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Hip replacement and rehabilitation (program ID: 398870)

Academic Hospital DRK Berlin Westend

location_on Berlin, Germany
10/10 from 36 Votes
Specialized hospital
Thilo John

Head Physician
Dr. med.

Thilo John

Specialized in: orthopedics, endoprosthetics

Department of Orthopedics, Traumatology and Endoprosthetics

The Department of Orthopedics, Traumatology and Endoprosthetics annually performs more than 560 hip replacement interventions in patients severe coxarthrosis. The team of specialists under the direction of Dr. med. T. John has been performing minimally traumatic interventions with subsequent comprehensive rehabilitation for many years. The department uses only high quality hypoallergenic endoprostheses with a long service life.

The 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 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


The program includes orthopedic rehabilitation:

  • Primary presentation in the clinic
  • medical history, including family history
  • complex neurological and orthopedic examinations
  • X-ray examination
  • complex neurophysiological examinations
  • individual rehabilitation program, which includes:
    • Wii Fit training in the use of the balance
    • neuropsychological therapy
    • functional therapy of the upper extremities (ArmeoSpring)
    • kinesitherapy (physiotherapy)
    • biocontrol with feedback
    • healing deep muscle massage
    • acupuncture of spasticity and pain syndromes
    • occupational therapy
    • psycho-educational classes
    • Individual physiotherapy
    • microcurrent treatment
    • fangotherapy / cryotherapy
    • antispasmodic drug therapy
    • mobilization of limb joints
    • hydrotherapy / massage therapy / reflexology
    • training on special trainers
    • and etc.
  • nurses care
  • stay in the hospital with full board
  • symptomatic and drug therapy

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.

Rehabilitation. The rehabilitation program begins after the transfer of the patient from the intensive care unit to a regular ward. It includes physical activity (from exercises in bed in the early days to exercises in the gym), physiotherapy, massage (including lymphatic drainage), exercises in the water. The rehabilitation program is constantly being adjusted according to the needs of the patient.

Required documents:

  • X-ray examination of the hip joints
  • MRI scan of the hip joints, if available
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About the department

The Department of Orthopedics, Traumatology and Endoprosthetics at the Academic Hospital DRK Berlin Westend offers optimal treatment for any traumas and consequences of the injuries of the musculoskeletal system (bones, tendons, ligaments, muscles) and is engaged in the further development of sparing surgical techniques and highly functional prosthetics. In the framework of the specialized Center for Endoprosthetics, in addition to the primary operations for the replacement of the hip, knee and shoulder joints, there are also performed revision interventions of any severity. The department is headed by Dr. med. Thilo John.

Doctor. med. Thilo John, the Chief Physician of the Department, is a recognized surgeon, a specialist in all modern methods of replacing the hip and other joints in injuries, inflammations or age-related degeneration. In addition, the doctor has an extensive experience of treating hip and other joints with the help of the very latest minimally invasive interventions.

The service range of the Department of Orhopedic Surgery includes:

  • Arthroscopy
  • Endoprosthetics and revision endoprosthetics within the maximum care Center for Endoprosthetics
  • Corrective surgery
  • Foot surgery
  • Hand and elbow surgery 
  • Other interventions

The maximum care Center for Endoprosthetics (EPZmax) offers the entire spectrum of both primary and secondary revision joint replacement surgery. The surgical techniques used here are sparing for soft tissues, and therefore contribute to the reduced burden on the body and rapid rehabilitation of the patient. A highly specialized team of doctors, physiotherapists and nursing staff oversees and supports all patients throughout the entire hospital stay. 

The service range of the Center for Endoprosthetics:

  • Primary hip, knee and shoulder replacement 
  • Surgery to replace the prosthesis of the hip, knee and shoulder joints
  • Oncological endoprosthetics
  • Individual operations to replace the joint after digital radiography
  • Sparing (without damage to soft tissues), minimally invasive surgical techniques
  • Counseling on endoprosthetics before surgery and consultations for dynamics monitoring
  • Other forms of treatment.

Curriculum vitae

  • Study of medicine at the Free University of Berlin.
  • 1994 - 1997 Medical activity in the Department of Traumatology and Reconstructive Surgery at the Steglitz Hospital under the direction of Prof., Dr. Rahmanzadeh.
  • Training in surgery under the direction of Prof. Buhr in the Benjamin Franklin Hospital.
  • 2001 Medical Specialist in Traumatology, Department of Traumatology, Benjamin Franklin Hospital.
  • Qualified as a Medical Specialist in the care of seriously wounded patients.
  • Participation in the development of ATLS-standards when providing medical care to victims.
  • International activities as an Instructor of the International Association of Orthopedics (AO): participation in operations in the Middle East.
  • Since 10/2009, Chief Physician of the Department of Traumatology and Orthopedics at the Academic Hospital DRK Berlin Westend.

Photo of the doctor: (c) DRK Kliniken Berlin Westend 


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