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Medical Departments

Orthopaedics and Spinal Surgery

Treatment and Care Priorities at a Glance:

Hip Joint and Pelvis

The cause of restricted movement and pain in the hip joint is frequently irritation in advanced degenerative joint disease (osteoarthritis). If the preservation of the pathologically-changed joint is no longer possible, the joint can be replaced by an artificial joint (endoprosthesis).

Regardless of the size and the weight of the patient, surgery age and the type of prosthesis, a tissue-conserving surgical technique is possible. The modern total hip arthroplasty is distinguished by a very rapid rehabilitation and ability to bear loads.

Our services and procedures in detail:

  • Modern tissue-conserving, optimised access techniques in natural muscle gaps (e.g. AMIS, antero-lateral modified according to R├Âttinger)
  • Implantation of cement-free hip replacements (titanium) with high-quality surface coatings for permanent bone healing
  • Bone-conserving, minimally invasive implantation of cement-free short stem prostheses
  • Implantation of partially and fully-cemented hip replacements to achieve maximum primary stability even with reduced bone quality
  • In case of positive allergy history, implantation of allergy implants takes place (e.g. titanium or oxiniumTM)
  • Use of low-abrasion sliding combinations, such as ceramic-ceramic or ultra-highly interconnected polyethylene
  • Prosthetic replacement surgeries also in the case of multiple prior surgeries and larger bone defects
  • Special surgical solutions with hip dysplasias and pelvic deformities
  • Modern joint-preserving surgeries including corrective and pelvic osteotomies
  • Diagnostic and therapeutic reflection of the hip joint (arthroscopy)

We will be happy to meet with you in our special clinic (Joint and Endoprosthetics Clinic).

Knee Joint

Knee joint irritation with advanced osteoarthritis (arthrosis) is often the cause of pain and limited movement. Not infrequently, only local damage is present, while the remaining joint is completely intact. In these cases, only a part of the joint is replaced using a minimally invasive procedure, so that the healthy components (cartilage and bone, cruciate ligaments, tendons and muscles) are fully protected.

If the preservation of the pathologically changed joint is no longer possible, the joint can be replaced by an artificial joint (end prosthesis). Modern endoprosthetics is one of the most successful orthopaedic standard surgeries. Only the damaged joint surfaces are replaced by the prosthesis whilst conserving the bone. The important ligaments of the knee joint, which are crucial for good joint stabilisation, are preserved. This results in a natural movement of the knee joint post-operatively.

Our services and procedures in detail:

  • Implantation of artificial knee prostheses or complete surface replacement prostheses
  • Minimally invasive part replacement surgeries while maintaining the anterior and posterior cruciate ligament (e.g. medial or lateral slide prosthesis, unicondylar joint replacement)
  • Isolated replacement of the trochlea femoris of the patella (patellofemoral joint replacement)
  • In case of positive allergy history, implantation of allergy implants takes place (e.g. titanium or oxiniumTM)
  • Modern, optimised access techniques with conservation of the tendons, ligaments and muscles
  • Endoprosthetic joint replacement surgeries in cases of pronounced destruction and axis deviation
  • Prosthetic replacement surgeries also in the case of multiple prior surgeries and large bone defects
  • Arthroscopic joint surgery with surgery on the meniscus, the ligaments and the articular cartilage, including artificial cartilage replacement plasty
  • Joint-preserving corrective surgery on the upper and lower leg with bony deformities (corrective osteotomy, minimally invasive, open-wedge)

We will be happy to meet with you in our special clinic (Joint and Endoprosthetics Clinic).

Ankle and Foot Joint

Many ankle and foot joint diseases can be treated by conservative therapy in conjunction with a good orthopaedic technology. Surgery offers successful alternatives which will ensure that a further deterioration or permanent damage will not take place. A joint replacement is also possible at the ankle.

Procedures on the forefoot are mainly for functionally and cosmetically-disturbing forefoot deformities (e.g. in the hallux valgus, splayfoot). We also treat the hallux rigidus (change in the stiff big toe joint [metatarsophalangeal joint]). Depending on the case, claw and hammertoe deformities are corrected, as well as pain in the area of the metatarsal heads (metatarsalgia).

We will be happy to meet with you in our special clinic (Podiatry Clinic).

