... Chirurg 1984; 55: 645-649 10 Curley SA, Allison DC, Smith DE, Doberneck RC. ... Am Coll Surg ... more ... Chirurg 1984; 55: 645-649 10 Curley SA, Allison DC, Smith DE, Doberneck RC. ... Am Coll Surg 1997; 184: 364-372 12 Sorensen LT, Jorgensen T, Kirkeby LT, Skovdal J, Vennits B, Wille-Jorgensen P. Smoking and alcohol abuse are major risk factors for anastomotic leakage ...
The diagnosis and treatment of periprosthetic joint infection (PJI) remain true clinical challeng... more The diagnosis and treatment of periprosthetic joint infection (PJI) remain true clinical challenges. PJI diminishes therapeutic success, causes dissatisfaction for the patient and medical staff, and often requires extensive surgical revision(s). At the present time, an extensive multimodal algorithmic approach is used to avoid time- and cost-consuming diagnostic aberrations. However, especially in the case of the frequent and clinically most relevant "low-grade" PJI, the current diagnostic "gold standard" has reached its limits. Synovial biomarkers are thought to close this diagnostic gap, hopefully enabling the safe differentiation among aseptic, (chronic) septic, implant allergy-related and the arthrofibrotic genesis of symptomatic arthroplasty. Therefore, joint aspiration for obtaining synovial fluid is preferred over surgical synovial tissue biopsy because of the faster results, greater practicability, greater patient safety, and lower costs. In addition to the parameters synovial IL-6, CRP, and leukocyte esterase, novel biomarkers such as antimicrobial peptides and other proinflammatory cytokines are currently highlighted because of their very high to excellent diagnostic accuracy. Independent multicenter validation studies are required to show whether a set of different innovative synovial fluid biomarkers rather than a few single parameters is favorable for a safe "one-stop shop" differential diagnosis of PJI.
Articular cartilage repair methods, in particular scaffold-based autologous chondrocyte implantat... more Articular cartilage repair methods, in particular scaffold-based autologous chondrocyte implantation, are already in clinical use. In the coming years, the European guidelines on human cell-based medicinal products by the European Medical Agency (EMA) will extend today's quality control mechanisms by additional structural analyses. As articular cartilage has complex biphasic and viscoelastic mechanical properties, a high-performance material test system is required and has already been implemented. To characterize the recovery of cartilage and cartilage replacement materials, it is necessary to measure the dynamic recovery profile. A measurement system for an application like this requires an axis acceleration of more then 50 m/s(2). Furthermore, the test system needs custom-made components to fix the biological specimen while testing. A software package consisting of a graphical user interface and an axis controller leads to highly reproducible tests. The software makes use of a position and velocity controller as well as a force controller at kilohertz speed. While using the high performance force controller it is possible to apply static and dynamic loading profiles that are independent from position or speed set points and signals.
Intramuscular oil injections generating slowly degrading oil-based depots represent a controversi... more Intramuscular oil injections generating slowly degrading oil-based depots represent a controversial subject in bodybuilding and fitness. However they seem to be commonly reported in a large number of non-medical reports, movies and application protocols for 'site-injections'. Surprisingly the impact of long-term (ab)use on the musculature as well as potential side-effects compromising health and sports ability are lacking in the medical literature. We present the case of a 40 year old male semi-professional bodybuilder with systemic infection and painful reddened swellings of the right upper arm forcing him to discontinue weightlifting. Over the last 8 years he daily self-injected sterilized sesame seed oil at numerous intramuscular locations for the purpose of massive muscle building. Whole body MRI showed more than 100 intramuscular rather than subcutaneous oil cysts and loss of normal muscle anatomy. 2-step septic surgery of the right upper arm revealed pus-filled cystic ...
Out of all skeletal metastases 30% are located in the spine as are 10% of primary bone tumors, wh... more Out of all skeletal metastases 30% are located in the spine as are 10% of primary bone tumors, whereby 52% of metastases occur in the lumbar region, 36% in the thoracic spine and 12% in the cervical spine. Patients suffer from local pain caused by irritation of the periosteum due to rapid growth of the tumor or subsequent pathologic fractures which may lead to compression and neurological impairment with paresthesia, paresis and paraplegia. If the diagnosis cannot be confirmed exactly by radiological imaging and laboratory tests, a biopsy should be performed. A precise diagnosis of the tumor entity as well as an estimation of the prognosis provides an important basis for further decision-making. The aim of therapy is pain relief and stabilization by operative and non-operative measures. Therapy is palliative with the aim of pain relief and preservation of mobility. In cases of solitary metastasis a curative operative treatment should be performed.
The number of periprosthetic fractures following hip replacement is increasing due to longer life... more The number of periprosthetic fractures following hip replacement is increasing due to longer life expectancy and the rising number of joint replacements. The main causes of periprosthetic fractures include trauma, implant specific factors or loosening of the endoprosthesis. When planning therapy, surgeons should consider specific and general implant- and patient-related risk factors to ensure the best possible treatment. Established classification systems can facilitate preoperative planning. At present, the Vancouver classification system probably comes closest to the ideal, as it considers fracture configuration, stability of the implant and quality of the bone stock. Depending on these factors, therapeutic options include conservative treatment, fracture stabilisation or replacement of the endoprosthesis. The problems associated with periprosthetic fractures of varying etiology and the available treatment options are discussed against the background of the established classificat...
