@article{JobsVontheinKoenigetal.2020, author = {Jobs, Alexander and Vonthein, Reinhard and K{\"o}nig, Inke R. and Sch{\"a}fer, Jane and Nauck, Matthias and Haag, Svenja and Fichera, Carlo Federico and Stiermaier, Thomas and Ledwoch, Jakob and Schneider, Alisa and Valentova, Miroslava and von Haehling, Stephan and St{\"o}rk, Stefan and Westermann, Dirk and Lenz, Tobias and Arnold, Natalie and Edelmann, Frank and Seppelt, Philipp and Felix, Stephan and Lutz, Matthias and Hedwig, Felix and Borggrefe, Martin and Scherer, Clemens and Desch, Steffen and Thiele, Holger}, title = {Inferior vena cava ultrasound in acute decompensated heart failure: design rationale of the CAVA-ADHF-DZHK10 trial}, series = {ESC Heart Failure}, volume = {7}, journal = {ESC Heart Failure}, number = {3}, doi = {10.1002/ehf2.12598}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-212692}, pages = {973 -- 983}, year = {2020}, abstract = {Aims Treating patients with acute decompensated heart failure (ADHF) presenting with volume overload is a common task. However, optimal guidance of decongesting therapy and treatment targets are not well defined. The inferior vena cava (IVC) diameter and its collapsibility can be used to estimate right atrial pressure, which is a measure of right-sided haemodynamic congestion. The CAVA-ADHF-DZHK10 trial is designed to test the hypothesis that ultrasound assessment of the IVC in addition to clinical assessment improves decongestion as compared with clinical assessment alone. Methods and results CAVA-ADHF-DZHK10 is a randomized, controlled, patient-blinded, multicentre, parallel-group trial randomly assigning 388 patients with ADHF to either decongesting therapy guided by ultrasound assessment of the IVC in addition to clinical assessment or clinical assessment alone. IVC ultrasound will be performed daily between baseline and hospital discharge in all patients. However, ultrasound results will only be reported to treating physicians in the intervention group. Treatment target is relief of congestion-related signs and symptoms in both groups with the additional goal to reduce the IVC diameter ≤21 mm and increase IVC collapsibility >50\% in the intervention group. The primary endpoint is change in N-terminal pro-brain natriuretic peptide from baseline to hospital discharge. Secondary endpoints evaluate feasibility, efficacy of decongestion on other scales, and the impact of the intervention on clinical endpoints. Conclusions CAVA-ADHF-DZHK10 will investigate whether IVC ultrasound supplementing clinical assessment improves decongestion in patients admitted for ADHF.}, language = {en} } @article{VainioValtonenHeberetal.2013, author = {Vainio, Rami and Valtonen, Eino and Heber, Bernd and Malandraki, Olga E. and Papaioannou, Athanasios and Klein, Karl-Ludwig and Afanasiev, Alexander and Agueda, Neus and Aurass, Henry and Battarbee, Markus and Braune, Stephan and Dr{\"o}ge, Wolfgang and Ganse, Urs and Hamadache, Clarisse and Heynderickx, Daniel and Huttunen-Heikinmaa, Kalle and Kiener, J{\"u}rgen and Kilian, Patrick and Kopp, Andreas and Kouloumvakos, Athanasios and Maisala, Sami and Mishev, Alexander and Miteva, Rosita and Nindos, Alexander and Oittinen, Tero and Raukunen, Osku and Riihonen, Esa and Rodriguez-Gasen, Rosa and Saloniemi, Oskari and Sanahuja, Blai and Scherer, Renate and Spanier, Felix and Tatischeff, Vincent and Tziotziou, Kostas and Usoskin, Ilya G. and Vilmer, Nicole}, title = {The first SEPServer event catalogue similar to ~68-MeV solar proton events observed at 1 AU in 1996-2010}, series = {Journal of Space Weather and Space Climate}, volume = {3}, journal = {Journal of Space Weather and Space Climate}, number = {A12}, issn = {2115-7251}, doi = {10.1051/swsc/2013030}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-122847}, year = {2013}, abstract = {SEPServer is a three-year collaborative project funded by the seventh framework programme (FP7-SPACE) of the European Union. The objective of the project is to provide access to state-of-the-art observations and analysis tools for the scientific community on solar energetic particle (SEP) events and related electromagnetic (EM) emissions. The project will eventually lead to better understanding of the particle