Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy in Asklepios Hospital Barmbek Hamburg

About the department

The Department of Orthopedics and Trauma Surgery at the Asklepios Hospital Barmbek Hamburg offers all the possibilities of modern medicine for the diagnostics and treatment of musculoskeletal diseases and injuries. The department's medical team focuses on patients with osteoarthritis of large joints, benign and malignant bone and soft tissue tumors, arm, leg, and pelvic fractures, as well as spinal fractures. The department's doctors regularly perform arthroplasty to replace small and large joints. The specialists perform hip, knee, ankle, shoulder, elbow, and big toe joint replacement surgery. Surgical interventions for partial and total joint replacement are performed using minimally invasive techniques. The department also successfully performs arthroscopic joint surgery, for example, for cruciate ligament tears, meniscus injuries, and hip impingement syndrome. The department's medical team also performs cartilage transplantation. The procedure ensures excellent results and, in many cases, allows patients to avoid joint replacement surgery. The department has a specialized unit for treating patients with bone fractures, soft tissue injuries, and sports injuries, where a team of experienced doctors is on duty round the clock. The Head Physician of the department is Prof. Dr. med. Frank Lampe.

The priority clinical tasks of the department's physicians include knee, hip, and shoulder joint replacement surgery. The main indication for arthroplasty is arthrosis (degenerative joint changes). In patients in the early stages of the pathological process, the specialists use only drug therapy and physiotherapy, but these methods can usually only slow down the progression of the disease. Joint replacement surgery is the last-line treatment. Surgery is prescribed if there is no result from conservative therapy. All arthroplasty procedures are performed by the department's orthopedists using minimally invasive techniques. A surgical approach is provided through small incisions in the skin and soft tissues, thanks to which recovery in the postoperative period is faster and the patient experiences virtually no pain. When performing joint replacement surgery, surgeons use advanced computer navigation systems to ensure the most accurate positioning of the prosthesis, which plays an important role in the success of surgical treatment. The department also successfully performs revision arthroplasty, which is a highly complex intervention.

The department's orthopedists brilliantly perform arthroscopic interventions on the knee, hip, shoulder, and ankle joints. The specialists resort to arthroscopic surgery in cases of meniscal and cartilage tissue traumatic injuries, ligament tears, patella dislocation, hip and shoulder impingement syndrome, dislocated shoulder, ankle ligament tears, and osteochondritis dissecans of the ankle joint. An arthroscopic intervention involves inserting an arthroscope into the joint cavity through a small incision. The arthroscope is equipped with a light source and a tiny camera, continuously transmitting real-time images at multiple zooms to a screen. The surgeon can thus perform the necessary manipulations using thin and long instruments under the guidance of images on the screen.

In the field of traumatology, the department performs conservative and surgical treatment for arm, leg, and pelvic fractures, spinal injuries, and sports injuries. The doctors strive to use only conservative therapy by performing closed repositioning and immobilization of the bone fragments with plaster, polymer, or soft bandages. In complex clinical cases, surgical treatment such as osteosynthesis might be required. During the operation, the surgeon connects and securely fixes the bone fragments with special constructs, such as a metal screw, plate, rods, intramedullary nails, external fixation devices, etc. In most cases, osteosynthesis surgery is performed using minimally traumatic surgical techniques.

The department has gained vast experience in the surgical treatment of spinal fractures using dorsal spondylodesis and balloon kyphoplasty. Dorsal spondylodesis involves the implantation of a system of screw rods to repair a spinal fracture. The intervention is performed using minimally invasive techniques through small skin incisions using specialized instruments. To maximize the accuracy and safety of surgical manipulation, the procedure is performed under imaging guidance. The operation allows the patient to quickly recover from the fracture, get rid of pain, and restore mobility. When performing balloon kyphoplasty, the surgeon inserts a special balloon into the vertebral body, which is inflated under pressure, thereby repairing the vertebral deformity. In the next phase of the procedure, the doctor removes the balloon, and bone cement is introduced into the vertebral body in its place. The intervention is also performed using minimally invasive techniques under local anesthesia.

The department's main clinical focuses include:

• Orthopedics
  • Hip, knee, ankle, shoulder, elbow, and big toe joint replacement surgery, including revision surgery to replace previously implanted prostheses
  • Arthroscopic surgery
    • Knee arthroscopic surgery
      • Arthroscopic suturing of menisci and replacement of menisci when torn
      • Arthroscopic surgery for cartilage injuries
        • Microfracture for minor traumatic cartilage injuries
        • Mosaicplasty (OATS) for moderate traumatic cartilage injuries
        • Cartilage cell transplantation for severe traumatic cartilage injuries
      • Arthroscopic surgery for knee ligament tears
      • Arthroscopic surgery for knee dislocation
      • Arthroscopic MPFL reconstruction for patellar dislocation
    • Hip arthroscopic surgery
      • Arthroscopic surgery for hip impingement 
      • Arthroscopic surgery for foreign bodies in the hip joint
      • Arthroscopic surgery for traumatic hip labral injuries
    • Shoulder arthroscopic surgery
      • Arthroscopic surgery for shoulder instability
      • Arthroscopic surgery for shoulder impingement
      • Arthroscopic surgery for acromioclavicular joint injuries
    • Ankle arthroscopic surgery
      • Arthroscopic surgery for external ligament tears of the ankle joint: anatomical reconstruction and tenodesis using the Evans Zwipp procedure
      • Arthroscopic surgery for traumatic ankle cartilage injuries
      • Arthroscopic surgery for osteochondritis dissecans of the talus
  • Surgical repair of O- and X-shaped leg deformities
  • Surgical repair of the hallux valgus
  • Surgical resection of benign and malignant bone and soft tissue tumors
  • Surgical debridement of chronic wounds
  • Bone and soft tissue septic surgery
    • Surgery for acute and chronic joint infections
    • Surgery for infection during osteosynthesis and fractures
    • Surgery for periprosthetic infections
    • Surgery for osteomyelitis and osteitis
    • Surgery for degenerative inflammatory foot deformities, including diabetic foot syndrome
• Trauma surgery
  • Conservative and surgical treatment of arm, leg, and pelvic fractures
  • Conservative and surgical treatment of sports injuries
  • Surgical treatment of spinal fractures
    • Dorsal spondylodesis
    • Balloon kyphoplasty
• Other medical services