Orthopedics and Accident Surgery treatment in Germany

Artificial joint replacement

• Hips:
  • Minimally invasive operating technique
  • Femoral head surface replacement
  • Short-shaft prostheses
  • Primary hip joint total endoprosthesis (TEP) implantation – cement and cement-free anchoring technique
• Knee:
  • Unicondylar knee joint TEP-implants, mobile and fixed bearing
  • Replacement of femoropatellar joint
  • Bicondylar uncoupled knee joint TEP implants with and without replacement of posterior surface of patella
  • Bicondylar uncoupled knee joint TEP implants with and without replacement of posterior surface of patella
  • Coated implants for patients allergic to metals
• Shoulder:
  • Surface replacement (head of humerus)
  • Short-shaft prostheses
  • Glenoid replacement
  • Shoulder TEP implants using cement anchoring technique
  • Reverse prosthesis in case of defect arthropathy
• Elbow joint TEP implants using cement anchoring technique
• Revision alloarthroplasty in the case of loosened endoprosthesis with the predominantly cement-free anchoring technique and homologous reconstruction of osteal implant sites where applicable in combination with special implants. Focus on operations for hip and knee joint total endoprostheses.

Arthroscopy/Endoscopic procedures

Resection and reconstruction – knee joint:

• Meniscus:
  • Partial resection of meniscus
  • Meniscal suture
  • Meniscus replacement
  • Meniscus transplantation
• Cartilage:
  • Cartilage abrasion
  • Microfracture
  • Refixation of osteochondral fractures
  • Matrix-induced autologous chondrocyte implant (MACI)
  • Autologous matrix-induced chondrogenesis (AMIC)
  • Displacement osteotomy
• Synovectomy
• Cruciate ligament:
  • Arthroscopic anterior cruciate ligament plasty using double bundle technique with semitendinosus tendon
  • Patellar tendon transplant using MIC and press-fit technique
  • Revision operations
  • Replacement plasty posterior cruciate ligament with semitendinosus tendon
  • Multiligamentous reconstruction
• Removal of foreign bodies in joints
• Arthrolysis
• Joint flushing

Resection and reconstruction – shoulder joint:

• Endoscopic subacromial decompression
• Reconstruction of rotator cuff using arthroscopic or mini-open technique
• Endoscopic Bankart operation

Resection and reconstruction – wrist:

• Endoscopic resection of discus triangularis

Resection and reconstruction – elbow and hip joint:

• Removal of foreign bodies
• Joint flushing
• Arthrolysis

Vertebral column surgery

• Microscopic nucleotomy
• Open spinal canal enlargement with radicolysis
• Posterior lumbar intervertebral fusions (PLIF) or 
• Anterior lumbar intervertebral fusions (ALIF) in case of degenerative instability of cervical column
• Dorsoventral spondylodesis in case of congenital spondylolisthesis
• Dorsoventral spondylodesis in case of inflammatory and tumorous instabilities of the CV, TV and LV, where applicable in combination with allogenous vertebral body replacement
• Repositioning spondylodesis in case of inflammatory and post-traumatic deformation of the vertebral column (Bechterew’s disease, chronic polyarthritis)

Foot surgery

• Surgery to correct congenital foot deformities
• Corrective surgery in case of neuropathic and myopathic foot deformities
• Arthrodesis of the foot joints in case of congenital and acquired foot deformities
• Corrective osteotomy to preserve the forefoot joint in case of degenerative and congenital deformities
• Corrective displacement osteotomy (subcapital and/or base wedge) and soft tissue surgery (McBride’s operation) in case of splay foot and bunions
• Resection arthroplasty (Keller-Brandes operation) or arthrodesis (joint stiffening) in case of arthrosis of metacarpophalangeal joint of the big toe
• Surgery to rectify rheumatic foot and forefoot deformities

Shoulder joint surgery

• Open labral refixation in case of shoulder joint luxation (dislocation)
• Open or endoscopic subacromial decompression
• Reconstruction of the rotator cuff
• Shoulder joint arthrodesis
• Total endoprosthesis of upper arm ball – shoulder joint

Tumor surgery

• Biopsy for malignant and suspected malignant soft tissue and bone tumors under oncosurgical conditions
• Resection of benign connective tissue and bone tumors
• En bloc resection of primary bone and soft tissue sarcoma in conjunction with reconstruction of extremities by means of rotation plasty or tumor prosthesis implantation
• Resection and stabilization of osteal metastases

Replacement plasty posterior cruciate ligament with semitendinosus tendon/span