Tilman Hees

Tilman Hees
  • Doctor of Medicine
  • Medical Doctor at Charité Universitätsmedizin Berlin

About

31
Publications
3,292
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244
Citations
Current institution
Charité Universitätsmedizin Berlin
Current position
  • Medical Doctor

Publications

Publications (31)
Article
Full-text available
Introduction Tendon transfers of the latissimus dorsi (LDT) or the lower trapezius (LTT) are treatment options for irreparable posterosuperior rotator cuff tears (PSIRCT). There is still no consensus on which type of tendon transfer is superior in the treatment of PSIRCT. Due to the differences in the anatomy and biomechanics, we hypothesize that...
Article
Full-text available
Background This study aims to compare the range of motion (ROM) of reverse shoulder arthroplasty lateralised by bony increased offset (BIO-RSA) using a standard 38-mm (mm) component to regular reverse shoulder arthroplasty (RSA) lateralised by using a 42-mm glenoid component. The secondary aims are to compare patient-reported and radiographic outco...
Article
Full-text available
Purpose: The aim of this study was to evaluate the clinical and radiological outcomes in the treatment of acute acromioclavicular joint (ACJ) separations using an all-endoscopic double cerclage endobutton technique compared to an arthroscopic-assisted single bundle endobutton technique. The secondary aim was to analyze the complication, failure and...
Article
Full-text available
With improving surgical and technological solutions for repairing rotator cuff tears, there has been increased interest in treatment of partial rotator cuff tears. The most prevalent type of partial tear is the PASTA (partial articular supraspinatus tendon avulsion) lesion. There is an ongoing debate on the best surgical technique to repair a PASTA...
Article
Introduction Il est encore controversé de savoir quel transfert de tendon donne de meilleurs résultats dans les déchirures postérieures supérieures irréparables de la coiffe. Le but de cette étude est d’illustrer un algorithme de traitement pour décider du transfert à effectuer sachant que les deux procédures permettent des améliorations significat...
Article
Full-text available
Background Remnant-preserving anterior cruciate ligament reconstruction (ACLR) should have advantages for postoperative remodeling and proprioception. However, it has been suggested that the larger diameter of the graft tends to lead to impingement phenomena with a higher rate of cyclops lesions. The aim of this work was to find out whether the rem...
Article
Full-text available
Purpose The posterior tibial slope (PTS) has different biomechanical effects on the knee. Especially in revision ACL reconstruction, a precise analysis is essential. Therefore, we investigate the influence of the anterior tibial bowing angle on the posterior slope measurement. Our hypothesis of the present study is that the short tibial X-rays unde...
Article
Full-text available
Purpose The aim of the present study was to evaluate if the vancomycin (1 mg/ml) is effective for the prevention of septic arthritis after ACL reconstruction. The hypothesis was that local antibiotic prophylaxis by soaking ACL grafts in vancomycin results in significantly less infections than ACL reconstruction without local antibiosis. Methods In...
Article
Full-text available
PurposeThe aim of this consensus project was to validate which endogenous and exogenous factors contribute to the development of post-traumatic osteoarthritis and to what extent ACL (anterior cruciate ligament) reconstruction can prevent secondary damage to the knee joint. Based on these findings, an algorithm for the management after ACL rupture s...
Article
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Background The optimal timing of anterior cruciate ligament (ACL) reconstruction remains controversial. Several studies have shown that early surgery leads to an increased rate of arthrofibrosis and poorer postoperative function. Other studies found no correlation between time of surgery and arthrofibrosis. The influence of simultaneous meniscus tr...
Article
Practical surgical training in orthopedics and trauma surgery is becoming more and more difficult due to increasing economic pressure. In addition, more and more interventions are carried out on an outpatient basis. This particularly applies to arthroscopy, which also places high demands on the skills of the surgeon. Therefore, numerous virtual art...
