Arthroscopy in Germany

Orthopedics is specialty stream of medicine that diagnoses and treats conditions and disorders of the skeletal system and the ligaments, joints and muscles linked with it. Orthopedic specialists and surgeons perform expert procedures in this field. Common orthopedic conditions are carpal tunnel syndrome, foot and leg pain, back pain, sports injuries and arthritis. Surgeons repair damaged nerves and replace afflicted joints to provide relief to patients. It is common for an orthopedic surgeon to specialize in this field and become an expert in treating only a certain type of injury, or part of the body like feet or hands. Pediatric orthopedic surgeons exclusively treat toddlers and children.

What is Arthroscopy?


Arthroscopy literally means to look within a joint. It is a simple and common procedure that gives amazing results. The surgeon makes small incisions on the patient’s skin to insert an arthroscope which contains a lighting system and small lens. This device illumines and magnifies the structures located inside the joint and transmits clear and large images that can be viewed on a television screen. Arthroscopy helps the orthopedic surgeon detect damage or injury and decide the suitable treatment for it.

Benefits of Arthroscopy


X-rays, physical examination and evaluation of medical history are some of the common methods used to diagnose various arthritis types. Sometimes these are not enough as they may yield an inconclusive diagnosis. Arthroscopy helps the surgeon to detect:
  • Loose cartilage or bone fragments
  • Carpal tunnel syndrome
  • Chondromalacia
  • Inflammation
  • Meniscal tears on the knee
  • Dislocations
  • Shoulder Impingement syndrome
  • Rotator cuff tears

Arthroscopic Surgery


Arthroscopy is used not just for detection, but can also serve surgical purposes to treat the diagnosed condition. There are many benefits of arthroscopy compared to open surgery. Recovery is smoother and quicker, and the procedure can be performed on an outpatient basis, enabling the patient to get back home the same day. The main advantages of arthroscopy are it can be used to detect and treat a condition, and can relieve pain. On the flip side, this procedure is not suitable for all joints and some patients may still need to undergo total joint replacement at a later stage. Currently, arthroscopy is used commonly on six joints: wrist, hip, ankle, elbow, shoulder and knee. With advancement in technology it is expected that this procedure will be used to treat more joints effectively.

Recovering from Arthroscopy


Most patients can recover fully within a few days and resume their normal activities. But the general outcome depends on the individual’s overall health and condition. The few small wounds caused by the procedure usually heal within a few days. Pain is negligible and the joint fully recovers several weeks after the surgery.

Patients who lose limbs due to congenital disorders, cancer, diabetes, vascular diseases, traumatic injuries or other reasons can benefit to some extent by using prosthetic devices. These devices act as an artificial limb and help the patient function as normally as possible. As each individual has a unique anatomy, prosthetics in Germany are made with a great degree of skill as well as sophisticated technology to fabricate a custom-made prosthetic device that can fit the patient perfectly.

Treatment of Joints in Germany is done under top class infrastructure that ensures safe and effective treatment of various joint ailments. This helps patients maintain a better quality of life after the treatment. Most of these treatments do not require hospital stay. Only severe cases like trauma and acute recovery from orthopedic surgery require inpatient hospitalization.

Common Orthopedic Treatments in Germany:
  • Surgery
  • Medications
  • Therapy and rehabilitation
  • Casts
  • Supports and braces
The standard of orthopedic Clinics in Germany is of a high-class and they have been providing top quality orthopedic care for thousands of inpatients and outpatients every year. German clinics focus on the patient and offer holistic and individual treatments of the highest standards. They use surgical procedures or conservative methods as required to help patients bounce back and resume normal life as early as possible.

Orthopedic clinics in Germany have qualified and experienced doctors who can plan and perform suitable treatments for all patients. They are professionally supported by physiotherapists and nursing staff, and can avail of modern equipment and infrastructure. German clinics offer a conducive and pleasant atmosphere that helps patients overcome their fear and trauma, and relax easily while recuperating from their ailment.

If you are looking for such an arthroscopic treatment, we can always help you by arranging for an appointment with an expert orthopedic in Germany.

