The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- lipid metabolism (HDL/LDL, cholesterol,
triglycerides Lip(a), homocysteine) - blood coagulation analysis (aPTT, PT, INR)
- inflammation indicators (CRP, ESR)
- metabolic status (uric acid, total glucose, HbA1c)
- cardiovascular disease risk markers
- kidney function test (creatinine, urea)
- TSH, fT3, fT4
- microbiological smear
- doppler/ duplex receptacles of lower extremities
- CT with contrast from aorta and of lower extremities
- duplex peripheral arteries
- diagnosis diabetic neuropathy
- x-ray/ MRI of the foot
- preoperative care
- surgical stabilization and repositioning of foot bones
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- developing of further guidance
Required documents
- Medical records
- X-ray of the foot (if available)
- MRI/CT scan of the foot (if available)
Service
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About the department
According to the rating of the Focus magazine, the Department of Foot and Ankle Surgery at the ATOS Orthoparc Clinic Cologne is one of the best specialized centers in Germany for the treatment of foot diseases!
The department provides effective conservative and surgical treatment of the entire spectrum of foot and ankle diseases. The medical facility has an excellent diagnostic base because an accurate examination is the key to successful treatment. The department performs ultrasound scans, magnetic resonance imaging, digital volume tomography, pedography (a method of assessing the distribution of plantar pressure in static and dynamic conditions). The doctors of the medical facility have exceptional qualifications in the field of correction of hallux valgus and hallux rigidus, claw toes, flat feet, and clubfoot. Achilles tendon ruptures, heel spurs, ankle arthrosis, and other pathologies are also successfully treated in the department. Doctors have many conservative treatment methods at their command, including treatment with tapes, bandages, and orthoses, drug therapy, local injection therapy, and medical training therapy. In some clinical cases, surgery may be required for foot pathologies, especially for deformities. The department performs minimally invasive foot and ankle surgery.
The Head Physician of the department is Dr. med. André Morawe. The specialist has over 20 years of successful clinical practice. He has repeatedly completed several internships abroad: in the USA, Italy, Denmark, and the Netherlands. Dr. André Morawe is a member of the German Foot and Ankle Association (DAF) and the American Orthopedic Foot and Ankle Society (AOFAS). He is recognized as one of the best experts in Germany in the field of foot surgery according to the Focus magazine rating!
The department regularly treats patients with hallux valgus, which is a deviation of the first toe toward the outside of the foot. The main manifestation of hallux valgus is the presence of a "bump" at the inner edge of the foot closer to the base of the first toe, which eventually turns into a "bone". In the early stages, hallux valgus is a purely aesthetic problem, but as it progresses it causes severe pain and difficulty in choosing shoes. To establish a diagnosis, a clinical examination is carried out and X-ray and pedography are performed; in complex cases, CT and/or MRI scans may be required. A treatment regimen is prescribed individually, taking into account the stage of the pathology. Whenever possible, the department's specialists use only conservative treatment such as wearing special orthopedic shoes and insoles, therapeutic exercises, physiotherapy procedures, and local blocks with analgesics. When conservative methods are exhausted and the problem is not solved, the patient is recommended for surgical correction. The department successfully performs Reverdin osteotomy, Lapidus arthrodesis, and Akin osteotomy. The optimal surgical technique is determined based on the patient's clinical data.
The specialists of the medical facility are deservedly proud of their excellent results in the treatment of ankle arthrosis. The main manifestations of this pathology are pain and limited mobility in the ankle. The first stage of diagnosis when ankle arthrosis is suspected is a clinical examination with assessment of gait parameters and axial displacement of the lower limbs, followed by pedometry, X-ray scans, and computed tomography. In the early stages of arthrosis, the doctors of the department carry out a comprehensive conservative treatment, combining the wearing of orthopedic insoles, physiotherapy, and local hyaluronic acid injections, in some cases also autologous plasma injections. In the advanced stages of arthrosis, conservative therapy is usually ineffective, so specialists resort to surgery. Depending on the clinical situation, arthroscopy, corrective ankle osteotomy, arthroplasty, or arthrodesis may be performed.
The treatment of Achilles tendon rupture completes the therapeutic offer of the department. This traumatic injury is accompanied by acute pain and swelling directly in the tendon area, as well as limited mobility. The main diagnostic method for confirming an Achilles tendon rupture is the Thompson test; if necessary, an ultrasound scan or X-ray may also be performed. In most cases, immobilization of the foot with a cast, orthosis, or special shoes is sufficient to treat the pathology. In complex situations, minimally invasive tendon suturing is performed.
The department's range of medical services includes the following:
- Diagnostics and correction of hallux valgus
- Diagnostics and correction of hallux rigidus
- Diagnostics and correction of claw toes
- Diagnostics and correction of flat feet
- Diagnostics and correction of clubfoot
- Diagnostics and correction of Haglund's deformity
- Diagnostics and treatment of Achilles tendon ruptures
- Diagnostics and treatment of achillodynia
- Diagnostics and treatment of heel spurs
- Diagnostics and treatment of ankle arthrosis
- Diagnostics and treatment of other foot and ankle diseases
Curriculum vitae
Higher Education and Postgraduate Training
- 1995 - 2001 Medical studies, Heinrich Heine University Duesseldorf.
