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Orthopedics and Accident Surgery

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