Hip joint replacement

Hip joint replacement is a procedure to replace an impaired hip joint with an artificial one. This surgery makes the affected joint functional again and also relieves pain. Typically, the operation requires hospitalization for about a week. Hip replacement is a successful and safe procedure that improves mobility and reduces pain.

Conditions that Affect the Hip Joint: Osteoarthritis, rheumatoid arthritis and hip fractures (especially in seniors) are the common ailments that impact the hip joint. The bones in the joint suffer small breaks which causes stiffness and pain. The orthopedic surgeon uses X-rays, a physical examination and evaluation of the patient’s lifestyle and medical history to determine if he is suitable for a hip joint replacement surgery. The patient should discuss the benefits and risks of the procedure with the surgeon before agreeing to it.

Risks of Hip Joint Replacement
  • There is a change in the length of the leg on the operated side after the procedure
  • The artificial hip joint can suffer a dislocation
  • There may be damage to the blood vessels and nerves in the surrounding area
  • Blood clots may develop
  • The artificial hip joint and wound can get infected
  • Common anesthetic risks associated with all surgery

The Procedure


The hip replacement surgery is performed using a general or local anesthetic. Discuss with your surgeon which one is appropriate for you. The artificial hip joint is typically made of materials like titanium, chrome, stainless steel, plastic, ceramics or a combination of these. The surgeon gives antibiotics to the patient to prevent the new joint from getting infected. There may be a need for blood transfusion also.

Recovery after the Operation


After the procedure, the patient’s oxygen levels, breathing rate, heart rate and blood pressure are closely monitored. Circulation in the involved leg is also noted. The nursing staff will use a catheter for a couple of days to drain urine from the patient’s bladder. Medications will be given to relieve pain. Intravenous drips will be required to feed the patient until he starts eating and drinking normally. He would need to use crutches for a week after the procedure to stay mobile. Most patients are able to make a full recovery in four to six months.

Prosthetic devices are used as artificial limbs to help those who have lost the use of their limbs due to accident, injury, etc. These devices are made of sturdy and durable material, and are a boon for victims who may have lost hope after their tragedy. Prosthetics in Germany are crafted and customized immaculately to ensure it perfectly fits the unique anatomy of the beneficiary as well as his individual needs and requirements.

Joint ailments start to occur with age and need effective treatment to ensure patients do not suffer pain and deterioration in their quality of life. Germany offers world class clinics with top rate equipment and infrastructure to help patients overcome debilitating joint conditions and lead as normal a life as possible. Treatment of joints in Germany is done by orthopedic specialists using the following treatments to ensure that joint pain and ailments are treated effectively: Casts, medications, supports, braces, therapy and rehabilitation, and surgery as a last resort.

Facilities for orthopedics in Germany are of a very high standard. Orthopedic specialists in Germany offer safe and effective treatments for a range of conditions including arthritis, back pain, foot pain, sports injuries and carpal tunnel syndrome. They replace affected joints with artificial ones and also heal damaged nerves to provide succor and solace to the suffering patient. Most orthopedic surgeons specialize in their field and become experts at treating a certain body part or injury.

Orthopedic Clinics in Germany are in the fore-front in offering high quality medical care and treatment for all patients. German doctors are highly qualified and vastly experienced in their field and make good use of modern equipment and facilities to help patients recover from ailments and lead a normal life again with their previous quality of life. Orthopedic specialists are ably supported by nursing support staff and physiotherapists who ensure patients are able to recover full functionality and strength of their limbs after the treatment procedure and recovery period. German orthopedic clinics provide a calm and relaxed atmosphere where patients can recuperate in peace and gain strength gradually to ensure they are able to resume their normal duties after discharge.

If you are looking for a hip joint replacement, we can always help you by arranging for an appointment with an expert orthopedic in Germany.

Knee joint replacement

Orthopedics is that branch of medicine and surgery that deals with the musculoskeletal system. The study of Orthopedics in Germany includes studies related to degenerative diseases, tumors, and congenital disorders, trauma of the musculoskeletal system and sports injuries.

The knee joint replacement also known as knee arthroplasty is a surgical procedure that involves replacing the original knee joint with an artificial one. The artificial joint is known as prosthesis. Knee replacement surgery is done in individuals over 50 years of age and who are suffering from rheumatoid arthritis, chronic osteoarthritis and psoriatic arthritis. The pain due to the above diseases arises due to wear and tear of the cartilages, ligaments and meniscus tears.

In many instances, the pain caused due to arthritis can be treated with certain medications and surgery can also be avoided. One such medication is germanium. The use of germanium in the treatment of arthritis has acquired the much needed attention due to its pain-relieving properties.

In knee replacement surgery either partial or complete knee is replaced with prosthesis depending on the severity of the condition. The damaged or injured parts of the knee are replaced with metallic or plastic materials that are designed to give appropriate and comfortable knee movement. However, the surgeons now have been reported to use knee parts made of ceramic on ceramic, metal on metal or ceramic on plastic.

Knee replacement surgery can be done at the following locations in the knee:
  • Femur:
  • The femur consists of the lower end of the thigh bone which is replaced by metal parts.
  • Tibia bone:
  • Tibia is the largest bone of the lower leg. In this, the upper end of the shin bone is replaced by strong plastic and metal parts.
  • Patella:
  • The backside of the knee cap is replaced by strong plastic that can give a proper support to the knee joints.
For total knee replacement, all the key knee locations such as the femur, tibia, menisus and patella are replaced with artificial parts.

The orthopedic clinics in Germany are well equipped with modern facilities for treating joint problems. Treatment of joints in Germany is carried out by most advanced procedures by experienced orthopedic surgeons who are masters in their respective fields.

Procedure:


Patients are given general anesthesia or epidural anesthesia depending on their condition. In epidural anesthesia, the lower region of the waist is numbed by injecting medicines containing anesthesia. Following this, the orthopedic surgeons will make a long incision of about 20 - 25 cm long in the front portion of the knee. Thereafter the surgeons remove the damaged or diseased parts which are then replaced with artificial ones. These artificial materials are shaped in a manner so that they can give proper support and fit well to the joints and ligaments. The entire surgical procedure takes about 2 hours to complete.

A hospital stay of 3 -5 days is required depending on the patient’s recovery. Initially the individuals are given parallel bars for walking which can later on be replaced by clutches, walker or cane. It also needs special mention here that, the patients are made to walk the next day itself post surgery. The walking gets very difficult the first day; which gets better and easier with each passing day. Individuals report considerable decrease in pain and can walk without support within a months’ time. With regular physiotherapy and exercises the muscle strength is restored and individuals can walk more comfortably. It also needs to be understood by all patients undergoing knee surgery is that in the first few days their knees will cause lot of pain, and walking a single step will seem to be impossible. However, walking a little everyday is a must and one should not avoid it due to pain. With this regime, knee movement will definitely improve and the patients can lead a pain free and comfortable life.

Types of Implants:


Prosthetics in Germany are of high standard and are available in flexi design. This will allow comfortable bending of the knee with low abrasion and good diffraction. Depending on the extent of severity of the knee damage the following implants are chosen for knee replacement surgery:
  • Axle guided implant for patients with severe capsular ligament destruction.
  • Rear stabilizing implant meant for individuals with damaged posterior cruciate ligament.
  • Uncoupled implant for a stable knee.
  • Part coupled implant for sideband instability.
The following are the risks associated with knee replacement surgery:
  • Bleeding in the knee joint post surgery.
  • Heart attack and or stroke during the surgery.
  • Blood clots may develop during surgery that may reach the lungs and subsequently affect its functioning causing pulmonary embolism. This can then lead to breathing problems, shortness of breath and shock.
  • Infection of the knee, legs, urinary tract and chest.
  • Nausea and vomiting due to medications.
  • Anesthesia effects which in turn can cause damage to heart, liver, lungs and the kidneys.
If you are considering receiving a knee joint replacement in Germany, we can always help you by arranging for an appointment with an expert German orthopedic.

Shoulder joint replacement

Orthopedics is the study of disease and its related symptoms of the musculoskeletal system. Orthopedics in Germany involves the treatment of both adults and children with orthopedic problems.