Articular cartilage repair methods, in particular scaffold-based autologous chondrocyte implantat... more Articular cartilage repair methods, in particular scaffold-based autologous chondrocyte implantation, are already in clinical use. In the coming years, the European guidelines on human cell-based medicinal products by the European Medical Agency (EMA) will extend today's quality control mechanisms by additional structural analyses. As articular cartilage has complex biphasic and viscoelastic mechanical properties, a high-performance material test system is required and has already been implemented. To characterize the recovery of cartilage and cartilage replacement materials, it is necessary to measure the dynamic recovery profile. A measurement system for an application like this requires an axis acceleration of more then 50 m/s(2). Furthermore, the test system needs custom-made components to fix the biological specimen while testing. A software package consisting of a graphical user interface and an axis controller leads to highly reproducible tests. The software makes use of a position and velocity controller as well as a force controller at kilohertz speed. While using the high performance force controller it is possible to apply static and dynamic loading profiles that are independent from position or speed set points and signals.
The vascularization of tissue-engineered constructs is yet an unsolved problem. Here, recent work... more The vascularization of tissue-engineered constructs is yet an unsolved problem. Here, recent work on the decellularization of whole organs has opened new perspectives on tissue engineering. However, existing decellularization protocols last several days and derived biomatrices have only been reseeded with cells from the same tissue origin or stem cells differentiating into these types of tissue. Within the present work, we demonstrate a novel standardized, time-efficient, and reproducible protocol for the decellularization of solid tissues to derive a ready to use biomatrix within only 5 h. Furthermore, we prove that biomatrices are usable as potential scaffolds for tissue engineering of vascularized tissues, even beyond tissue and maybe even species barriers. To prove this, we seeded human primary osteoblasts into a rat kidney bioscaffold. Here, seeded cells spread homogeneously within the matrix and proliferate under dynamic culture conditions. The cells do not only maintain their original phenotype within the matrix, they also show a strong metabolic activity and remodel the biomatrix toward a bone-like extracellular matrix. Thus, the decellularization technique has the ability to become a platform technology for tissue engineering. It potentially offers a universally applicable and easily producible scaffold that addresses the yet unsolved problem of vascularization.
... Chirurg 1984; 55: 645-649 10 Curley SA, Allison DC, Smith DE, Doberneck RC. ... Am Coll Surg ... more ... Chirurg 1984; 55: 645-649 10 Curley SA, Allison DC, Smith DE, Doberneck RC. ... Am Coll Surg 1997; 184: 364-372 12 Sorensen LT, Jorgensen T, Kirkeby LT, Skovdal J, Vennits B, Wille-Jorgensen P. Smoking and alcohol abuse are major risk factors for anastomotic leakage ...
The diagnosis and treatment of periprosthetic joint infection (PJI) remain true clinical challeng... more The diagnosis and treatment of periprosthetic joint infection (PJI) remain true clinical challenges. PJI diminishes therapeutic success, causes dissatisfaction for the patient and medical staff, and often requires extensive surgical revision(s). At the present time, an extensive multimodal algorithmic approach is used to avoid time- and cost-consuming diagnostic aberrations. However, especially in the case of the frequent and clinically most relevant "low-grade" PJI, the current diagnostic "gold standard" has reached its limits. Synovial biomarkers are thought to close this diagnostic gap, hopefully enabling the safe differentiation among aseptic, (chronic) septic, implant allergy-related and the arthrofibrotic genesis of symptomatic arthroplasty. Therefore, joint aspiration for obtaining synovial fluid is preferred over surgical synovial tissue biopsy because of the faster results, greater practicability, greater patient safety, and lower costs. In addition to the parameters synovial IL-6, CRP, and leukocyte esterase, novel biomarkers such as antimicrobial peptides and other proinflammatory cytokines are currently highlighted because of their very high to excellent diagnostic accuracy. Independent multicenter validation studies are required to show whether a set of different innovative synovial fluid biomarkers rather than a few single parameters is favorable for a safe "one-stop shop" differential diagnosis of PJI.
Articular cartilage repair methods, in particular scaffold-based autologous chondrocyte implantat... more Articular cartilage repair methods, in particular scaffold-based autologous chondrocyte implantation, are already in clinical use. In the coming years, the European guidelines on human cell-based medicinal products by the European Medical Agency (EMA) will extend today's quality control mechanisms by additional structural analyses. As articular cartilage has complex biphasic and viscoelastic mechanical properties, a high-performance material test system is required and has already been implemented. To characterize the recovery of cartilage and cartilage replacement materials, it is necessary to measure the dynamic recovery profile. A measurement system for an application like this requires an axis acceleration of more then 50 m/s(2). Furthermore, the test system needs custom-made components to fix the biological specimen while testing. A software package consisting of a graphical user interface and an axis controller leads to highly reproducible tests. The software makes use of a position and velocity controller as well as a force controller at kilohertz speed. While using the high performance force controller it is possible to apply static and dynamic loading profiles that are independent from position or speed set points and signals.