Article
Zusammenfassung Mobile Taschen-Ultraschallgeräte ermöglichen eine Bildgebung an Orten, an denen das Mitführen großer Geräte erschwert ist. Aktuell liegt die Qualität ihrer Bildgebung noch unter der von Hochleistungsultraschallgeräten. Es besteht aber wissenschaftliche Evidenz aus verschiedenen medizinischen Disziplinen, dass die Sensitivität und Sp...
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Full-text available
Aims and Objectives The purpose of this study was to evaluate the knee stability and subjective outcome after primary ACL reconstruction using either autologous semitendinosus or quadriceps tendon. Materials and Methods We evaluated a total of 50 patients who underwent ACL reconstruction - including 25 using the ipsilateral semitendinosus tendon (...
Article
Erratum zu: Knie J. 2019 10.1007/s43205-019-00019-x Bei diesem Beitrag ist der Beitragstitel versehentlich nicht richtig angegeben. Deutscher und englischer Beitragstitel lauten korrekt: Die medial öffnende Osteotomie zur Korrektur des Genu varum Medial open wedge osteotomy for …
Article
Objective Fast track concepts are used to reduce the risk of perioperative and postoperative complications after total knee arthroplasty. Indications The described concepts are used for patients with indications for the implantation of a total knee prosthesis. Contraindications Contraindications for fast track concepts are aged patients, dementia...
Article
Objective The aim of the operation is to correct a varus deformity. Technique A longitudinal incision is made medial to the tubercle of the tibia. The medial collateral ligament (sMCL) is detached subperiosteally at the distal attachment. The osteotomy plane is marked with Kirschner wires just above the pes anserinus and the position is controlled...
Article
Ziel der Operation ist es, das vordere Kreuzband (VKB) mit einem autologen Sehnentransplantat zu ersetzen (Semitendinosussehne). Der femorale Tunnel wird über ein tiefes anteromediales Portal unter arthroskopischer Kontrolle gebohrt. Das Knie muss beim Bohren mehr als 110° gebeugt sein. Als Landmarken dienen die Linea intercondylaris und die Knorpe...
Article
Die Neigung des Tibiaplateaus in der Sagittalebene („Slope“) beeinflusst die Stabilität des Kniegelenks. Aufgrund der nach hinten abfallenden Gelenkfläche gleitet die Tibia unter Last nach anterior. Ein erhöhter „Slope“ kann daher zu vorderen Instabilitäten beitragen. Auch Deformitäten in der Frontalebene können eine Auswirkung auf die Stabilität d...
Article
Background: The effects of psychological factors on the short-term outcome after uncomplicated total knee arthroplasty (TKA) have been described in several studies. However, the effects of mental factors on the midterm (5-year) outcome have not been described in the literature. This study was performed to examine the influence of pain catastrophiz...
Article
Objective Restoration of knee stability after rerupture of an anterior cruciate ligament (ACL) graft. Indication Acute and chronic functional instability with rerupture of an ACL graft with subjective instability with anatomical or non-anatomical bone tunnel without tunnel widening. Contraindications Partial anatomical bone tunnels of the previou...
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Full-text available
Increased tibial slope can be a cause of recurrent instability after anterior cruciate ligament reconstruction. This article presents a technique for an anterior closing-wedge osteotomy for slope correction. The indications for this procedure are patients with recurrent instability after anterior cruciate ligament reconstruction with a neutral leg...
Article
Zusammenfassung Die Neigung des Tibiaplateaus in der Sagittalebene (Slope) beeinflusst die Stabilität des Kniegelenkes. Aufgrund der nach hinten abfallenden Gelenkfläche gleitet die Tibia unter Last nach anterior. Ein erhöhter Slope kann daher zu anterioreren Instabilitäten beitragen. Auch Deformitäten in der Frontalebene können eine Auswirkung auf...
Article
Full-text available
Background Coronary arteries and their major branches are usually located on the surface of the heart. Infrequently, one portion of coronary arteries is situated intra-myocardially, a condition termed myocardial bridging (MyB). Generally, its prevalence is reported to be around 15% but there is evidence that in patients with hypertrophic cardiomyop...

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