Knee Surgery. Hip surgery. Shoulder Surgery - Treatment Concepts

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München Harlaching

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Knee surgery. Hip surgery. Shoulder surgery. Our treatment concepts

Top medicine - and at the centre, the person

We use extremely modern materials and use gentle operation methods which spare the joints.

We treat our patients according to their initial situation, age, stability and condition of the bone and the required stress and fitness situation. Apart from optimum clinical examination for differentiation of the symptomatic complaints, targeted imaging soft part diagnosis is useful, mostly using an MRT (magnetic resonance tomography), to show the injured or damaged joint. If conservative methods, such as mobilising physiotherapy, inflammation relieving physical or drug therapy does not offer any prospects for success, a range of operative procedures are available. In particular, we aim to treat arthrosis at an early stage so that the patient's own joint can be preserved.

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We provide out-patient and in-patient treatment

Outpatient or inpatient treatment are both an option and the decision is made as to which treatment procedure in close consultation with the referring physicians and anaesthetists. The aim is always to reduce to a minimum any possible risks, for instance because of already existing diseases, and to ensure treatment success.

Precise use of artificial joints by means of navigation

Precision and gentle operation methods thanks to navigation and the computer colleague.

When installing artificial joints we use our computer colleague as an orientation aid for optimum functional alignment of the artificial joint and to improve the soft part preparation. With the help of the computer, the prosthesis can be fixed to the bone with millimetre precision. In this way our surgeons can more precisely check and graphically document the course and result of the operation. Depending on many other factors, this type of implant can also contribute to the joint lasting far longer than with conventional methods.

Changing a hip joint prosthesis needs to be properly planned

Nowadays, an artificial hip joint is made from titanium or comparable high-quality materials.

Replacement of an artificial hip joint is always a considerable personnel and technical challenge. Such an operation should be planned as early as possible following reliable diagnosis of a loosening problem. We keep all feasible endoprostheses for such problem situations in stock, also prefer additional (autologous) bone structures produced by the patient's own body and we have a bone bank to solve problems with a specially prepared germ-free foreign bone. Only in extremely rare cases is it necessary to remove an endoprosthesis without immediate replacement, in order to allow a longstanding bacterial inflammation to heal. This intervention can also be performed by us.

Minimum-invasive Implantation using the example of a hip joint

Schematic diagram of the parts of an artificial hip joint.

Apart from a very small cut in the skin of 6 - 10 cm, this type of bone exposure offers optimum protection of the muscles. This is only carefully pushed off lengthwise and therefore does also not lose any short-term function. The special Smith-Peterson access used includes entry between the areas supplied by the nerves, far from anatomically relevant vessels and nerves. The advantages are diverse. Low postoperative pain, better wound healing due to less swelling, faster increase in mobility and walking range. Many of our patients can walk several hundred metres after a week, which also often contributes to reduction in the rehabilitation period.

Follow-up treatment and Rehabilitation

In most cases, a physiotherapy exercise regime can be started on the day of the operation or on the next day. We offer out-patient rehabilitation within the scope of modern, complex therapy with physiotherapy, physical measures and ergotherapy in our outpatients' rehabilitation centre, which is located in the clinic building. A skilled sports medicine team of doctors and therapists support these patients during the healing process with intensive rehabilitation measures. In-patient follow-up treatment takes place in close cooperation with the rehabilitation clinics in the surrounding area. For example, we can arrange this for you in our sister clinic, the Klinikum Berchtsgadener Land in Schönau on the beautiful Königssee.