- 2000 - 2001 One-year internship at the University Hospital Duesseldorf.
- 2001 - 2002 Internship, Department of Orthopaedics and Sports Trauma Surgery, Holy Trinity Hospital Sana Cologne.
- 2002 Doctorate, University of Cologne.
Professional Career
- 2002 - 2003 Head Physician, Department of Foot Surgery, Hospital Duesseldorf-Benrath.
- 2004 - 2007 Assistant Physician, Holy Trinity Hospital Cologne-Braunsfeld.
- 2007 Head Physician, Department of Foot and Ankle Surgery, Holy Trinity Hospital Cologne-Braunsfeld.
- 2007 Certified Foot and Ankle Surgeon, German Foot and Ankle Association (DAF).
- 2008 Internship grant abroad, German Foot and Ankle Association (DAF), Centro Di Chirurgia Del Piede, Turin, Italy.
- 2008 Membership of the German Foot and Ankle Association (DAF).
- 2009 Additional qualifications in Sports Medicine and Manual Therapy.
- 2009 Scholarship, German Foot and Ankle Association (DAF), Copenhagen, Denmark, and Nijmegen, the Netherlands.
- 2007 - 2010 Deputy Head Physician of the Department of Orthopaedics and Head of the Department of Foot and Ankle Surgery, Holy Trinity Hospital Cologne-Braunsfeld.
- 2010 Lecturer in Surgery, German Foot and Ankle Association (DAF).
- 2011 Deputy Medical Director, ATOS Orthoparc Clinic Cologne; Head Physician, Department of Foot and Ankle Surgery, ATOS Orthoparc Clinic Cologne.
- 2012 Internship abroad, University of Illinois, Chicago, Illinois, USA.
- 2015 Lecturer, Rhine-Waal University of Applied Sciences.
- Since 2013 Medical Director, ATOS Orthoparc Clinic Cologne; Head Physician, Department of Foot and Ankle Surgery, ATOS Orthoparc Clinic Cologne.
Memberships in Professional Societies
- German Foot and Ankle Association (DAF).
- German Society for Foot and Ankle Surgery (GFFC).
- Professional Association of Orthopedic and Trauma Surgeons (BVOU).
- German Society for Manual Medicine (MWE).
- Medical Association of North Rhine (AEKNO).
- American Orthopedic Foot and Ankle Society (AOFAS).
Photo of the doctor: (c) ATOS Orthoparc Klinik Köln
About hospital
According to the prestigious German Focus magazine, the ATOS Orthoparc Clinic Cologne is one of the best medical facilities in Germany in the field of knee, hip, and shoulder surgery, as well as in the field of foot surgery and spinal surgery!
The clinic specializes in conservative and surgical treatment of musculoskeletal pathologies of any complexity. Of particular interest to the ATOS Orthoparc Clinic Cologne are such areas of orthopedics as knee and hip arthroplasty, arthroscopic interventions on large joints, treatment of foot and hand pathologies, treatment of sports injuries, treatment of osteoporosis, and conservative and surgical treatment of spinal diseases and injuries. The clinic's daily work is based on the principle of providing high-quality medical care, taking into account the individual needs of each patient. The clinic offers modern infrastructure, state-of-the-art equipment, and highly qualified personnel. The specialists are attentive, responsive, and always ready to answer patients' questions, ensuring a comfortable stay and high-quality treatment.
Only highly effective methods are used during the therapeutic process. Conservative therapy (for example, treatment with tablets, intra-articular injections, physiotherapy, or massage) is always used as first-line treatment; the decision to perform surgery is made only when conservative methods fail. Surgical procedures are performed in high-tech operating rooms. Doctors almost always use sparing minimally invasive and arthroscopic techniques, which significantly shorten the postoperative recovery period. After knee and hip replacement surgery, patients are offered a unique Rapid Recovery program.
The ATOS Orthoparc Clinic Cologne has been successfully operating for several decades, during which time it has managed to take a leading position among orthopedic centers in the national healthcare system. The clinic's specialists regularly treat many patients from abroad, which testifies to the excellent reputation of the medical institution in the international medical arena. The clinic strictly adheres to hygiene and safety standards. The doctors are guided by the current clinical protocols and recommendations of the German Society for Orthopedics and Trauma Surgery (DGOU) and the German Society for Orthopedics and Orthopedic Surgery (DGOOC). Great importance is attached to understanding the individual needs of patients and treating them with humanity and respect.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients at the ATOS Orthoparc Clinic Cologne stay in comfortable single and double rooms decorated in bright colors. The standard patient room includes an automatically adjustable bed with an orthopedic mattress, a nightstand, a table, a chair, a telephone, and a TV. The patient rooms are also equipped with lockers for personal belongings. Each patient room has an ensuite bathroom with a shower and toilet.
The clinic has a pleasant and calm atmosphere, which contributes to the positive attitude of the patients and their rapid recovery.
Meals and Menus
The clinic offers delicious and balanced meals three times a day: breakfast, lunch, and dinner. Meals are provided by renowned international catering company SV Group with the participation of professional nutritionists.
If, for some reason, you cannot eat all the products, you will be offered an individual menu. Please inform the medical staff of your dietary preferences prior to the start of your treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Accompanying person
Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.
Hotel
You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.