Range of Services

• outpatient surgery
• nonsurgical therapies
• surgical therapies
• intervertebral disc arthroplasty
• hip surgery
• knee surgery
• hand surgery
• foot surgery
• shoulder surgery
• minimally invasive surgical technique for hip replacement

Many interventions can be performed outpatient, e.g.

• removal of material (bone nails, screws and plates)
• diseases of the hand (Dupuytren's contracture, carpal tunnel syndrome, snapping fingers, etc.)
• operations on the skin and subcutaneous tissue (removal of small tumors, scar corrections, etc.)
• tendon and nerve sutures
• knee joint arthroscopy

arthroscopy

The following joints can be operated using arthroscopic technique

• elbow
• wrist and carpal
• hip
• knee
• shoulder
• ankle

spine disorders

We follow the concept of integration of nonsurgical and surgical therapy offers for outpatient and inpatient conditions and based on modern neurological and neuroradiological examination methods. In the interest of our patients, we work interdisciplinarily and team-oriented to achieve these objectives.

• intensified pain therapy
• customized physiotherapy
• X-ray based nerve root blocks
• infiltration and sclerotherapy of painful facet joints
• neural therapy

The implantation of artificial discs aims at achieving a significant relief of the symptoms by mimicking the normal dynamic function of the spine. This is achieved by the prosthesis, which restores and maintains the natural disc height. Regaining the normal altitude, cramped nerves come back clear and the facet joints get back into their physiological position.

In contrast to the usual stiffening operations where the adjacent vertebral bodies will be firmly and inextricably linked through internal fixation devices, bone chips or so-called cages, the intervertebral disc arthroplasty aims at maintaining of mobility and the reduction of the burden of the adjacent intervertebral discs, which could otherwise lead to further wear of the spine.

Stability and flexibility with intervertebral disc endoprothesis

• results of hip accidents
• misalignment
• wear disease (coxarthrosis)
• complaints as a result of more recent accident

The surgical range of services includes

• treatment of fractures close to the hip joint with plates, screws and intramedullary nails
• conversion surgery for deformities  
• joint replacement in osteoarthritis

We are involved in research relating to the use of individualized joint replacement systems.          

arthroplasty

The replacement of diseased or damaged joints with an artificial joint has proven itself worldwide, especially in the hip, the knee and the shoulder joint. In special cases, other joints such as the spoke head, the elbow joint, the ankle may be replaced by artificial joints.
Artificial joints are made of high-quality, well-tolerated materials such as high alloy steel, titanium, ceramic or polyethylene.
Very important for patient outcome after joint replacement surgery is the immediate mobilization by trained physiotherapists.

hip replacement

Over a short incision, the hip joint is exposed and the femoral head removed at the femoral neck. The acetabulum is released from the cartilage surface. Both parts of the joint will be replaced by a joint prosthesis, whereby the anchor can be done with or without cement.
Given the particular importance of the exact positioning of prosthetic components computer-surgical procedures are increasingly used in our clinic. This allows a precise surgical planning even before surgery, which can then be implemented during the operation with computer support.

A minimally invasive approach to total hip replacement hip resurfacing

The following diseases are treated surgically

• injury and wear and tear of the meniscus
• injury to the anterior and posterior cruciate ligament
• broken bones
• injury of the cartilaginous structures

Surgeries on the knee are usually carried out via arthroscopy (keyhole technology). Treating meniscal tears we try to preserve the meniscus and to fix the broken parts with sutures. If this is not possible, the damaged parts will be removed gently. Torn cruciate ligaments are also replaced with arthroscopic autologous tendons (semitendinosus or patellar tendon). These are securely fastened with absorbable screws, so that the patient is mobile again soon after surgery.

Problems with the knee cap initially require a close examination of the causes of complaints. Disorders of the guidance of the patella can be surgically corrected. Often there is cartilage damage in the knee. In case the damage is limited to a small area, we use cartilage grafts to achieve a complete cure. If the cause of cartilage damage lies in an erroneous static of the leg, the deformity can be eliminated by osteotomy. If the cartilage damage has already progressed too far, the joint surfaces are crowned with artificial implants. Only the damaged parts of the joint will be replaced.

knee replacement

Artificial knee joints are used to treat

• wear and tear (arthritis)
• injuries of the knee

The following diseases are treated surgically

• all acute injuries of the tendons, nerves and bones and damage to the carpal complex
• wear, aging and inflammation of the entire hand and wrist (arthritis, osteoarthritis)
• non-bony changes in the field of palms (eg, "snapping finger", "Spring fingers"; "Dupuytren's Disease")
• narrowing of the carpal tunnel (median nerve entrapment - carpal tunnel syndrome)
• abnormalities of the hand
• sulcus ulnaris syndrome (painful changes in ell)
• tennis and golf elbow

We operate in principle with special magnifying glasses and use, if appropriate, the minimally invasive technology. This allows a particularly gentle and minimal tissue injuring surgery.
The majority of the above-described procedures can be performed on an outpatient basis.

Besides injuries with fractures in the area of the foot, soft tissue injuries, including tendon and nerve injuries, we also treat degenerative diseases of the front, centre and rear foot.

The following diseases are treated surgically

• all injuries of the foot and ankle resulting from accidents
• all wear and aging, as well as deformation of the bales (hallux valgus / rigidus), claw and hammer toes, instability of the arch
• diabetic foot
• any other problems of the muscles, tendons, ligaments and bones in the foot.

The following diseases are treated surgically

• all acute injuries of bone and joint structures and muscles in the shoulder area (broken bones, dislocated shoulders, open wounds, etc.
• unstable and painful shoulder after adjusting a dislocated shoulder
• painful and debilitating wear and aging disorders
• painful shoulder
• calcium deposits (removal of lime deposits)
• tendon injuries to the shoulder joint
• ligament injuries

For the treatment of accidents as well as surgical treatment of wear we make use of "keyhole surgery (arthroscopy), which permits a particularly gentle operating with minimal surgical openings. We perform arthroscopic surgery e.g. in case of the impingement syndrome, the painful shoulder ("frozen shoulder"), calcifying tendinitis and rotator cuff tears. Depending on the extent of the tear ,the surgery is done using the mini-open technique, or arthroscopically.
If there is advanced wear of the humeral head, resurfacing prostheses are implanted either with short shaft or head prosthesis, if necessary the socket will be replaced as well. We use only modern materials. We are working intensely on the research and development of medical instruments and modern technologies for an even more caring and more stable joint. As co-developer of shoulder prostheses, we offer -depending on the indication- the whole range of shoulder prostheses.

As a new development in the field of hip replacement, we offer the minimally invasive surgical technique, which is characterized by a special protection of the muscles, tendons and nerves. This is evident not only in a very small incision, but also in the much more rapid mobilization after the operation.