Shoulder joint replacement is a surgical procedure involving the replacement of shoulder joint with artificial joints. There are several conditions that may give rise to shoulder pain and the subsequent need for shoulder joint replacement. The humeral head of the shoulder may experience wear and tear and degeneration due to disease conditions such as avascular necrosis, osteoarthritis and rheumatoid arthritis. All these conditions are joint disorders and affect some or all body joints.

Treatment of joints in Germany is done by specialized surgeons using modernized methods. The orthopedic clinics in Germany are well equipped with advanced tools for carrying out complicated surgical procedures. It is also at par with the latest innovations in the field of orthopedics so that it can deliver the best treatment to individuals.

Prosthetics in Germany for shoulder joint replacement is of world class quality and is available in various types to suit the individual needs of the patients.

Treating shoulder pain:


There are several treatment options available for treating shoulder pain. These include:
  • Physiotherapy that involves regularly carrying out exercises that would help improve shoulder movement and arrest the process of degeneration.
  • Over the counter medications may also prove to be of great help for relieving pain and inflammation of the shoulder region.
  • Corticosteroid injections have also been considered to be of great help in decreasing the pain to a great extent.
  • Surgery is the last option that is considered for treating shoulder pain when patients do not respond to the above mentioned conservative treatments.
Shoulder joint replacement surgery is considered to be the third most common surgical procedure after knee and hip replacement. In this type of surgery, the entire humeral head or a part of it may require replacement depending on the severity of the condition. The following list talks about the various types of shoulder joint replacements.
  • Shoulder resurfacing arthroplasty:
  • This method is approved by the National Institute of Health and Clinical Excellence (NICE) as suitable treatment method for shoulder pain. In this type, only the degenerated parts of the joints are replaced with artificial parts. This procedure is achieved by minimal bone resection.
  • Partial replacement:
  • This procedure also known as shoulder hemiarthroplasty involves replacement of only one articular surface.
  • Total replacement:
  • This procedure also known as shoulder arthroplasty consists of replacement of both the articular surfaces that are replaced by artificial plates known as prosthesis.
  • Reverse total shoulder replacement:
  • This is a new method and is used for individuals with severe arthritis and for whom the surrounding muscles are also damaged. This method also consists of replacing both the articular surfaces, but with a difference. Here, the ball is placed on the glenoid and the socket or the cup on the humerus. This alternative replacement is done to medialise the center of the joints and in turn maximize the lever arm.

Procedure:


Shoulder joint replacement takes about 1 – 3 hours. General or regional anesthesia may be given depending on the overall health of the individual and their preference. The surgeon makes an incision to reach the shoulder and thereafter will remove the humerus and head. It is then replaced and cemented with artificial metal head and stem. Following this, the old socket is smoothened and replaced with a new one. The incision is closed with sutures and the wound is bandaged. A drain pipe is attached to drain the liquid which has may have got accumulated in the joint. This pipe can be removed later on when it is no longer required.

Antibiotics are administered before the surgery and even after it to minimize the risk of infection. Individuals are also advised to get treated for any dental disease, if any, prior to the surgery. This is also done to avoid any chances of infection during and post surgery.

Individuals are allowed to go home within 1 – 3 days after the surgery depending on their condition. Physiotherapy is a must and should be done regularly for strengthening the muscles around the shoulder region. A new shoulder joint can last for about 10 years depending on the pressure exerted on it. With shoulder replacement surgery, many individuals lead a pain free life with no stiffness around the shoulder region. They can return to their daily routine within a short period and many were able to resume sports such as golf, swimming and bowling post surgery.

The following are the risks associated with shoulder replacement surgery:
  • The body does not accept the artificial joint and as a result cause infection.
  • The bone may break during surgery.
  • Risk of nerve damage during the surgery.
  • The artificial joint that is implanted may get dislocated.
  • Damage to any of the blood vessels during surgery.
If you are considering receiving a shoulder joint replacement in Germany, we can always help you by arranging for an appointment with an expert orthopedic.

