Orthopedic surgeries

WHEN IS ORTHOPEDIC SURGERY NECESSARY?

Orthopedics is the treatment of congenital and acquired disorders of the musculoskeletal system. This includes diseases of the bones and joints of the limbs, some muscle diseases, and disorders of the spine and soft tissues surrounding the vertebrae.

Orthopedic problems are treated by conservative (i.e., non-surgical) and surgical procedures. Conservative treatments include drug and physical therapies (e.g., cartilage replacement by injection, physical therapy and physiotherapy treatment).

Procedures requiring surgical intervention include arthroscopic surgery (this can be performed with a one-day surgical procedure without dissecting the joint), operations, and prosthesis implantation (replacement of an immobilized joint with an artificial joint implant). 

OUR MOST COMMON ORTHOPEDIC PROCEDURES

HIP REPLACEMENT SURGERY

Hip replacement surgery may be required for abrasions of the hip joint (malformations), growth problems in children and adolescents, femoral head circulatory injuries, inflammatory diseases or injuries (fracture of the femoral neck or femoral head). The damaged, worn hip joint is replaced by a new artificial joint, which allows pain-free walking and movement of the hip joint.

The implants are fixed in the bone by means of bone cement, or by using so-called cementless ’press-fit’ implants. The latter require good bone quality. In our hospital, we choose this type of implantation whenever possible - which in 95% of cases it is. In other cases, we use bone cement to ensure proper fixation.

Regarding the metal material of the implant, we use titanium-based implants with the best long-term follow-up results. After a three-day hospital stay, our operated patients are usually discharged in a physical condition that does not require ongoing supervision at home.

KNEE REPLACEMENT SURGERY

Some of the abrasive deformities of the knee joint are caused by previous developmental disorders (knee joint axis deviation, torsional deformities), growth problems in children and adolescents, circumscribed circulatory disorders, inflammatory diseases, joint surface disintegration due to bone injuries, instability caused by ligament tears and meniscus injuries. In addition, wear and tear of the knee joint can develop without a predisposing factor, which is referred to in the literature as primary knee osteoarthritis.

The aim and purpose of knee replacement is to replace the damaged joint surfaces. The implants are fixed into the bone with bone cement containing antibiotics. This is the most widely used fixation solution, but in our hospital, we also offer so-called cementless knee replacement implantation. This form of implantation is chosen whenever possible, but the final decision depends on the quality of the bone and the condition of the kneecap during surgery. For metal-sensitive patients, titanium-coated implants are also possible.

Thanks to the minimally invasive surgical technique, our patients leave the hospital on the third day after surgery able to walk in their homes and climb stairs.

ARTHROSCOPY KNEE SURGERY

Surgery using arthroscopy is the most effective option for early surgical treatment of joint injuries, abrasions, inflammation and congenital disorders. This allows the joints to be inspected internally through 2-3 or 4 tiny 4-5mm incisions, using a suitable minimally invasive technique, and the necessary surgical interventions can be performed with our specialist range of instruments.

The advantages of the procedure are not only reduced post-operative discomfort and faster rehabilitation, but the precision technique also allows more accurate interventions and better long-term results.

CRUCIATE LIGAMENT SURGERY

The anterior cruciate ligament is a major determinant of knee joint stability. When it is damaged or deficient, axis-directional instability develops, leading to progressive wear of the cartilage surfaces of the knee joint in the long term. Favorable follow-up results - if the cartilage is in good condition - suggest that the upper age limit has now been pushed to 60-65 years.

Reconstruction of the anterior cruciate ligament is performed using a plastic surgery approach, for which the tendon of one of the parallel internal hamstring muscles, the so-called semitendinosus tendon, is usually preferred. There are also cadaveric grafts that can be ordered from tissue banks, but their incorporation is slow and hence they are not used in our hospital.

The arthroscopic technique used in our surgeries not only has advantages due to its minimally invasive nature, but also allows for precise graft implantation and care of the cartilage lesions found. In uneventful cases, patients can go home after a night in hospital following surgery.

OTHER KEY ORTHOPEDICS-RELATED SURGERIES

Hip and femur surgeries

• Hip replacement
• Hip prosthesis replacement (implant not included)
• Femur axis correction

Knee and femur surgeries

• Tibial axis correction
• Knee arthroscopy
• Frontal or back cruciate ligament reconstruction
• Frontal cruciate ligament reconstruction, cartilage resurfacing
• Knee arthroscopy for cartilage (mosaicplasty, microfracture)
• Open knee surgery (Baker's cyst, cartilage, retinaculumplasty)
• Knee replacement
• Knee prosthesis replacement (implant not included)

Ankle surgeries

• Achilles tendon repair
• Ankle arthroscopy (debridement, impingement, arthrolysis)
• Ankle ligament reconstruction, plastic surgery,joint capsule surgery, ankle cartilage repair, open ankle surgery

Foot surgeries

• Bunion, exostosis, hammer toe surgery, osteotomy of metatarsal bones or toes, Helal, Bösch, and other bone deformity operations
• Repair of Haglund's deformity (endoscopy or open surgery)

Shoulder surgeries

• Removal of the lateral part of the collarbone and arthroscopic/open lavage of the AC joint
• Stabilization for AC subluxation
• Arthroscopic surgery of frozen shoulder
• Shoulder arthroscopy
• Shoulder instability surgery (Bankart procedure)
• Shoulder replacement

Elbow surgery

• Arthroscopic debridement of elbow/synovectomy
• Elbow replacement
• Surgery for tennis elbow or golfers elbow
• Release of ulnar nerve

Hand surgery

• Carpal tunnel surgery
• Dupuytren's contracture - 1 finger
• Trigger finger surgery