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Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) (667348) | ATOS Orthoparc Clinic Cologne - BookingHealth
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According to its results, the most suitable endoprosthesis is selected.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Hip replacement<\/strong>. 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.<\/p>\n\n<p style=\"text-align: justify;\">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.<\/p>\n\n<p style=\"text-align: justify;\">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.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Postoperative care<\/strong>. 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.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li>X-ray examination of the hip joints<\/li>\n\t<li>MRI scan of the hip joints, if available<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>physical examination<\/li>\n\t<li>review of medical records<\/li>\n\t<li>laboratory tests:\n\t<ul>\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>indicators of inflammation (CRP, ESR)<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>X-ray examination of the hip<\/li>\n\t<li>MRI scan&nbsp;of the hip<\/li>\n\t<li>preoperative care<\/li>\n\t<li>hip replacement (hip endoprosthesis)<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>control examinations<\/li>\n\t<li>physiotherapeutic procedures<\/li>\n\t<li>orthopedic appliances<\/li>\n\t<li>the cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>full hospital accommodation<\/li>\n\t<li>explanation of future recommendations<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>Preliminary preparation for hip replacement<\/strong> includes quitting smoking and drinking alcohol; cancelling non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen); cancelling anticoagulants (warfarin); normalization of body mass, if possible.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Preoperative examination<\/strong>, including consultation with an anesthesiologist and necessary related specialists, takes 1-2 days. According to its results, the most suitable endoprosthesis is selected.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Hip replacement<\/strong>. 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.<\/p>\n\n<p style=\"text-align: justify;\">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. 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Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)

ATOS Orthoparc Clinic Cologne

Cologne, Germany
Program id # 667348
Doctor photo
Prof. Dr. med. Joachim Schmidt
Department of Endoprosthetics
Specialized in: endoprosthetics

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 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

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About the department

The Department of Endoprosthetics at the ATOS ORTHOPARC Clinic Cologne offers the full range of services in this field and specializes in artificial knee and hip replacement. It has all the technical means and special implants of the world's best manufacturers for performing interventions even in the most difficult clinical situations. Also, the scope of tasks of the department’s surgeons includes revision interventions and treatment of periprosthetic fractures. The department is proud of its outstanding achievements and high level of treatment success, based on many years of experience and exceptional professionalism of doctors.

The department is headed by Prof. Dr. med. Joachim Schmidt, who has performed more than 10,000 operations to replace the knee and hip joints. He is an internationally recognized expert in his area of his specialization and has been helping people restore joint health for over 30 years.

Due to the continuous development of medical technologies and the use of advanced methods, the department achieves outstanding results in the field of knee and hip replacement surgery. In particular, knee joint replacement with an artificial one is performed in case of severe arthrosis, in which conservative treatment can no longer be effective. To achieve optimal results, individual factors, such as patient’s gender, height, weight and physical activities are necessarily taken into account when planning an operation.

The surgical methods used in the department make it possible to perform a more accurate installation of the prosthesis than when performing a CT-guided intervention. When performing knee replacement surgery, an unbound superficial prosthesis with the patient’s own ligaments is used as a standard prosthesis. To ensure safety, the prosthesis is secured with an additional gluing cement layer during the surgery. As international studies show, this implant is considered to be the best in respect of its long-term functionality: almost 99% of such implants retain their functionality after 10 years. In addition, in partial joint damage, there can be used a minimally invasive technique to implant an unicondylar sliding prosthesis. In other cases, in individual characteristics (for example, malformations, bone defects, ligament instability, etc.) special modular implants can help.

It should be noted that the specialists of the department not only strive to ensure high-quality surgical intervention, but also take care of the full postoperative recovery of the patient. In this regard, the department has implemented a specialized Rapid Recovery Program, which takes into account all the nuances of treating patients who have undergone knee or hip endoprosthetics. This rehabilitation program is a unique offer and allows the patient to recover in just a few days. It consists of four key elements, which include a special seminar for the patient at the preoperative stage aimed at providing him with comprehensive information about the upcoming procedure, risks, rehabilitation, etc., communication with the patients who have previously undergone a certain type of intervention or who have to undergo such treatment, early mobilization and individually adapted pain therapy. The Rapid Recovery Program helps to optimize the treatment process and provide speedy recovery for each patient.

