Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) (program ID: 667420)

Academic Hospital Brothers of Mercy Munich

location_on Munich, Germany
10/10 from 23 Votes
Specialized hospital
Werner Plötz

Head Physician
Prof. Dr.

Werner Plötz

Specialized in: orthopedics, traumatology

Department of Orthopedics and Traumatology

Program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • physical examination
  • review of medical records
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • indicators of inflammation (CRP, ESR)
    • indicators of blood coagulation
  • X-ray examination of the hip
  • MRI scan of the hip
  • preoperative care
  • hip replacement (hip endoprosthesis)
  • symptomatic treatment
  • control examinations
  • physiotherapeutic procedures
  • orthopedic appliances
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • explanation of future recommendations

How program is carried out

Preliminary preparation for hip replacement includes quitting smoking and drinking alcohol; cancelling non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen); cancelling anticoagulants (warfarin); normalization of body mass, if possible.

Preoperative examination, including consultation with an anesthesiologist and necessary related specialists, takes 1-2 days. According to its results, the most suitable endoprosthesis is selected.

Hip replacement. The operation is performed under general anesthesia. The patient lies on his side, the affected leg is bent and fixed in this position. The surgeon makes an incision 15-20 cm long, minimally traumatizing the muscles and nerve endings. Through this incision, miniature instruments are inserted to remove the damaged joint structures. Healthy bone is adjusted for further reliable implant fixation.

The surgeon installs a femoral stem in the center of the upper part of the femur. Ball-shaped head of the joint is fixed on it. The surgeon also implants a special liner that facilitates movement of the leg and protects the structures of the prosthesis. After the primary fixation of the prosthesis components, the doctor assesses the joint range of motion, as well as the length and symmetry of the lower limb.

The implant is fixed with cement or cementless method. The doctor treats the operating field with antiseptics, conducts its final revision and sutures the wound layer by layer. A temporary drainage is installed in the joint, and a bandage is applied on top.

Postoperative care. During the first day after the intervention the patient stays in the intensive care unit, under round-the-clock medical supervision. After that, with a smooth course of the postoperative period, the patient is transferred to a regular ward and the drains are removed. The range of motion expands gradually, from light toes movements to walking. Walking with the use of walking aids is allowed in 3-5 days after the operation.

Required documents

  • X-ray examination of the hip joints
  • MRI scan of the hip joints, if available
Type of program :
Expected duration of the program:

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About the department

According to the Focus magazine, the Department of Orthopedics and Traumatology at the Academic Hospital Brothers of Mercy Munich ranks among the top medical facilities in Germany in the treatment of musculoskeletal diseases!

The department offers the full range of diagnostics and treatment of all acute and chronic diseases and injuries of the musculoskeletal system. The main goal of the department’s doctors in the treatment of each patient is the restoration of normal mobility and the elimination of painful sensations. The department has about 140 beds for patient hospitalization. The department’s doctors provide their first-class medical services to more than 4,000 inpatients every year. The Maximum Care Endoprosthetics Center (EPZmax) and the certified Trauma Center are part of the department as well. The Chief Physician of the department is Prof. Dr. med. Werner Plötz.

One of the department’s priorities is hip and knee replacement surgery. The certified Maximum Care Endoprosthetics Center (EPZmax) boasts 20 years of successful clinical experience in the area of its specialization. The department performs more than 2,600 joint replacement interventions annually. The treatment of joints involves the use of modern surgical techniques, as well as reliable prostheses from leading world manufacturers, which are characterized by a long service life. Special attention should be paid to the professionalism of the surgeons, who select the optimal type of intervention, taking into account the individual needs and clinical features of the patient.

In addition, the department shows high success rates in treating injuries, including particularly severe injuries. Medical care is provided on the basis of the specialized center, which is part of the Trauma Network of the German Society of Traumatology. The focus is on the treatment of injuries in old age, which require a comprehensive and competent approach. Also, the department’s tasks include the treatment of sports injuries.

The doctors of the department also have extensive experience in the treatment of spinal diseases (for example, spinal canal stenosis, herniated intervertebral discs, spinal injuries, etc.). Initially, the specialists of the department try to solve the problem conservatively, but if necessary, the operation applies all the progressive achievements of medicine, in particular, navigation systems, which allow for the achievement of the best possible accuracy during the operation and lack of damage to the vital spinal structures.

The service range of the department includes:

  • Diagnostics and treatment of foot and ankle diseases
    • Tarsus surgery (foot with flat transverse arch, hallux valgus, hammer fingers)
      • Combined operation with soft tissue (tendons) balancing, as well as bone correction
    • Middle and rare foot surgery (in osteoarthritis, injuries or age-related changes)
    • Upper ankle surgery (for example, due to ligament damage or degenerative processes)
      • Special reconstructive interventions (using autogenous tissues)
      • Minimally invasive interventions (arthroscopy)
      • Ankle endoprosthetics in case of arthrosis
  • Diagnostics and treatment of hip diseases
    • Hip replacement surgery, including minimally invasive techniques
    • Hip arthroscopy
    • Implantation of cap surface prostheses and short-rod prostheses
    • Corrective osteotomy
  • Diagnostics and treatment of knee diseases
    • Knee arthrosis
    • Axial deformities of the lower limbs (O-shaped and X-shaped legs)
    • Ligament injuries
    • Cartilage lesions
    • Meniscal injuries
    • Pain syndrome after knee endoprosthetics
  • Diagnostics and treatment of shoulder diseases
    • Shoulder impingement syndrome
    • Forearm calcification
    • Rotator cuff tear
    • Shoulder instability
    • Shoulder arthrosis
  • Diagnostics and treatment of sports injuries
    • Ligament injuries
    • Cartilage lesions
    • Meniscal injuries
  • Diagnostics and treatment of spinal diseases
    • Conservative and surgical treatment (minimally invasive surgery) of herniated intervertebral discs
    • Conservative treatment of osteochondrosis
    • Surgical treatment of osteochondrosis
      • Implantation of artificial intervertebral discs
      • Stabilizing intervention, scoliosis correction
    • Treatment of infectious spinal diseases
    • Conservative and surgical treatment (minimally invasive decompression) of spinal stenosis
    • Conservative treatment of vertebral fractures
    • Surgical treatment of vertebral fractures (including minimally invasive interventions)
      • Vertebral stabilization in osteoporosis by introducing material that replaces bone tissue
      • Stabilizing interventions
    • Conservative and surgical treatment of spondylolisthesis (vertebral dislocation)
  • Other medical services

Curriculum vitae

Prof. Dr. Werner Plötz is the Head of the Department of Orthopedics and Traumatology at the Academic Hospital Brothers of Mercy Munich. The specialist annually performs over 1,000 surgical interventions for the treatment of pathologies of the musculoskeletal system. The doctor underwent training in the field of Orthopedics and Traumatology at the University Hospital Munich Rechts der Isar, under the direction of Prof. Erwin Hipp. In 1990, Dr. Werner Plötz had his board certification. Then he received a research grant in Arthroplasty at Duke University in North Carolina (USA), 6 months. From 1990 to 1993, he held the position of Senior Physician, and in 1997 he took the position of Lead Senior Physician in the Department of Orthopedics and Traumatology at the University Hospital Rechts der Isar Munich. Between 1997 and 1999, he temporarily headed the Department of Orthopedics at the University Hospital Lübeck. Prof. Werner Plötz has published over 80 scientific articles in specialized journals and book chapters. He is the Co-Editor of two books on orthopedics, and has given several hundred lectures during his many years of professional activities.

Photo of the doctor: (c) Barmherzige Brüder Krankenhaus München

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