{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T02:28:35Z","timestamp":1745375315300},"reference-count":57,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective Rupture of the anterior cruciate ligament (ACL) in childhood and adolescence is a serious injury. It is now known that conservative therapy of an unstable knee joint in\n\t\t\t\t\tchildhood or adolescence under can lead to poor subjective and objective results. The aim of this study is to record long-term results after transepiphyseal ACL reconstruction using\n\t\t\t\t\tautologous hamstring tendons and extracortical fixation in childhood and adolescence with open physes \u2013 at least 15 years after surgery.<\/jats:p><jats:p>\n          Methods Our internal registry was used to identify all patients who received surgical treatment of an acl tear during childhood and adolescence by transepiphyseal acl reconstruction\n\t\t\t\t\tmore than 15 years previously. In these patients, the International Knee Documentation Committee for Subjective Knee Form (IKDCsubj.), Knee Injury and Osteoarthritis Outcome Score (KOOS),\n\t\t\t\t\tTegner Activity Score (TAS) and Lysholm Score were collected, and clinical and magnetic resonance imaging (MRI) examinations were performed.<\/jats:p><jats:p>\n          Results A total of 22 patients were identified, 5 of whom could not be contacted. The mean age at the time of surgery was 13.1 years, and the mean follow-up time was 17.4 years. In 3\n\t\t\t\t\tpatients, a traumatic tear was observed with subsequent reconstruction of the ACL. None of the included patients showed a growth disorder during the course of the study. The\n\t\t\t\t\t\tIKDCsubj. was 92.4\u2009\u00b1\u200914.7 (48\u200a\u2013\u200a100), the Lysholm score was 87.9\u2009\u00b1\u200916.9 (34\u200a\u2013\u200a100), the TAS was 5.7\u2009\u00b1\u20092.3 (3\u200a\u2013\u200a9) and the pain level based on VAS was 3.5\u2009\u00b1\u20092.6 (1\u200a\u2013\u200a8) points.\n\t\t\t\t\tThe values showed subjective and objective deterioration compared to the 10-year results, with no statistical significance. The following subscores were reported for the KOOS:\n\t\t\t\t\t\tKOOSpain 90.9\u2009\u00b1\u200917.6 (28\u200a\u2013\u200a100); KOOSsymptom 82.9\u2009\u00b1\u200922.6 (11\u200a\u2013\u200a100); KOOOSADL 94.3\u2009\u00b1\u200913.7 (44\u200a\u2013\u200a100); KOOSSport 80.3\u2009\u00b1\u200926.4 (15\u200a\u2013\u200a100);\n\t\t\t\t\t\tKOOSQOL 80.9\u2009\u00b1\u200925.8 (0\u200a\u2013\u200a100). 13 of the 17 patients could also be clinically and radiologically examined. In 92% of patients, an intact acl reconstruction was found without\n\t\t\t\t\tevidence of cartilage or meniscus damage. The mean lateral difference in the KT-1000 measurement was 1.5\u2009mm.<\/jats:p><jats:p>\n          Conclusion ACL reconstruction in childhood and adolescence provides good functionality and stability of the knee joint over the long term. Secondary signs of osteoarthritis can only\n\t\t\t\t\tbe detected in isolated cases by MRI. ACL reconstruction using the transepiphyseal technique can be considered the method of choice for open growth plate knee joints.<\/jats:p>","DOI":"10.1055\/a-1352-5541","type":"journal-article","created":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T10:08:56Z","timestamp":1630404536000},"page":"393-399","source":"Crossref","is-referenced-by-count":2,"title":["17-Year Results following Transepiphyseal Anterior Cruciate Ligament Reconstruction in Children and Adolescents"],"prefix":"10.1055","volume":"160","author":[{"given":"Alexander","family":"Zimmerer","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic, ARCUS Clinic for Sports Medicine, Pforzheim, Germany"},{"name":"Orthopaedic and Orthopaedic Surgery Clinic, University Medical Clinics Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco M.","family":"Schneider","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic, ARCUS Clinic for Sports Medicine, Pforzheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carina","family":"Semann","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic, ARCUS Clinic for Sports Medicine, Pforzheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Schopf","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic, ARCUS Clinic for Sports Medicine, Pforzheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Sobau","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic, ARCUS