acceleration and transport processes at the Sun and in the inner heliosphere. These processes lead to SEP events that form one of the key elements of space weather. In this paper we present the first results from the systematic analysis work performed on the following datasets: SOHO/ERNE, SOHO/EPHIN, ACE/EPAM, Wind/WAVES and GOES X-rays. A catalogue of SEP events at 1 AU, with complete coverage over solar cycle 23, based on high-energy (similar to 68-MeV) protons from SOHO/ERNE and electron recordings of the events by SOHO/EPHIN and ACE/EPAM are presented. A total of 115 energetic particle events have been identified and analysed using velocity dispersion analysis (VDA) for protons and time-shifting analysis (TSA) for electrons and protons in order to infer the SEP release times at the Sun. EM observations during the times of the SEP event onset have been gathered and compared to the release time estimates of particles. Data from those events that occurred during the European day-time, i.e., those that also have observations from ground-based observatories included in SEPServer, are listed and a preliminary analysis of their associations is presented. We find that VDA results for protons can be a useful tool for the analysis of proton release times, but if the derived proton path length is out of a range of 1 AU < s less than or similar to 3 AU, the result of the analysis may be compromised, as indicated by the anti-correlation of the derived path length and release time delay from the associated X-ray flare. The average path length derived from VDA is about 1.9 times the nominal length of the spiral magnetic field line. This implies that the path length of first-arriving MeV to deka-MeV protons is affected by interplanetary scattering. TSA of near-relativistic electrons results in a release time that shows significant scatter with respect to the EM emissions but with a trend of being delayed more with increasing distance between the flare and the nominal footpoint of the Earth-connected field line.}, language = {en} } @phdthesis{Schenkhoff2007, author = {Schenkhoff, Felix Stephan}, title = {Herstellung und Charakterisierung multifunktioneller Fusionsproteine des membranst{\"a}ndigen Fas-Liganden und des membranst{\"a}ndigen CD40-Liganden}, isbn = {xxx}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-25978}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2007}, abstract = {TNF-Liganden liegen prim{\"a}r in membranst{\"a}ndiger Form mit trimerer Struktur vor und die meisten von ihnen k{\"o}nnen sekund{\"a}r durch Metalloproteasen in l{\"o}sliche trimere Liganden prozessiert werden. W{\"a}hrend membranst{\"a}ndige Formen der TNF-Liganden ihre korrespondierenden Rezeptoren aktivieren k{\"o}nnen, sind die l{\"o}slichen Varianten einzelner TNF-Liganden unterschiedlich aktiv beziehungsweise inaktiv an den korrespondierenden Rezeptoren, obwohl sie ebenfalls zur Bindung in der Lage sind. Dies konnte bereits in Studien f{\"u}r TNF und TRAIL gezeigt werden. Die Unterschiede zwischen l{\"o}slichen Varianten und der membranst{\"a}ndigen Form des Liganden betreffen sowohl die Rezeptorselektivit{\"a}t als auch den Aktivierungsgrad am Rezeptor bis hin zu v{\"o}lliger Inaktivit{\"a}t der l{\"o}slichen Form. Unterschiede finden sich jedoch nicht nur hinsichtlich der Aktivit{\"a}t, sondern auch in der Interaktion des Liganden mit dem Rezeptor. F{\"u}r die membranst{\"a}ndige und die l{\"o}sliche Form von FasL konnten Unterschiede in der Notwendigkeit intrazellul{\"a}rer Signalmolek{\"u}le bei der Ausbildung Ligand-induzierter Rezeptorsignalcluster gezeigt werden. F{\"u}r die l{\"o}sliche und membranst{\"a}ndige Form des CD40L werden eine unterschiedliche Rezeptorinternalisierung und eine unterschiedliche Rekrutierung von TRAF-Molek{\"u}len angenommen. Bisherige Arbeiten zur Untersuchung der Rezeptor-Ligand-Interaktion st{\"u}tzen sich meist auf l{\"o}sliche Varianten von TNF-Liganden, die durch artifizielle Multimerisierung oder Antik{\"o}rper-induzierte Quervernetzung sekund{\"a}r aktiviert werden m{\"u}ssen. Um f{\"u}r die Untersuchung der Rezeptor-Ligand-Interaktion in Zukunft realit{\"a}tsn{\"a}here Bedingungen zu schaffen, sollten im Rahmen dieser Arbeit multifunktionelle Fusionsproteine des membranst{\"a}ndigen FasL und CD40L hergestellt und charakterisiert werden. Die Fusionsproteine wurden im Rahmen der Klonierung so konstruiert, dass von der aminoterminalen Seite beginnend eine GST-Dom{\"a}ne, ein Flag-Tag, ein YFP-Tag und abschließend die vollst{\"a}ndige membranst{\"a}ndige Form des Liganden (FasL oder CD40L) aneinander gef{\"u}gt wurden. In FACS-Analysen konnte sowohl die Funktion des YFP-Tag als auch die korrekte Expression des Liganden an der Zelloberfl{\"a}che durch spezifische Antik{\"o}rperf{\"a}rbung nachgewiesen werden. Die funktionelle Aktivit{\"a}t der Liganden wurde durch IL-8-Induktion gezeigt, die eine Aktivierung des NF\&\#61547;B-Signalweges durch die GST-Fusionsproteine des membranst{\"a}ndigen FasL und des membranst{\"a}ndigen CD40L beweist. Im Rahmen von Immunopr{\"a}zipitationen wurde die M{\"o}glichkeit der Detektion der Fusionsproteine {\"u}ber ihr Flag-Tag getestet. F{\"u}r das in GST-pull-down-Assays genauer untersuchte membranst{\"a}ndige GST-Flag-YFP-CD40L-Fusionsprotein gelang eine Koimmunopr{\"a}zipitation mit dem im Rezeptorkomplex gebundenen TRAF2. F{\"u}r dieses in der Signaltransduktion des CD40 entscheidende Molek{\"u}l konnte seine transiente Interaktion mit dem Rezeptorsignalkomplex sowie eine Ver{\"a}nderung in der Assoziation an den Rezeptor durch TNF-abh{\"a}ngige TRAF1-Induktion gezeigt werden. Im Zusammenhang der mit der Rezeptoraktivierung oftmals gleichgesetzten Bildung von Rezeptorsignalclustern durch den entsprechenden TNF-Liganden war die Beobachtung interessant, dass das Konstrukt GST-Flag-YFP-CD40L im Gegensatz zum analog konstruierten GST-Flag-YFP-FasL nicht in der Lage war, Signalcluster des korrespondierenden Rezeptors zu erzeugen, aber dennoch f{\"a}hig war, eine Rezeptoraktivierung zu bewirken. Hinsichtlich der Untersuchung von Unterschieden in der Rezeptor-Ligand-Interaktion von l{\"o}slichen und membranst{\"a}ndigen Formen sind f{\"u}r FasL und CD40L noch viele Fragen offen, die beispielsweise auch die Stabilit{\"a}t von Rezeptorsignalclustern betreffen. Die in dieser Arbeit erzeugten und charakterisierten multifunktionellen Fusionsproteine sollten helfen, neue Erkenntnisse bez{\"u}glich der molekularen Grundlagen der Rezeptor-Ligand-Interaktion zu erzielen.}, subject = {Tumor-Necrose-Faktor}, language = {de} } @article{SchlottmannSchickeKruegeretal.2019, author = {Schlottmann, Elisabeth and Schicke, David and Kr{\"u}ger, Felix and Lingnau, Benjamin and Schneider, Christian and H{\"o}fling, Sven and L{\"u}dge, Kathy and Porte, Xavier and Reitzenstein, Stephan}, title = {Stochastic polarization switching induced by optical injection in bimodal quantum-dot micropillar lasers}, series = {Optics Express}, volume = {27}, journal = {Optics Express}, number = {20}, doi = {10.1364/OE.27.028816}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-228603}, pages = {28816-28831}, year = {2019}, abstract = {Mutual coupling and injection locking of semiconductor lasers is of great interest in non-linear dynamics and its applications for instance in secure data communication and photonic reservoir computing. Despite its importance, it has hardly been studied in microlasers operating at mu W light levels. In this context, vertically emitting quantum dot micropillar lasers are of high interest. Usually, their light emission is bimodal, and the gain competition of the associated linearly polarized fundamental emission modes results in complex switching dynamics. We report on selective optical injection into either one of the two fundamental mode components of a bimodal micropillar laser. Both modes can lock to the master laser and influence the non-injected mode by reducing the available gain. We demonstrate that the switching dynamics can be tailored externally via optical injection in very good agreement with our theory based on semi-classical rate equations. (C) 2019 Optical Society of America under the terms of the OSA Open Access Publishing Agreement}, language = {en} } @article{HagspielFantuzziDewhurstetal.2021, author = {Hagspiel, Stephan and Fantuzzi, Felipe and Dewhurst, Rian D. and G{\"a}rtner, Annalena and Lindl, Felix and Lamprecht, Anna and Braunschweig, Holger}, title = {Addukte des Stammboraphosphaketens H\(_{2}\)BPCO und deren Insertionsreaktionen mittels Decarbonylierung}, series = {Angewandte Chemie}, volume = {133}, journal = {Angewandte Chemie}, number = {24}, doi = {10.1002/ange.202103521}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-244803}, pages = {13780 -- 13784}, year = {2021}, abstract = {Die ersten Beispiele f{\"u}r Lewis-Basen-Addukte des Stammboraphosphaketens H\(_{2}\)B-PCO und ihre cyclischen Dimere wurden hergestellt. Eines dieser Addukte zeigt unter milden Bedingungen eine Decarbonylierung und anschließende Insertion des Phosphinidens in die B-C-Bindung eines Borols, was in der Bildung sehr seltener Beispiele f{\"u}r 1,2-Phosphaborinine, B,P-Isostere von Benzol, resultiert. Die starken Donoreigenschaften dieser 1,2-Phosphaborinine wurden durch die Synthese ihrer π-Komplexe mit Metallen der Gruppe 6 best{\"a}tigt.}, language = {de} } @article{HagspielFantuzziDewhurstetal.2021, author = {Hagspiel, Stephan and Fantuzzi, Felipe and Dewhurst, Rian D. and G{\"a}rtner, Annalena and Lindl, Felix and Lamprecht, Anna and Braunschweig, Holger}, title = {Adducts of the parent boraphosphaketene H\(_2\)BPCO and their decarbonylative insertion chemistry}, series = {Angewandte Chemie International Edition}, volume = {60}, journal = {Angewandte Chemie International Edition}, number = {24}, doi = {10.1002/anie.202103521}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-256470}, pages = {13666-13670}, year = {2021}, abstract = {The first examples of Lewis base adducts of the parent boraphosphaketene (H\(_2\)B-PCO) and their cyclodimers are prepared. One of these adducts is shown to undergo mild decarbonylation and phosphinidene insertion into a B-C bond of a borole, forming very rare examples of 1,2-phosphaborinines, B/P isosteres of benzene. The strong donor properties of these 1,2-phosphaborinines are confirmed by the synthesis of their π complexes with the Group 6 metals.}, language = {en} } @article{HeinzMellerLuetkensetal.2022, author = {Heinz, Tizian and Meller, Felix and Luetkens, Karsten Sebastian and Horas, Konstantin and Sch{\"a}fer, Thomas and Rudert, Maximilian and Reppenhagen, Stephan and Weißenberger, Manuel}, title = {Can the MRI based AMADEUS score accurately assess pre-surgery chondral defect severity according to the ICRS arthroscopic classification system?}, series = {Journal of Experimental Orthopaedics}, volume = {9}, journal = {Journal of Experimental Orthopaedics}, number = {1}, issn = {2197-1153}, doi = {10.1186/s40634-022-00511-w}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-300781}, year = {2022}, abstract = {Purpose The AMADEUS (Area Measurement And DEpth and Underlying Structures) scoring and grading system has been proposed for the MRI based evaluation of untreated focal chondral defects around the knee. The clinical practicability, its correlation with arthroscopically assessed grading systems (ICRS - International Cartilage Repair Society) and thereby its clinical value in terms of decision making and guiding prognosis was yet to determine. Methods From 2008 to 2019 a total of 89 individuals were indicated for high tibial valgus osteotomy (HTO) due to tibial varus deformity and concomitant chondral defects of the medial compartment of the knee. All patients received a preoperative MRI (1.5 Tesla or 3.0 Tesla) and pre-osteotomy diagnostic arthroscopy. Chondral defects of the medial compartment were scored and graded with the MRI based AMADEUS by three independent raters and compared to arthroscopic defect grading by the ICRS system. Interrater and intrarater reliability as well as correlation analysis with the ICRS classification system were assessed. Results Intraclass correlation coefficients for the various subscores of the AMADEUS showed an overall good to excellent interrater agreement (min: 0.26, max: 0.80). Intrarater agreement turned out to be substantially inferior (min: 0.08, max: 0.53). Spearman correlation revealed an overall moderate correlative association of the AMADEUS subscores with the ICRS classification system, apart from the defect area subscore. Sensitivity of the AMADEUS to accurately identify defect severity according to the ICRS was 0.7 (0.69 for 3.0 Tesla MRI, 0.67 for 1.5 Tesla MRI). The mean AMADEUS grade was 2.60 ± 0.81 and the mean ICRS score 2.90 ± 0.63. Conclusions Overall, the AMADEUS with all its subscores shows moderate correlation with the arthroscopic chondral grading system according to ICRS. This suggests that chondral defect grading by means of the MRI based AMADEUS is well capable of influencing and guiding treatment decisions. Interrater reliability shows overall good agreement.