The service range of th department:

  • Minimally invasive implantation of hip joint endoprostheses according to the ASI method
  • Full range of knee endoprosthetics
    • Partial joint replacement surgery
    • Unbound superficial joint replacement surgery
    • Installation of partially bound prostheses
    • Installation of modular prostheses
  • Full range of revision knee and hip interventions (even in case of pronounced bone defects)
  • Implantation of custom-made prostheses
  • Treatment of fractures of knee and hip endoprostheses
  • Treatment of infections in the hip and knee endoprosthesis
  • Corrective knee osteotomy
  • Corrective hip osteotomy
  • Hip arthroscopy
  • Arthroscopic and open interventions for femoroacetabular impingement
  • Surgical treatment of hip dislocation
  • Treatment of hip dysplasia and its complications (pelvic osteotomy)
  • Chondrocyte implantation
  • Suturing and reconstruction of the articular lip
  • Minimally invasive tissue-preserving surgical procedures (DAA/AMIS)
  • Unique Rapid Recovery Program
  • Other therapeutic options

Curriculum vitae

Education

  • 1976 - 1982 Study of Human Medicine at the University of Cologne.
  • 1982 Doctoral dissertation defense at the Faculty of Medicine, University of Cologne.
  • 1994 Habilitation, Faculty of Medicine, University of Cologne.
  • 1997 Fellow (USA, Canada, UK) of the German, Austrian and Swiss Societies of Orthopedics and Traumatology.
  • 2001 Extraordinary Professor of the Faculty of Medicine at the University of Cologne.

Both doctor’s experience and motivation contribute to his successful medical practice. He offers his patients a 30-year professional medical experience. During this time, he performed more than 10,000 operations in his area of specialization. Prof. Schmidt is one of the internationally recognized experts in the field of hip and knee replacement surgery. The therapeutic and surgical procedures that he applies in his medical practice are based exclusively on the highest international standards. All the treatment methods that he uses are based only on scientifically and clinically tested and recognized methods.

Membership in Professional Societies

German Society for Orthopedics and Trauma. Professional Association of Orthopedicians. Association of South German Orthopaedic Surgeons. Member of the Examination Committee of the Medical Association of North Rhine-Westphalia.

Clinical Activities

1983 Department of Sports Medicine, Bundeswehr Sports School in Warendorf. 1984 Advanced training in Surgery, Maria-Hilf Hospital Bergheim. 1985 - 1989 Training for a Medical Specialist , Department of Orthopedics, University of Cologne. 1989 - 1998 Senior Physician, Department of Orthopedics, University of Cologne. 1999 - 2010 Chief Physician and Medical Director of the Holy Trinity Clinic. 2004 - 2010 Contractual Practitioner and Medical Director of the Park-Clinic Cologne, Private Orthopedic Clinic. 2010 Foundation of the ATOS ORTHOPARC Clinic Cologne on the territory of the Holy Trinity Clinic. 2011 Opening of the ATOS ORTHOPARC Clinic Cologne, Junkersdorf. Since 2011, Medical Director and Chief Physician of the Department of Endoprosthetics at the ATOS ORTHOPARC Clinic Cologne.

Photo of the doctor: (c) ATOS Orthoparc Klinik Köln


About hospital

The ATOS ORTHOPARC Clinic, located in Cologne, offers high-quality conservative and surgical treatment of the full range of diseases of the musculoskeletal system. The main therapeutic focuses of the clinic include hip and knee endoprosthetics, foot and ankle surgery, hand surgery, sports medicine, as well as knee, shoulder and spine surgery. 

A special feature of the healthcare facility is the Rapid Recovery Program and a unique experience in the field of acute pain therapy. The clinic has become one of the first private practices in Germany, which received a certificate confirming the quality of services in this field.

All doctors of the clinic are highly qualified and experienced specialists. They constantly exchange experience and work in close cooperation to ensure optimal treatment results. One of the most important priorities of the medical team is patients’ comprehensive counseling. 

The clinic has state-of-the-art equipment, 4 operating rooms, an intensive care unit with a monitoring system and devices for artificial ventilation. It uses only high-quality implants and effective medications. Preference is always given to minimally invasive methods that contribute to the rapid and less painful recovery of patients.

The clinic follows a quality management system, within the framework of which it is regularly exposed to both internal monitoring  and control by independent authorities. Consequently, it adheres to the highest international standards of medicine.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the clinic live in comfortable single and double rooms designed in light colors. The room is furnished with a comfortable bed, bedside table, table, chair, telephone and TV. Single rooms also have lockers for personal belongings and a minibar. Naturally, each room has a bathroom with toilet and shower.

The clinic has a pleasant, relaxed atmosphere, which contributes to the positive attitude of patients and their speedy recovery.

Meals and Menus

The restaurant of the clinic offers quality, delicious three meals a day  provided by the well-known international catering company SV Group. SV Group takes care of both tasty and healthy nutrition of patients, therefore all dishes on the menu are developed by professional nutritionists. All patient’s individual wishes are taken into account here. A wine list is also available upon request.

The clinic houses a lounge cafe and a bistro, where the patient and their visitors can enjoy delicious dishes, drink a cup of coffee or tea with fresh pastries.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV