Knee, hip & shoulder surgery. Medical Care
Conservative and surgical treatment of joint problems.
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.
We provide outpatient and inpatient 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.
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.
Our range of treatments at a glance.
Treatment of osteoarthritis to sports injuries.
From arthritis to sport traumatology.
We treat almost all diseases of the knee, hip and shoulder joint. Our aim is to restore our patients' mobility and quality of life as quickly as possible. Particular areas of specialisation are arthroscopic and minimally invasive joint surgery and surgery for joint surface reconstruction such as cartilage and cartilage cell transplantations, axial corrections and capsule ligament plasties of every kind. Our spectrums of treatment cover sport traumatology and the operative care of Parkinson's patients. A particular field of work is the treatment of the preliminary stages of arthritis and the full range of all its symptoms at a later stage.
Spectrum of treatments for the knee.
- Anterior and posterior cruciate ligament replacement
- Refixation of the meniscus and partial removal of the meniscus
- Microfracture surgery, cartilage-bone transplantation, cartilage cell transplantation
- Corrective osteotomies near or around the knee joint
- Care of patellar luxations
- Removal of membrane in the joint (synovectomies)
- Knee endoprosthesis (medial slit prosthesis)
- Surface replacement and axially-guided prostheses
- Change of endoprostheses with any necessary bone reconstruction or reconstruction of bone segment (bone bank available)
- Navigation-aided endoprosthesis insertion
- Stabilisation of patellar fractures and fractures around the knee joint
Specialisation of the hip.
Minimum-invasive Implantation using the example of a 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.
Changing a hip joint prosthesis needs to be properly planned.
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.
Our range of treatments at the hip joint:
- Artificial hip joint (minimally-invasive surgical technique)
- Joint-preserving corrective osteotomies
- Care of the neck of femur and pathological fractures
- Care for epiphyseal loosening of the femoral head and circulatory disorders of the femoral head
- Change of endoprosthesis in cases of aseptic and septic loosening
- Conduction of hip joint endoscopies in cases of early arthritis of the hip or other joint damage.
Treated diseases on the shoulder joint.
- Arthroscopic operations (e.g. synovectomy, refixation of the labrum)
- Rotator cuff reconstruction
- Reconstruction of acromioclavicular joint fractures
- Care of fractures of the collarbone and humeral head
- Shoulder stabilisation
- Mobilisation for shoulder stiffness
- Prostheses of the shoulder (e.g. cap endoprosthesis, shaft prosthesis, inverse prosthesis )
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.