}, language = {en} } @article{KuehnischHerbstAl‐Wakeel‐Marquardetal.2019, author = {K{\"u}hnisch, Jirko and Herbst, Christopher and Al-Wakeel-Marquard, Nadya and Dartsch, Josephine and Holtgrewe, Manuel and Baban, Anwar and Mearini, Giulia and Hardt, Juliane and Kolokotronis, Konstantinos and Gerull, Brenda and Carrier, Lucie and Beule, Dieter and Schubert, Stephan and Messroghli, Daniel and Degener, Franziska and Berger, Felix and Klaassen, Sabine}, title = {Targeted panel sequencing in pediatric primary cardiomyopathy supports a critical role of TNNI3}, series = {Clinical Genetics}, volume = {96}, journal = {Clinical Genetics}, number = {6}, doi = {10.1111/cge.13645}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-213958}, pages = {549 -- 559}, year = {2019}, abstract = {The underlying genetic mechanisms and early pathological events of children with primary cardiomyopathy (CMP) are insufficiently characterized. In this study, we aimed to characterize the mutational spectrum of primary CMP in a large cohort of patients ≤18 years referred to a tertiary center. Eighty unrelated index patients with pediatric primary CMP underwent genetic testing with a panel-based next-generation sequencing approach of 89 genes. At least one pathogenic or probably pathogenic variant was identified in 30/80 (38\%) index patients. In all CMP subgroups, patients carried most frequently variants of interest in sarcomere genes suggesting them as a major contributor in pediatric primary CMP. In MYH7, MYBPC3, and TNNI3, we identified 18 pathogenic/probably pathogenic variants (MYH7 n = 7, MYBPC3 n = 6, TNNI3 n = 5, including one homozygous (TNNI3 c.24+2T>A) truncating variant. Protein and transcript level analysis on heart biopsies from individuals with homozygous mutation of TNNI3 revealed that the TNNI3 protein is absent and associated with upregulation of the fetal isoform TNNI1. The present study further supports the clinical importance of sarcomeric mutation—not only in adult—but also in pediatric primary CMP. TNNI3 is the third most important disease gene in this cohort and complete loss of TNNI3 leads to severe pediatric CMP.}, language = {en} } @article{HerrmannLotzKaragiannidisetal.2022, author = {Herrmann, Johannes and Lotz, Christopher and Karagiannidis, Christian and Weber-Carstens, Steffen and Kluge, Stefan and Putensen, Christian and Wehrfritz, Andreas and Schmidt, Karsten and Ellerkmann, Richard K. and Oswald, Daniel and Lotz, G{\"o}sta and Zotzmann, Viviane and Moerer, Onnen and K{\"u}hn, Christian and Kochanek, Matthias and Muellenbach, Ralf and Gaertner, Matthias and Fichtner, Falk and Brettner, Florian and Findeisen, Michael and Heim, Markus and Lahmer, Tobias and Rosenow, Felix and Haake, Nils and Lepper, Philipp M. and Rosenberger, Peter and Braune, Stephan and Kohls, Mirjam and Heuschmann, Peter and Meybohm, Patrick}, title = {Key characteristics impacting survival of COVID-19 extracorporeal membrane oxygenation}, series = {Critical Care}, volume = {26}, journal = {Critical Care}, number = {1}, doi = {10.1186/s13054-022-04053-6}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-299686}, year = {2022}, abstract = {Background Severe COVID-19 induced acute respiratory distress syndrome (ARDS) often requires extracorporeal membrane oxygenation (ECMO). Recent German health insurance data revealed low ICU survival rates. Patient characteristics and experience of the ECMO center may determine intensive care unit (ICU) survival. The current study aimed to identify factors affecting ICU survival of COVID-19 ECMO patients. Methods 673 COVID-19 ARDS ECMO patients treated in 26 centers between January 1st 2020 and March 22nd 2021 were included. Data on clinical characteristics, adjunct therapies, complications, and outcome were documented. Block wise logistic regression analysis was