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Medical Departments

Trauma Surgery and Sports Traumatology

Treatment and Care Priorities at a Glance:

We cover the entire range of surgical services which may be necessary in connection with accidents of all kinds, from acute care to joint replacement, including the removal of benign and malignant tumours. We pay particular attention to sports medicine.

The Trauma Surgery Department has the full authorisation to carry out the so-called serious-injury procedures of the professional associations.

Hip Joint

The treatment options for wear and tear damage to the hip have changed and expanded due to the option of arthroscopy. Intervention can be done in a timely manner with early screening of pre-disposing factors for osteoarthritis. However, if replacement of the hip joint is the only option, the reliable function is the top priority.

Hip Arthroscopy
Where there is only limited damage, an effective and preventative treatment using arthroscopy can be performed to counteract the progress of wear. Reattachment of the limbus, correction of deformities on the femoral neck and a cartilage cell transplantation are all possible.

Hip Replacement
Not every new implant is necessarily good. Your individual situation is crucial. Naturally, we only use tried and tested implants from the top manufacturers and always perform minimally invasive surgery whenever possible.

Knee Joint

The knee is the most heavily loaded large joint of the body. Treatment options vary for all injuries and wear and tear damage and it is, therefore, all the more important to master the full range of treatments. Only then is an individual treatment possible. Our department offers a full range of treatment options for the knee joint. Innovative methods are also used, such as the "KineSpring".

Cartilage-Preserving Treatments
Cartilage cell transplantation is the only method whereby damaged cartilage can be regenerated back to its original quality. This treatment is covered by the statutory health insurance for the knee joint.

KineSpring is a new method that can be used if you want to be mobile again more quickly after a cartilage cell transplantation, or would like to extend the period before having the knee prosthesis.

Prosthetic Replacement of Cartilage
The modern knee replacement not only allows freedom from pain, but also the quick resumption of daily activities, including sports in moderation.

Cruciate Ligament Reconstruction and "Bracing"
Stabilisation should be carried out if you enjoy sports and have an instability due to a cruciate ligament tear.

Cruciate Ligament
ReconstructionWe reconstruct the cruciate ligament using so-called all inside technology. This has some advantages with the semitendinosus tendon. This surgical technique is the latest, gentlest and most cosmetically favourable procedure at the moment.

Cruciate Ligament Bracing
Fresh cruciate ligament tears are "splinted" with an implanted synthetic ligament. In a best-case scenario, the cruciate ligament fibres heal together with a scarring formation and result in a sufficient stability of the knee joint. If not, a reconstruction can still be done.

MPFL Reconstruction
With patella luxation, the MPFL ligament is often torn. Cartilage cell transplantation is the only method currently used where the destroyed cartilage can be regenerated back to its original quality. This treatment is covered by the statutory health insurance for the knee joint.

Knee Joint Replacement
Modern knee replacement not only allows freedom from pain, but also the quick resumption of daily activities, including sports in moderation.

KineSpring
KineSpring is a new method that can be used if you want to be mobile again more quickly after a cartilage cell transplantation, or would like to extend the period before having a knee prosthesis.

Cartilage Damage
Apart from the above-mentioned cartilage cell transplantation, other less efficient methods are available. If a transplant is not possible, stem cell therapy, in combination with a special inductive cartilage matrix, may help depending upon the extent of your cartilage damage. Other methods, such as micro-fracturing and OATS, are alternative methods with indications which are less common.

Cruciate Ligament Damage
After a cruciate ligament rupture, and in more than 80% of cases, there is usually further damage in the knee joint, such as meniscus tears and cartilage damage. The reconstruction of the anterior cruciate ligament is very often carried out. In our department, a particularly stable method with little scarring is established - the so-called all inside technology.

Kneecap Dislocation
If there is damage in the knee joint due to the dislocation of the kneecap or this repeatedly occurs, surgery is usually required. The most modern and most natural stabilisation process is the reconstruction of the original supporting ligaments - the so-called MPFL reconstruction with autologous tendon grafts.

Meniscus Damage
Whenever possible, a meniscal tear is stitched which, from a biomechanical perspective, is often the best solution. However, this is only possible in a few situations which means that the second-best solution often needs to be used: the partial removal of the meniscus. If the loss of the meniscus involves more than half thereof, a meniscus transplant with synthetic material can be performed in our department.

Fractures
Factures near the knee, such as a tibial plateau fracture, have to be surgically treated in most cases. A modern treatment in our clinic includes not only osteosynthesis, but also the management of the accompanying ligament and cartilage damage. In our department, fractures near the joints are checked, also intraoperatively, with 3D image reconstruction methods and, if necessary, immediately corrected. This saves the person injuries and, under certain circumstances, further surgery.

Ankle and Foot

Whether due to injuries suffered or constitutional conditions, we can today perform a highly differentiated therapy down to the bone structure with cartilage cell transplantation.