Elbow and Wrist

Our services and procedures in detail:

  • Nerve relief operations, including the carpal tunnel (CTS), sulcus ulnaris and radial nerve compression syndrome
  • Open elbow joint surgery with cartilage surgery, removal of loose bodies and measures to improve mobility
  • Arthroscopy of the elbow joint with therapeutic procedures
  • Joint replacement surgery (arthroplasty) of elbow joint with advanced osteoarthritis (joint degeneration) or pronounced destruction
  • Corrective surgery in the area of the upper and forearm
  • Soft tissue surgery, tendon surgery, relief and de-nerving (such as tennis or golfer's elbow)

Spinal Column

The most common spinal disorders include spinal disc damage, wear and tear of the vertebral joints (facet joint arthrosis), bony narrowing of the spinal canal (spinal stenosis) and instability of the spine (e.g. spondylolisthesis). Added to these are traumatic, inflammatory and pathological or osteoporotic disease. We have particularly extensive experience in the field of spinal surgery.

Our services and procedures in detail:

  • Percutaneous intervertebral disc surgery with local anaesthesia
  • Endoscopic and microscopic disc and spinal canal surgery
  • Selective spinal channel decompression with bony narrowing (spinal canal stenosis or narrowing of the neuroforamen)
  • Minimally invasive artificial disc replacement surgery (intervertebral disc prostheses cervical and lumbar spine, ProDisc C and Prodisc L)
  • Modern, soft tissue-conserving reinforcement surgery (ALIF, TLIF and PLIF technique)
  • Revision and corrective surgery, even with multiple prior surgeries
  • Correction of the spinal column profile and intervertebral fusion with spondylolisthesis
  • Removal and stabilisation of neoplastic changes (e.g. in tumours, metastases)
  • Modern stability surgery for traumatic spinal cord injuries, including minimally invasive endoscopic techniques (MACS)
  • For the treatment of bone formation disorders, especially osteoporosis, the following treatment procedures are performed:
  • Percutaneous re-erection from osteoporotic spinal body fractures by means of balloon dilation and stabilisation using bone cement (kyphoplasty)
  • Stabilisation (augmentation) of older, but still painful, spinal body fractures with bone cement
  • Re-erection and fusion of affected spinal segments, e.g. by means of an angle stable screw-rod system (internal fixation)

Tumour and Infection Surgery

Tumour metastases and infection are often present in the human musculoskeletal system. The spine and the pelvis, but also the hip and knee joint rate high here.

We diagnose and treat benign and malignant tumour diseases of the skeletal system. Benign tumours can almost always completely heal without the patient having to endure substantial functional or movement restrictions. Tumour treatment is carried out in close co-operation with the highly specialised medical and surgical departments of the Theresienkrankenhaus and other hospitals in the region.

Infection surgery involves the treatment of infections in the human musculoskeletal system. Unwanted or dangerous germs must be eliminated. In addition to the targeted treatment with antibiotics, a mechanical cleaning is usually also required. This is done by surgery which conserves as much tissue as possible.

Our tumour and infection treatment is carried out according to the latest national and international scientific guidelines.

Special Pain Therapy

Not all spinal conditions require a surgical procedure. Orthopaedic pain therapy is a good alternative. If an outpatient pain therapy does not lead to a satisfactory improvement of the symptoms, a brief inpatient treatment may be successful. Here, the department provides an individually-tailored treatment concept. A cross-disciplinary initial examination, evaluation and treatment (interdisciplinarity) is conducted.

As part of the multi-modal pain therapy, continuative interventional measures are performed alongside targeted physical therapy, physical treatment and an optimised drug pain treatment. Anaesthesia is not required for this.

Our services and procedures in detail:

  • Invasive catheter-associated treatment processes on the extremities and the spine
  • Perineural infiltrations with analgesic and decongestant medications (nerve blocks, PRT)
  • Peridural or epidural infiltrations to the neck and lumbar spine
  • Thermocoagulation of spinal or facet joints (heat probe treatment, radio-frequency denervation)
  • Selective thermocoagulation (heat probe treatment, radio-frequency denervation) of the sacroiliac joints (ISG)

Contact

Chief Secratariat
Birgit Schulzki
Susanne Klein
Theresienkrankenhaus
Bassermannstra├če 1
68165 Mannheim
1st floor, room 102
Phone (0621) 424-4460
Fax (0621) 424-4463
E-Mail: sek.ort
@theresienkrankenhaus.de

Special consultation hours
Endoprosthetics - H p and Knee

Phone (0621) 424-4460

Special consultation hours
Joints and Arthros
Phone (0621) 424-4460

Special consultation hours
Spinal and Pain Therapy

Phone (0621) 424-4460

Special consultation hours
Foot Surgery

Phone (0621) 424-4460