Orthopaedics & Trauma surgery. Medical Care
We treat wear & damage of the large joints.
At our specialist orthopaedic centre in Neustadt Clinical Centre, we offer the entire spectrum of orthopaedic operations and conservative (non-operative) orthopaedic treatments. Our focus lies in the treatment of diseases caused by deterioration, in particular of the larger joints such as the hip, knee, shoulder and ankle. As trauma surgeons we work closely together with the Clinic for Orthopaedic Rehabilitation in order to offer you the best possible care. This close cooperation enables us to provide effective and very complex treatment, producing excellent results.
Modern equipment and well qualified specialists.
Significant medical advances have been made in the field of orthopaedics over recent decades. We have kept abreast of these advances in that we make the most up to date technologies available for the use our specialists. Our operating theatres therefore always meet the latest standards of medical technology. For you the patient this means: Low risk and the best possible chances of success in your treatment outcomes.
We also work in very close co-operation with our colleagues in Trauma Surgery and the Clinic for Plastic surgery so that we are able to carry out complex treatments of problematic conditions of the musculoskeletal system.
Surgery on the hip, knee and foot.
Surgery on the hip joint.
Artificial hip joint (THR - total hip replacement).
The hip joint is frequently affected by an advanced stage of wear or degenerative disease (arthrosis). In such cases an artificial hip joint is inserted (total hip endoprosthesis) in order to relieve the patient's pain and increase his mobility. Where necessary, these endoprostheses may be modified to suit the patient's individual requirements.
In most cases we use a cement-free endoprosthesis system. We only use cement to fix parts of the prosthesis in cases where it is absolutely necessary to do so, e.g. where the patient also has osteoporosis. The patient usually regains full use of the leg about 14 days after the operation.
Corrective operations on the hip joint.
Misalignments of the bones in the hip joint may also occur. These are comparable with the knock-knees or bow legs associated with the knee joints. These misalignments are frequently caused by a congenital developmental disorder affecting the hip joint (dysplasia of the hip). In order to prevent premature wearing of the joint, these misalignments can be "smoothed out." Realignment operations may therefore be performed wither on the hip joint or in the pelvic area. These reconfiguration operations may be used to prevent the progress of degeneration of the joint either in the early stages of disease or in younger patients.
Surgery on the knee joint.
Artificial knee joint (TKR - total knee replacement).
If the wear and tear on your knee joint (arthrosis) is advanced it will often be necessary for an artificial knee joint to be fitted during surgery. The worn surfaces of the joint are removed during the course of the operation and replaced with artificial surfaces. These artificial joint surfaces are made from metal and plastic and are attached to the bones using a special cement. Usually, you will be able to stand up again the day after your operation and will regain full use of the knee about 14 days after the operation.
Advantages of endoscopic examinations.
In most cases arthroscopic interventions may be carried out in our outpatient clinics or else as part of an in-patient stay of just a few days in hospital. This surgical procedure is particularly gentle and the leg is usually back to normal within a few days. Arthroscopic surgery is often also known as "keyhole surgery". Two small incisions are made through which a camera and the necessary surgical instruments are inserted into the knee. The course of the operation can then be followed on a monitor screen.
This procedure is suitable for treating injuries to the knee joint such as damage to the cartilage (meniscus), or replacing a torn cruciate ligament. It also allows repair measures to be performed on joints in the early stages of recovery from wear and tear; from "cleaning up" the joint to smoothing cartilage,
Correction of deformities, such as knock-knees or bow legs.
Common misalignments are knock-knees and bow legs. These lead to an incorrect load distribution on the knee joint and thus to premature wearing of the knee (arthrosis). In order to prevent this from happening we can "straighten out" these misalignments. The necessary corrective measures are performed above or below the knee joint on the thigh bone (femur) or the upper or lower leg. Follow-up treatment after this type of operation is, however, more problematic because the leg is unable to bear any weight for several weeks after surgery.
Surgery on the foot.
Diseases and deformities affecting the front part of the foot.
Some common deformities of the front part of the foot are hallux valgus (bunion deformity of the big toe) and hammer toe and claw toe. These types of deformity may be corrected by surgery and we have several types of procedure from which to choose according to the precise symptoms of the condition. These procedures range from interventions in the soft tissue to realignment of the affected bones. In the case of a painful arthrosis of the metacarpophalangeal (lower) joint of the big toe which requires surgery, we would use a procedure to conserve the joint.
Conditions caused by arthrosis on the ankle joints.
In cases of arthrosis or of damage to the cartilage following an accident we are able to perform an examination of the joint during a surgical procedure using an endoscope (arthroscopy). As with arthroscopy of the knee, two small incisions are made through which a camera and the necessary surgical instruments are inserted into the joint. According to the findings of this examination the surgeon may then go on to smooth the cartilage and joint may be cleaned or flushed out. If the arthrosis is already well advanced this procedure may help to relieve the symptoms of stiffness in the upper and lower parts of the ankle joint. In some cases where there is severe arthrosis of the upper ankle we will insert an artificial ankle prosthesis.
Operation on ligament instabilities in the upper ankle joint.
People who are very active in sports often suffer ligament damage in the upper ankle joint. These types of injury can lead to the instability of the ankle joint and thus often cause a sprain of the ankle or "twisting" of the the foot. Surgical intervention to stabilise the system of ligaments in the ankle can produce a significant reduction in the symptoms of chronic instabilities of this kind.
The "pre-surgical consultation" includes a thorough physical examination in our clinic. During this our doctors will discuss the various treatment options available for your condition. If it is necessary for you to have an operation the doctors will explain all the details and possible risks to you in this pre-operation consultation. Once your hospital admission and operation dates have been set you will come to the hospital for a pre-anaesthetic consultation. If your operation is likely to be prolonged you may be given the opportunity to donate some of your own blood here in the hospital in advance of the operation.
Our range of treatments at a glance.
Endoprosthesis (joint replacements)
- Endoprosthesis of the hip joint
- Endoprosthesis of the knee joint
- Endoprosthesis of the ankle joint
- Endoprosthetic revisions
- Correctional surgery of congenital or acquired limb deformities (e.g. knock-knees and bow legs)
- Axial corrections to the femoral neck and knee joint
Minimally invasive orthopaedic surgery
- Arthroscopic surgery of knee, ankle and shoulder joints
- Meniscus surgery and cruciate ligament replacement
- "Cartilage surgery"
- Stabilisation surgery of the shoulder
- Relief intervention on the shoulder roof
Additional orthopaedic surgery
- Open surgery on the knee and shoulder joints (e.g. rotator cuff suture)
- Stabilisation surgery of chronic instabilities in ligaments
- Foot surgery (e.g. of the claw and hammer toes, deterioration of the upper and lower ankle)
- Hallux valgus
- Hallux rigidus
- Neuro-orthopaedic surgery (e.g. for muscle spasms of the lower extremities and joint contracture)
- Paediatric orthopaedic intervention (e.g. axial corrections to the long bone and femoral neck on the hip joint)