Osteochondritis Dissecans - Joint Mouse
As a result of being snapped/twisted or constitution-related, a hypoperfusion of the bone can lead to bone cartilage detachment and cause pain in the ankle. Untreated, this can result in substantial consequential damage. From 3D-assisted retrograde drilling with implantation of bone growth factors and synthetic bone substitute material, up to joint reconstruction with bone cylinders and matrix transplantation, all the methods are established and performed very often in our department.

Cartilage Damage
Here, too, all the methods, as in the treatment of cartilage damage, are possible. However, cartilage cell transplant is not reimbursed by most health insurers.

Meniscoid Syndrome
Further content follows

Instability after Supination Trauma - Sprains
If an outer ligament injury of the ankle does not heal well or suffers consequences, or there is a recurrent supination instability, surgical stabilisation should be carried out. We perform this using the body's own tendons and a minimally invasive technique.

Syndesmosis Injury
An injury to the syndesmosis with instability has to be surgically treated. If there is a chronically unstable syndesmosis, a reconstruction with autologous tendons should be carried out whenever possible. Here, we use a method which is extremely stable and has a very high success rate.

Fractures
With fractures in the area of the ankle and foot, joint-preserving treatment does, of course, have priority. We use the latest osteosynthetic materials (angle-stable plate systems or intramedullary nails) in the Trauma Surgery Department of the Theresienkrankenhaus Mannheim. If all the other treatment options are ultimately unsuccessful for treating joint pain, arthrodesis (stiffening) of the joint remains an option. While there are now more and more joint replacement prostheses available, these are not necessarily the best choice in our opinion.

Shoulder Joint

No other area of joint treatment has evolved so rapidly as that of the shoulder. The therapy objective is painless full-mobility with faster, more intense rehabilitation.

Luxation - Dislocation
When dislocation occurs, there is almost always damage to the joint. Whether and how surgery is performed is an individual decision and is linked to the type of injury.

Prosthesis - Joint Replacement
Today, in difficult situations, a shoulder prosthesis can achieve a painless full range of motion. In our hospital, all forms of prostheses are available and can be individually adjusted if necessary.

AC Joint - Acromioclavicular Joint
Today, unstable acromioclavicular injuries should be surgically stabilised. Conservative treatment here does not lead to anatomical healing. The surgical procedure in our clinic is endoscopic and minimally invasive, both in acute and lingering injuries.

Impingement Syndrome (Painful Arc Syndrome)
Pain without injury in the shoulder is most frequently caused by an impingement syndrome on the shoulder. A minimally invasive technique can help you to be pain-free quickly.

Rotator Cuff Damage
The sooner the "tendon tear" of the musculus supraspinatus is treated, the better. Here, too, we operate minimally invasively.

SLAP lesion
Further content follows

Fractures
With fractures in the area of the shoulder joint, joint-preserving treatment is, of course, the priority. We use the latest osteosynthetic materials (angle-stable plate systems or intramedullary nails) in the Trauma Surgery Department of the Theresienkrankenhaus Mannheim. If a break cannot be reconstructed, for example, there is a comminuted fracture of the humeral head with extremely fragile bone quality, a shoulder joint replacement may be necessary.

Elbows

Complex, serious injury, as well as annoying overload syndromes, can occur around the elbow joint. The treatment here is individually adapted, especially for you.

Tear of the Biceps Tendon
A tear of the biceps tendon at the elbow should be treated surgically in the first few days following the injury. We use a very stable reconstruction, which allows immediate movement without load.

Luxation - Dislocation
Ligament injuries often occur. To what extent this may need to be fixed surgically can be clarified by closer examination.

Tennis Elbow
Further content follows

Breaks - Fractures
Displaced fractures of the elbow joint should be surgically stabilised to achieve the best possible result.


Contact

Chiefsecretariat
Jasmin Beyer
Theresienkrankenhaus
Bassermannstra├če 1
68165 Mannheim
1st floor, Room 110
Phone (0621) 424-4435
Fax (0621) 424-4656
E-Mail: sek.uch
@theresienkrankenhaus.de

BG and D doctors' office

Point of contact for occupational and school accidents
Medical practices and colleague contact

Ursula Kulke
Phone (0621) 424-4276
Fax (0621) 418875-4276
E-Mail: u.kulke@theresienkrankenhaus.de

Central Office: Trauma Surgery and Appointments for patients

Natascha Winkler
Sylvia Braun
Sabine Muley
Phone (0621) 424-4432
Fax (0621) 424-4524
E-Mail: info.uch
@theresienkrankenhaus.de

Working Hours:
Monday-Thursday
9.00 - 12.00 Uhr und
13.00 - 15.00 Uhr
Friday
9.00 - 12.00 Uhr