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Asklepios Childrens Hospital Sankt Augustin

location_on Sankt Augustin, Germany
9.2/10 from 23 Votes

Department of Pediatric Orthopedics (303073)

Andreas Protzel

Dr. med.

Andreas Protzel

Specialized in: pediatric orthopedics

About the Department of Pediatric Orthopedics at Asklepios Childrens Hospital Sankt Augustin

The Department of Pediatric Orthopedics at the Asklepios Children's Hospital Sankt Augustin offers the widest options for the prevention, diagnostics and treatment of musculoskeletal diseases in children. The department has modern equipment for comprehensive diagnostics: X-ray and ultrasound scanning, magnetic resonance imaging, laboratory tests. When fighting against orthopedic pathologies, doctors use modern therapeutic options, ranging from conservative treatment methods to surgical interventions, including especially complex ones. The department's specialists use a special approach to treatment, which takes into account the characteristics of a growing child's body. Thanks to the successful results of clinical practice, the department has the status of one of the best Pediatric Orthopedic Centers in Germany. The medical facility has created an excellent infrastructure for the maximum comfort of young patients and strictly observes hygiene standards, which guarantees the safety and efficiency of medical services provided. The department is headed by Dr. med. Andreas Protzel.

The department's pediatric orthopedists demonstrate excellent results in the treatment of spinal deformities, in particular scoliosis. The department specializes in the treatment of idiopathic, congenital and neuromuscular scoliosis. The choice of treatment method depends on the angle of curvature and the degree of maturity of the patient's skeleton. With mild scoliosis, it is often possible to achieve successful results with the use of a special therapeutic corset. The corset must be worn day and night, 23 out of 24 hours. The results of therapy are controlled by the attending physician (as a rule, the patient needs to see a doctor once every 3 months). After achieving the desired result, the patient gradually gets used to life without a corset. In case of more severe curvature, the only effective treatment method is surgery. The use of the very latest intraoperative monitoring systems eliminates the risk of damage to the spinal cord and nerve endings. As a rule, the patient stays in the hospital for about 2 weeks after the operation. The patient has rehabilitation during this period of time. In addition, physiotherapy plays an important role in scoliosis treatment.

Another priority focus of the department's work is the treatment of hip dysplasia. Congenital dysplasia is an impairment of the formation of the hip joint, caused by insufficient ossification of the acetabulum. In severe cases, the femoral head can move relative to the acetabulum (in such cases, it is about hip dislocation). The optimal treatment method is selected depending on the general development of the child and the severity of dysplasia. Along with conservative therapy, the department's doctors also use surgical methods such as open reposition and operations for joint function improvement.

The department often admits young patients with Perthes disease. The pathology is necrosis of the femoral head. The disease develops at the age of 4-8 years, has 4 stages and progresses relatively slowly. Perthes disease is more common in boys than in girls. The diagnostic protocol for the suspected disease includes a clinical examination and X-ray scanning. In some cases, magnetic resonance imaging may also be performed. Treatment regimen is determined individually, depending on the stage of the disease. In the early stages, therapeutic exercises and drug therapy are the basis of treatment. Special orthopedic devices are also used to unload the joint, or the joint is immobilized with the help of splints and fixation devices. It should be noted that the course of treatment is quite long and takes from one to several years. In complex clinical cases, the department's pediatric orthopedists resort to a surgical intervention.

The department's therapeutic options are supplemented by surgical repair of O- and X-shaped lower limbs, as well as correction of leg length discrepancy. The department's surgeons successfully perform minimally invasive operations to implant plates and fixation devices that correct the growth of the bone structures of the lower extremities.

The department's clinical focuses include:

  • Diagnostics and treatment of scoliosis: idiopathic, congenital and neuromuscular
    • Conservative treatment with corsets
    • Surgical repair
  • Diagnostics and treatment of hip dysplasia
    • Conservative treatment methods: the use of orthoses, repositioning splints, plaster casts
    • Surgical repair: open reposition, surgical correction of the femur and pelvis
  • Diagnostics and treatment of leg length discrepancy
    • Epiphysiodesis (surgical intervention to temporarily or permanently stop the growth of one of the lower limbs)
    • Implantation of intramedullary rods for lower limb lengthening
    • The use of distraction systems with external fixation
  • Diagnostics and treatment of O- and X-shaped lower limbs
    • Hemiepiphysiodesis
  • Diagnostics and treatment of Perthes disease
    • Drug therapy and therapeutic exercises 
    • Surgical interventions
  • Other medical services

Photo of the doctor: (c) Asklepios Klinik Sankt Augustin GmbH 

Department of Pediatric Orthopedics.
Asklepios Childrens Hospital Sankt Augustin:

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