Clinic for Sports Medicine, Pforzheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andree","family":"Ellermann","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic, ARCUS Clinic for Sports Medicine, Pforzheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,2,18]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.ocl.2016.05.004","article-title":"Anterior Cruciate Ligament Injuries in Children and Adolescents","volume":"47","author":"P D Fabricant","year":"2016","journal-title":"Orthop Clin North Am"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.1177\/0363546516629944","article-title":"Incidence of Anterior Cruciate Ligament Tears and Reconstruction. A 21-Year Population-Based Study","volume":"44","author":"T L Sanders","year":"2016","journal-title":"Am J Sports Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1177\/0363546513518412","article-title":"20 years of pediatric anterior cruciate ligament reconstruction in New York State","volume":"42","author":"E R Dodwell","year":"2014","journal-title":"Am J Sports Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1097\/BPO.0000000000000482","article-title":"Trends in Pediatric and Adolescent Anterior Cruciate Ligament Injury and Reconstruction","volume":"36","author":"B C Werner","year":"2016","journal-title":"J Pediatr Orthop"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1097\/01241398-200411000-00005","article-title":"Anterior cruciate ligament injury in pediatric and adolescent soccer players. An analysis of insurance data","volume":"24","author":"K G Shea","year":"2004","journal-title":"J Pediatr Orthop"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1007\/s00402-012-1480-0","article-title":"The epidemiology of knee injuries in children and adolescents","volume":"132","author":"T Kraus","year":"2012","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"970","DOI":"10.4085\/1062-6050-54.084","article-title":"Anterior Cruciate Ligament Research Retreat VIII Summary Statement. An Update on Injury Risk Identification and Prevention Across the Anterior Cruciate Ligament Injury Continuum, March\n\t\t\t\t\t14\u201316, 2019, Greensboro, NC","volume":"54","author":"S J Shultz","year":"2019","journal-title":"J Athl Train"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1492","DOI":"10.1177\/0363546516634682","article-title":"Multivariate Analysis of the Risk Factors for First-Time Noncontact ACL Injury in High School and College Athletes. A Prospective Cohort Study With a Nested, Matched Case-Control\n\t\t\t\t\tAnalysis","volume":"44","author":"P M Vacek","year":"2016","journal-title":"Am J Sports Med"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1177\/1941738114554768","article-title":"Anterior cruciate ligament injuries in pediatric athletes presenting to sports medicine clinic. A comparison of males and females through growth and development","volume":"7","author":"A Stracciolini","year":"2015","journal-title":"Sports Health"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.jsams.2018.07.004","article-title":"Does brain functional connectivity contribute to musculoskeletal injury? A preliminary prospective analysis of a neural biomarker of ACL injury risk","volume":"22","author":"J A Diekfuss","year":"2019","journal-title":"J Sci Med Sport"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.4085\/1062-6050-50.10.08","article-title":"Brains and Sprains. The Brain\u02bcs Role in Noncontact Anterior Cruciate Ligament Injuries","volume":"50","author":"C B Swanik","year":"2015","journal-title":"J Athl Train"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1177\/03635465030310061801","article-title":"Risk factors associated with noncontact injury of the anterior cruciate ligament. A prospective four-year evaluation of 859 West Point cadets","volume":"31","author":"J M Uhorchak","year":"2003","journal-title":"Am J Sports Med"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1007\/s00113-016-0202-4","article-title":"Ligament\u00e4re Kniegelenkverletzungen im Wachstumsalter","volume":"119","author":"T C Drenck","year":"2016","journal-title":"Unfallchirurg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1177\/1941738119870192","article-title":"Weight Gain After ACL Reconstruction in Pediatric and Adolescent Patients","volume":"12","author":"E M MacAlpine","year":"2020","journal-title":"Sports Health"},{"key":"ref15","first-page":"855","article-title":"Operative Versus Conservative Treatment of Anterior Cruciate Ligament Rupture","volume":"115","author":"M Krause","year":"2018","journal-title":"Dtsch Arztebl Int"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/j.csm.2011.08.001","article-title":"Anterior cruciate ligament reconstruction in the young athlete. A treatment algorithm for the skeletally immature","volume":"30","author":"M D Milewski","year":"2011","journal-title":"Clin Sports Med"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"932702","DOI":"10.1155\/2012\/932702","article-title":"Treatment of anterior cruciate ligament injury in skeletally immature patients","volume":"2012","author":"J L Hudgens","year":"2012","journal-title":"Int J Pediatr"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"2769","DOI":"10.1177\/0363546513510889","article-title":"Anterior cruciate ligament tears in children and adolescents. A meta-analysis of nonoperative versus operative treatment","volume":"42","author":"D E Ramski","year":"2014","journal-title":"Am J Sports Med"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1097\/01.jsm.0000248844.39498.1f","article-title":"Managing anterior cruciate ligament deficiency in the skeletally immature individual. 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A systematic review","volume":"94","author":"H Moksnes","year":"2012","journal-title":"J Bone Joint Surg Am"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1177\/0363546503258868","article-title":"Delayed anterior cruciate ligament reconstruction in adolescents with open physes","volume":"32","author":"G W Woods","year":"2004","journal-title":"Am J Sports Med"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1302\/0301-620X.84B1.0840038","article-title":"The natural history and treatment of rupture of the anterior cruciate ligament in children and adolescents. A prospective review","volume":"84","author":"P M Aichroth","year":"2002","journal-title":"J Bone Joint Surg Br"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1007\/s00167-009-0741-0","article-title":"Rupture of the anterior cruciate ligament in children. Early reconstruction with open physes or delayed reconstruction to skeletal maturity?","volume":"17","author":"J Henry","year":"2009","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1097\/01241398-199609000-00024","article-title":"Anterior cruciate ligament injuries in skeletally immature patients","volume":"16","author":"P M Janarv","year":"1996","journal-title":"J Pediatr Orthop"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"172","DOI":"10.2519\/jospt.2012.3608","article-title":"Management of anterior cruciate ligament injuries in skeletally immature individuals","volume":"42","author":"H Moksnes","year":"2012","journal-title":"J Orthop Sports Phys Ther"},{"key":"ref27","first-page":"1011","article-title":"\u201cI never made it to the pros\u2026\u201d Return to sport and becoming an elite athlete after pediatric and adolescent anterior cruciate ligament injury-Current evidence and future directions","volume":"26","author":"E Hamrin Senorski","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"2582","DOI":"10.1177\/0363546511420818","article-title":"Degeneration of the knee joint in skeletally immature patients with a diagnosis of an anterior cruciate ligament tear. Is there harm in delay of treatment?","volume":"39","author":"J TR Lawrence","year":"2011","journal-title":"Am J Sports Med"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1007\/s00402-019-03128-4","article-title":"The ACL-deficient knee and the prevalence of meniscus and cartilage lesions. A systematic review and meta-analysis (CRD42017076897)","volume":"139","author":"J Mehl","year":"2019","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"2128","DOI":"10.1177\/0363546512449994","article-title":"Meniscal and chondral injuries associated with pediatric anterior cruciate ligament tears. Relationship of treatment time and patient-specific factors","volume":"40","author":"G D Dumont","year":"2012","journal-title":"Am J Sports Med"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1007\/s00167-018-4830-9","article-title":"Over 90\u200a% of children and adolescents return to sport after anterior cruciate ligament reconstruction. A systematic review and meta-analysis","volume":"26","author":"J Kay","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"3738","DOI":"10.1007\/s00167-018-5012-5","article-title":"Earlier anterior cruciate ligament reconstruction is associated with a decreased risk of medial meniscal and articular cartilage damage in children and adolescents. A systematic review and\n\t\t\t\t\tmeta-analysis","volume":"26","author":"J Kay","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1016\/j.arthro.2010.04.077","article-title":"Outcomes and risks of operative treatment of rupture of the anterior cruciate ligament in children and adolescents","volume":"26","author":"K-H Frosch","year":"2010","journal-title":"Arthroscopy"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1007\/s00264-020-04490-4","article-title":"Over the top anterior cruciate ligament reconstruction in patients with open physes. A long-term follow-up study","volume":"44","author":"R M Lanzetti","year":"2020","journal-title":"Int Orthop"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1177\/0363546514557939","article-title":"Transphyseal anterior cruciate ligament reconstruction in patients with open physes. 10-year follow-up study","volume":"43","author":"R Calvo","year":"2015","journal-title":"Am J Sports Med"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1055\/s-2008-1038994","article-title":"Ersatz des vorderen Kreuzbandes bei Kindern und Jugendlichen mit offenen Wachstumsfugen","volume":"146","author":"A Marx","year":"2008","journal-title":"Z Orthop Unfall"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"1710","DOI":"10.1016\/j.arthro.2012.04.145","article-title":"Anterior cruciate ligament reconstruction in skeletally immature patients with transphyseal tunnels","volume":"28","author":"L H Redler","year":"2012","journal-title":"Arthroscopy"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"2325967117693604","DOI":"10.1177\/2325967117693604","article-title":"Outcomes and Complications After All-Epiphyseal Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients","volume":"5","author":"E J Wall","year":"2017","journal-title":"Orthop J Sports Med"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1302\/1863-2548.12.170179","article-title":"A systematic review of long-term patient reported outcomes for the treatment of anterior cruciate ligament injuries in the skeletally immature","volume":"12","author":"C Buckle","year":"2018","journal-title":"J Child Orthop"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1177\/03635465010290051301","article-title":"Development and Validation of the International Knee Documentation Committee Subjective Knee Form","volume":"29","author":"J J Irrgang","year":"2017","journal-title":"Am J Sports Med"},{"issue":"198","key":"ref41","first-page":"43","article-title":"Rating systems in the evaluation of knee ligament injuries","author":"Y Tegner","year":"1985","journal-title":"Clin Orthop Relat Res"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1177\/036354658201000306","article-title":"Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale","volume":"10","author":"J Lysholm","year":"2016","journal-title":"Am J Sports Med"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"88","DOI":"10.2519\/jospt.1998.28.2.88","article-title":"Knee Injury and Osteoarthritis Outcome Score (KOOS)\u2013Development of a Self-Administered Outcome Measure","volume":"28","author":"E M Roos","year":"1998","journal-title":"J Orthop Sports Phys Ther"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1007\/s00142-004-0288-5","article-title":"VKB-Plastik bei offenen Wachstumsfugen","volume":"18","author":"R Seil","year":"2005","journal-title":"Arthroskopie"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"1907","DOI":"10.1016\/j.arthro.2018.01.026","article-title":"The Long-Term Outcome After Early and Late Anterior Cruciate Ligament Reconstruction","volume":"34","author":"I Karikis","year":"2018","journal-title":"Arthroscopy"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1177\/0363546519844481","article-title":"Secondary Meniscal Tears in Patients With Anterior Cruciate Ligament Injury. Relationship Among Operative Management, Osteoarthritis, and Arthroplasty at 18-Year Mean