Intramuscular oil injections generating slowly degrading oil-based depots represent a controversi... more Intramuscular oil injections generating slowly degrading oil-based depots represent a controversial subject in bodybuilding and fitness. However they seem to be commonly reported in a large number of non-medical reports, movies and application protocols for 'site-injections'. Surprisingly the impact of long-term (ab)use on the musculature as well as potential side-effects compromising health and sports ability are lacking in the medical literature. We present the case of a 40 year old male semi-professional bodybuilder with systemic infection and painful reddened swellings of the right upper arm forcing him to discontinue weightlifting. Over the last 8 years he daily self-injected sterilized sesame seed oil at numerous intramuscular locations for the purpose of massive muscle building. Whole body MRI showed more than 100 intramuscular rather than subcutaneous oil cysts and loss of normal muscle anatomy. 2-step septic surgery of the right upper arm revealed pus-filled cystic ...
Out of all skeletal metastases 30% are located in the spine as are 10% of primary bone tumors, wh... more Out of all skeletal metastases 30% are located in the spine as are 10% of primary bone tumors, whereby 52% of metastases occur in the lumbar region, 36% in the thoracic spine and 12% in the cervical spine. Patients suffer from local pain caused by irritation of the periosteum due to rapid growth of the tumor or subsequent pathologic fractures which may lead to compression and neurological impairment with paresthesia, paresis and paraplegia. If the diagnosis cannot be confirmed exactly by radiological imaging and laboratory tests, a biopsy should be performed. A precise diagnosis of the tumor entity as well as an estimation of the prognosis provides an important basis for further decision-making. The aim of therapy is pain relief and stabilization by operative and non-operative measures. Therapy is palliative with the aim of pain relief and preservation of mobility. In cases of solitary metastasis a curative operative treatment should be performed.
The number of periprosthetic fractures following hip replacement is increasing due to longer life... more The number of periprosthetic fractures following hip replacement is increasing due to longer life expectancy and the rising number of joint replacements. The main causes of periprosthetic fractures include trauma, implant specific factors or loosening of the endoprosthesis. When planning therapy, surgeons should consider specific and general implant- and patient-related risk factors to ensure the best possible treatment. Established classification systems can facilitate preoperative planning. At present, the Vancouver classification system probably comes closest to the ideal, as it considers fracture configuration, stability of the implant and quality of the bone stock. Depending on these factors, therapeutic options include conservative treatment, fracture stabilisation or replacement of the endoprosthesis. The problems associated with periprosthetic fractures of varying etiology and the available treatment options are discussed against the background of the established classificat...
Articular cartilage repair methods, in particular scaffold-based autologous chondrocyte implantat... more Articular cartilage repair methods, in particular scaffold-based autologous chondrocyte implantation, are already in clinical use. In the coming years, the European guidelines on human cell-based medicinal products by the European Medical Agency (EMA) will extend today's quality control mechanisms by additional structural analyses. As articular cartilage has complex biphasic and viscoelastic mechanical properties, a high-performance material test system is required and has already been implemented. To characterize the recovery of cartilage and cartilage replacement materials, it is necessary to measure the dynamic recovery profile. A measurement system for an application like this requires an axis acceleration of more then 50 m/s(2). Furthermore, the test system needs custom-made components to fix the biological specimen while testing. A software package consisting of a graphical user interface and an axis controller leads to highly reproducible tests. The software makes use of a position and velocity controller as well as a force controller at kilohertz speed. While using the high performance force controller it is possible to apply static and dynamic loading profiles that are independent from position or speed set points and signals.
The vascularization of tissue-engineered constructs is yet an unsolved problem. Here, recent work... more The vascularization of tissue-engineered constructs is yet an unsolved problem. Here, recent work on the decellularization of whole organs has opened new perspectives on tissue engineering. However, existing decellularization protocols last several days and derived biomatrices have only been reseeded with cells from the same tissue origin or stem cells differentiating into these types of tissue. Within the present work, we demonstrate a novel standardized, time-efficient, and reproducible protocol for the decellularization of solid tissues to derive a ready to use biomatrix within only 5 h. Furthermore, we prove that biomatrices are usable as potential scaffolds for tissue engineering of vascularized tissues, even beyond tissue and maybe even species barriers. To prove this, we seeded human primary osteoblasts into a rat kidney bioscaffold. Here, seeded cells spread homogeneously within the matrix and proliferate under dynamic culture conditions. The cells do not only maintain their original phenotype within the matrix, they also show a strong metabolic activity and remodel the biomatrix toward a bone-like extracellular matrix. Thus, the decellularization technique has the ability to become a platform technology for tissue engineering. It potentially offers a universally applicable and easily producible scaffold that addresses the yet unsolved problem of vascularization.
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Papers by Peter Prodinger