, appendectomy is a matter of significant interest in that field. Yet, four different techniques are available: open appendectomy, (conventional) laparoscopic appendectomy, single port laparoscopic appendectomy and NOTES-appendectomy with its different variation...
Article
In Germany, more than 400,000 arthroscopic procedures are performed each year. The DART registry is designed to study the outcome of arthroscopic procedures of the shoulder, hip, knee and ankle joint under everyday clinical circumstances using patient-reported outcome measures (PROMs). DART aims at identifying patient-specific factors correlated wi...
Article
Full-text available
Purpose: To evaluate the impact of superior rectal artery (SRA) sparing technique on anastomotic leakage in laparoscopic sigmoidectomy for diverticular disease. Material and methods: A retrospective multicenter analysis of all patients undergoing laparoscopic sigmoid resection for diverticular disease between 2002 and 2015 was conducted. Data we...
Article
Objective: Reduction of the load to the medial compartment in patients with medial knee osteoarthritis and varus malalignment. Unloading of the posterolateral complex in varus deformity with complex ligamentous laxity. Indications: Medial knee osteoarthritis and varus malalignment with largely intact lateral and patellofemoral joint aspect. Comp...
Article
Introduction Almost 20 years after the first administration of autologous chondrocytes in humans within the framework of autologous chondrocyte transplantation (ACT), this method has become an established procedure for treatment of full-thickness cartilage defects of the knee joint. Results Scientific evidence includes multiple prospective randomiz...
Chapter
An essential step in successful ACL reconstruction is achieving appropriate tunnels or sockets for graft placement and fixation. Several drilling techniques have been described, all of which have their justification in respect to different operation and fixation strategies [6]. For single-bundle ACL reconstruction, one bone tunnel is needed in the...
Chapter
The purpose of this chapter is to highlight arthroscopic and supplementation treatment options in osteoarthritis of the knee. Respective therapies are described with indications, contraindications, and literature workup. Arthroscopic knee osteoarthritis treatment comprises lavage, debridement, abrasion arthroplasty, and microfractures. While stand-...
Article
Surgical-site infections (SSIs) and intra-abdominal abscesses (IAAs) are the most frequent complications of appendectomy. The role of laparoscopy in the treatment of appendicitis remains controversial concerning the complication rate. The aim of this retrospective cohort study was to compare open and laparoscopic appendectomy for SSI and IAA. All p...
Article
Gegenstand In einer klinischen Vergleichsstudie an Patienten, die sich einer arthroskopisch kontrollierten Vorderen Kreuzbandplastik unter Verwendung der Hamstrings unterzogen, wurde untersucht, ob sich die funktionellen Ergebnisse der Vorderen Kreuzbandplastik unter Verwendung eines neu entwickelten wassergefüllten Soft Braces im Vergleich zum Har...
Article
The purpose of this study was to compare the clinical outcomes of rehabilitation after ACL reconstruction using a water-filled soft brace to those using a hard brace. The method used in this study was a prospective randomised clinical trial including 36 patients wearing a hard brace and 37 patients wearing a water-filled soft brace for 6 weeks afte...

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