Follow-up","volume":"47","author":"M H Hagmeijer","year":"2019","journal-title":"Am J Sports Med"},{"key":"ref48","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1007\/s00167-019-05665-2","article-title":"Anatomic ACL reconstruction reduces risk of post-traumatic osteoarthritis: a systematic review with minimum 10-year follow-up","volume":"28","author":"B B Rothrauff","year":"2020","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref49","doi-asserted-by":"crossref","first-page":"1967","DOI":"10.1007\/s00167-012-2251-8","article-title":"Is osteoarthritis an inevitable consequence of anterior cruciate ligament reconstruction? A meta-analysis","volume":"21","author":"S Claes","year":"2013","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"e3","DOI":"10.2106\/JBJS.RVW.N.00052","article-title":"ACL Graft and Contralateral ACL Tear Risk within Ten Years Following Reconstruction. A Systematic Review","volume":"3","author":"R A Magnussen","year":"2015","journal-title":"JBJS Rev"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1177\/0363546516638079","article-title":"Pediatric Anterior Cruciate Ligament Reconstruction. A Systematic Review of Transphyseal Versus Physeal-Sparing Techniques","volume":"45","author":"T P Pierce","year":"2017","journal-title":"Am J Sports Med"},{"key":"ref52","doi-asserted-by":"crossref","first-page":"1714","DOI":"10.1016\/j.arthro.2016.02.025","article-title":"Growth Abnormalities Following Anterior Cruciate Ligament Reconstruction in the Skeletally Immature Patient. A Systematic Review","volume":"32","author":"M J Collins","year":"2016","journal-title":"Arthroscopy"},{"key":"ref53","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1302\/0301-620X.99B8.BJJ-2016-1150.R1","article-title":"Anterior cruciate ligament reconstruction in skeletally immature patients. A systematic review","volume":"99-B","author":"U G Longo","year":"2017","journal-title":"Bone Joint J"},{"key":"ref54","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1016\/j.arthro.2015.10.014","article-title":"Allograft and Autograft Transphyseal Anterior Cruciate Ligament Reconstruction in Skeletally Immature Patients. Outcomes and Complications","volume":"32","author":"C M Larson","year":"2016","journal-title":"Arthroscopy"},{"key":"ref55","doi-asserted-by":"crossref","first-page":"897","DOI":"10.2106\/JBJS.16.00758","article-title":"Return to Sport After Pediatric Anterior Cruciate Ligament Reconstruction and Its Effect on Subsequent Anterior Cruciate Ligament Injury","volume":"99","author":"T J Dekker","year":"2017","journal-title":"J Bone Joint Surg Am"},{"key":"ref56","doi-asserted-by":"crossref","first-page":"e58","DOI":"10.2106\/JBJS.17.00065","article-title":"The Quandary of Treating Anterior Cruciate Ligament Tears in Children and Adolescents. Commentary on an article by Travis J. Dekker, MD, et al.: \u201cReturn to Sport After Pediatric Anterior\n\t\t\t\t\tCruciate Ligament Reconstruction and Its Effect on Subsequent Anterior Cruciate Ligament Injury\u201d","volume":"99","author":"C L Cox","year":"2017","journal-title":"J Bone Joint Surg Am"},{"key":"ref57","doi-asserted-by":"crossref","first-page":"2325967119861803","DOI":"10.1177\/2325967119861803","article-title":"Outcome Measures After ACL Injury in Pediatric Patients. A Scoping Review","volume":"7","author":"M K Zebis","year":"2019","journal-title":"Orthop J Sports Med"},{"key":"ref58","doi-asserted-by":"crossref","first-page":"2325967117724431","DOI":"10.1177\/2325967117724431","article-title":"Clinical Outcome Reporting in Youth ACL Literature Is Widely Variable","volume":"5","author":"C M Brusalis","year":"2017","journal-title":"Orthop J Sports Med"}],"container-title":["Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1352-5541.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T09:35:44Z","timestamp":1676021744000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1352-5541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,18]]},"references-count":57,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,8,3]]},"published-print":{"date-parts":[[2022,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1352-5541","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"value":"1864-6697","type":"print"},{"value":"1864-6743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,18]]}}}