applied to identify variables associated with ICU-survival. Results Most patients were between 50 and 70 years of age. PaO\(_{2}\)/FiO\(_{2}\) ratio prior to ECMO was 72 mmHg (IQR: 58-99). ICU survival was 31.4\%. Survival was significantly lower during the 2nd wave of the COVID-19 pandemic. A subgroup of 284 (42\%) patients fulfilling modified EOLIA criteria had a higher survival (38\%) (p = 0.0014, OR 0.64 (CI 0.41-0.99)). Survival differed between low, intermediate, and high-volume centers with 20\%, 30\%, and 38\%, respectively (p = 0.0024). Treatment in high volume centers resulted in an odds ratio of 0.55 (CI 0.28-1.02) compared to low volume centers. Additional factors associated with survival were younger age, shorter time between intubation and ECMO initiation, BMI > 35 (compared to < 25), absence of renal replacement therapy or major bleeding/thromboembolic events. Conclusions Structural and patient-related factors, including age, comorbidities and ECMO case volume, determined the survival of COVID-19 ECMO. These factors combined with a more liberal ECMO indication during the 2nd wave may explain the reasonably overall low survival rate. Careful selection of patients and treatment in high volume ECMO centers was associated with higher odds of ICU survival.}, language = {en} } @article{HeinzMellerLuetkensetal.2023, author = {Heinz, Tizian and Meller, Felix and Luetkens, Karsten Sebastian and Anderson, Philip Mark and Stratos, Ioannis and Horas, Konstantin and Rudert, Maximilian and Reppenhagen, Stephan and Weißenberger, Manuel}, title = {The AMADEUS score is not a sufficient predictor for functional outcome after high tibial osteotomy}, series = {Journal of Experimental Orthopaedics}, volume = {10}, journal = {Journal of Experimental Orthopaedics}, doi = {10.1186/s40634-023-00575-2}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-357765}, year = {2023}, abstract = {Purpose The Area Measurement And Depth Underlying Structures (AMADEUS) classification system has been proposed as a valuable tool for magnetic resonance (MR)-based grading of preoperatively encountered chondral defects of the knee joint. However, the potential relationship of this novel score with clinical data was yet to determine. It was the primary intention of this study to assess the correlative relationship of the AMADEUS with patient reported outcome scores in patients undergoing medial open-wedge high tibial valgus osteotomy (HTO). Furthermore, the arthroscopic ICRS (International Cartilage Repair Society) grade evaluation was tested for correlation with the AMADEUS classification system. Methods This retrospective, monocentric study found a total of 70 individuals that were indicated for HTO due to degenerative chondral defects of the medial compartment between 2008 and 2019. A preoperative MR image as well as a pre-osteotomy diagnostic arthroscopy for ICRS grade evaluation was mandatory for all patients. The Knee Osteoarthritis Outcome Score (KOOS) including its five subscale scores (KOOS-ADL, KOOS-QOL, KOOS-Sports, KOOS-Pain, KOOS-Symptoms) was obtained preoperatively and at a mean follow-up of 41.2 ± 26.3 months. Preoperative chondral defects were evaluated using the AMADEUS classification system and the final AMADEUS scores were correlated with the pre- and postoperative KOOS subscale sores. Furthermore, arthroscopic ICRS defect severity was correlated with the AMADEUS classification system. Results There was a statistically significant correlation between the AMADEUS BME (bone marrow edema) subscore and the KOOS Symptoms subscore at the preoperative visit (r = 0.25, p = 0.04). No statistically significant monotonic association between the AMADEUS total score and the AMADEUS grade with pre- and postoperative KOOS subscale scores were found. Intraoperatively obtained ICRS grade did reveal a moderate correlative relation with the AMADEUS total score and the AMADEUS grade (r = 0.28, p = 0.02). Conclusions The novel AMADEUS classification system largely lacks correlative capacity with patient reported outcome measures in patients undergoing HTO. The MR tomographic appearance of bone marrow edema is the only parameter predictive of the clinical outcome at the preoperative visit.}, language = {en} }