Total joint replacement in Germany

Orthopedics is the branch of medical science that deals with the study of the musculoskeletal system. Arthritis is the leading cause of joint disorders today and more and more people are falling prey to it. Severe arthritic conditions demand joint replacement when medications and conventional treatment fail to work.

Anatomical features of joints:


Joint consists of two or more bones that are joined together by thick tissues. Take for example the hip joint that consists of the upper part of the femur (ball) that is joined to a portion of the pelvis (socket). The knee joint is made of the tibia, fibula and the femur bone.

The ends of the bones are covered with a smooth cartilage that facilitates frictionless movement of the joints. In addition, the joints are also enclosed in a fibrous capsule known as the synovium. This produces a fluid known as the synovial fluid. When the cartilage undergoes wear and tear due to disorders such as arthritis, osteoarthritis, and rheumatoid arthritis, the joints become inflamed and get stiff. This causes a decrease in the synovial fluid. This stiffness, inflammation and reduction in synovial fluid cause the joints to pain.

Total joint replacement is usually the last resort when medication and other conventional treatment modes do not seem to reduce the pain and inflammation. Under such circumstances, if the individuals carry on without considering the option of joint replacement then it would further damage the surrounding muscles and tissue of the affected area. It is therefore advised to receive a proper physical examination and schedule a replacement surgery at the earliest.

Diagnostic procedures for identifying joint problems include a preliminary physical examination and some imaging studies such as MRI scans or CT Scans. In some cases, physical examination, laboratory tests and x – rays should be enough.

Procedure:


The individuals are made to sleep with a dose of anesthesia to numb the parts that need to be replaced. In some cases, regional anesthesia may be administered if the patient prefers to stay awake. Once the effect of the anesthesia starts its effect on the patient, the surgeon begins his procedure and makes an incision into the body part for replacing the joints. For example in hip replacement, the upper part of the femur is replaced with a metal ball which is attached to a metal stem and the socket is replaced by a sturdy plastic which is then attached to the pelvis.

Germany is one of the finest places for getting hip replacement done. The orthopedic clinics in Germany have world class surgeons experienced in carrying out hip replacement surgeries. The surgeons perform about 200, 000 hip replacement surgeries each year. Not just hip surgeries, they perform all kinds of joint replacement surgeries with perfection. The surgeons are experts in their respective fields and deliver the best services to their patients. Hip surgery takes about 1 – 2 hours and the patients are allowed to go home within 8 – 10 days depending on their condition.

The patients are asked to walk with support the day after surgery. Walking in initial stages is difficult but gets easier and better with each passing day. Physiotherapy post operation helps to a great extent in the recovery process. The muscles and new joints get well accustomed to each other and walking gets comfortable and pain free as time progresses.

The artificial joints (prosthetics) that replace the natural worn out joints are designed in a manner that gives comfortable movement similar to natural joints. These prosthetics are made of plastic, metals, stainless steel, cobalt, titanium or chrome. The artificial joints consist of 2 parts: a metal piece that is designed in a manner that it fits appropriately to a sturdy plastic socket. The plastic material should be wear – tear resistant. It is made of polyethylene. In many cases, the two parts are cemented in order to join them.

However, due to advances in the technology, most of the joint replacement occurs without any cementing material. This means that the prosthetics are designed in a manner that they can fit beautifully into place without any cement.

Prosthetics in Germany are of high quality and are designed to fit specific needs of individuals. About 90% of the cases are successful and as such no major risks can be expected. However, in certain unforeseen conditions, the following risks can be considered post total joint replacement:
  • A great risk of prosthetic breakage and may call for a second surgical procedure.
  • Injury to the adjoining nerves during surgery.
  • Dislocation and Loosening of the prosthetics.
  • Blood clots may occur due to poor supply of blood in the affected part.
  • Infection may set in.
Hip and knee replacement surgeries are done in Germany with precision and care; however joint replacement can also be carried out for elbow, foot, ankle, shoulders, and even fingers. If you are considering receiving a total joint replacement in Germany, we can help you in getting an appointment in one of the best orthopedic clinics of Germany.