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Total knee replacement (362679) | ATOS Clinic Heidelberg - BookingHealth
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Total knee replacement

ATOS Clinic Heidelberg

Heidelberg, Germany
Program id # 362679
Doctor photo
Prof. Dr. med. Hajo Thermann
Department of Adult and Pediatric Orthopedics, Surgical Orthopedics
Specialized in: adult and pediatric orthopedics, surgical orthopedics

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
    • indicators of blood coagulation
  • X-ray/MRI examination of the knee
  • preoperative care
  • total knee replacement, cost of the implant is included
  • symptomatic treatment
  • control examinations
  • the cost of essential medicines and materials
  • orthopedic appliances
  • physiotherapy
  • nursing services
  • full hospital accommodation
  • explanation of future recommendations

How program is carried out

Preliminary preparation for surgery: quitting smoking and drinking alcohol 2 weeks before surgery; 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. X-ray examination and MRI of the knee joints are performed. The examination takes 1-2 days.

Surgical knee replacement. The operation is performed under general anesthesia and lasts for about 2 hours.

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. Normal walking without the use of walking aids (crutches, cane) will become possible in 6-12 weeks.

Finally, the attending physician will evaluate the results of control examinations, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Required documents

  • Medical records
  • X-ray examination, MRI/CT scan (if available)

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About the department

The Department of Adult and Pediatric Orthopedics, Surgical Orthopedics at the ATOS Clinic Heidelberg offers the full range of services in these medical focuses. It provides an accurate diagnostics and an effective treatment of diseases of the ankle, hip, knee and shoulder. The department's range of services also covers hand, foot surgery and treatment of other diseases in this field. The department is headed by Prof. Dr. med. Hajo Thermann.

Foot pain, injuries and defects are orthopedic pathologies that require the competent medical care of an orthopedist. The most common diseases in adults are hallux valgus and hallux rigidus. The type of treatment for these deformations depends on their degree of severity. It can be both conservative and surgical. To date, there are more than 150 surgical techniques for treating hallux valgus and hallux rigidus. Doctors can use interventions on soft tissues without bone correction, as well as combined operations involving a simultaneous correction of soft and bony tissues. 

Other foot deformities include pes valgus, clubfoot (most commonly found in children), hollow foot and many others. Diseases can be either congenital or they can develop due to neurological disorders, such as stroke, nerve damage, spinal disc herniation, cerebral palsy. A special role is played by hereditary pathologies (hereditary motor and sensory neuropathy (NMSN)) or metabolic disorders (e.g,, Charcot foot). The department has a rich arsenal of methods for treating pathologies of any complexity. It also offers many conservative methods: physiotherapy, corrective insoles, orthopedic shoes and individually manufactured orthoses. 

Another priority of the department’s work is hand surgery. The department has more than 25 years of experience in this medical field. As a member of national and international professional societies, the department constantly maintains contact with colleagues and takes over experience at congresses and specialized courses.

The department offers treatment of the entire spectrum of hand pathologies. Most commonly, doctors have to deal with diseases, such as arthrosis of the wrist joint, Dupuytren's contracture, hand injuries (distal radius fracture, scaphoid fracture), chronic diseases, e.g., rhizartrosis, arthrosis of other hand finger joints, pseudoarthrosis of the scaphoid bone, as well as with nerve compression syndromes (carpal canal syndrome, cubital canal syndrome) and many other conditions. 

The medical team adjusts treatment according to individual needs and wishes of patients. Surgical treatment is used only if conservative methods of treatment do not yield positive results.

In addition, the specialization of the department is the treatment of injuries and diseases of the knee. The widest service spectrum covers all the problems that cause knee pain ranging from diagnosis, conservative therapy up to surgical treatment. The department treats diseases of any severity: knee injury, meniscus rupture, cruciate ligament rupture, sports injuries, arthrosis and many others.

The medical team has an extensive experience in endoprosthetics. If the patient needs knee replacement surgery, doctors are trying to perform partial endoprosthetics (unicondylar knee replacement). Nevertheless, even total knee replacement is minimally invasive. New materials and surface coatings (for example, ceramics) ensure minimum wear and prolonged implant service. Modern endoprosthesis correspond to the anatomy and biomechanics of the human knee providing a greater range of motion and better functioning.

Also, the department has extensive clinical experience in hip treatment. Hip pain can occur in both young people and elderly patients. The highly qualified team of the department provides treatment of the widest spectrum of pathologies in this medical field. The main of them are coxarthrosis (hip arthrosis), hip dysplasia, hip impingement syndrome, femoral head necrosis and other inflammatory processes in the hip (for example, rheumatism).

It should be noted that the department has an excellent reputation in the treatment of shoulder diseases. This is facilitated by 20 years of experience and highly professional doctors of the department. Most often, patients with complaints, such as shoulder bursitis and arthrosis seek medical help from the department. Naturally, it offers treatment of the full range of shoulder problems. Many operations are minimally invasive, which helps to reduce the period of hospital stay and ensures rapid recovery of patients.

The range of medical services of the department includes: 

Diseases of the foot

  • Shockwave therapy
  • Treatment with autologous conditioned plasma (ACP)
  • Hyaluronic acid injections
  • Botulinum toxin injection therapy
  • Arthroscopic surgery
  • Cartilage replacement surgery, microfracture surgery
  • Osteotomy
  • Interventions to correct bones of the posterior part of the foot
  • Interventions to correct bones of the middle and anterior parts of the foot
  • Ankle replacement surgery
  • Complex corrective operations on soft and bone tissues
  • Tendon transplantation
  • Arthrodesis
  • And other interventions

Hand pain

  • Wrist arthroscopy (in inflammatory and purulent diseases, cartilage damage)
  • Percutaneous osteosynthesis of scaphoid fracture
  • Plate osteosynthesis in distal radius fracture
  • Finger and wrist endoprosthetics
  • Resection arthroplasty of the carpometacarpal joint of the thumb
  • Nerve reconstruction (microsurgery) by suturing
  • Surgery to restore joint mobility
  • And many other therapeutic options

Diseases of the knee

  • Hyaluronic acid injections
  • Treatment with autologous conditioned plasma
  • Microfracturing of the knee joint cartilage
  • Nanofracturing with a matrix
  • Transplantation of cartilaginous cells
  • Autologous matrix-induced chondrogenesis (AMIC)
  • Osteotomy
  • Knee replacement surgery (all modern prostheses and methods of joint replacement)
  • And other interventions

Hip pain

  • Treatment of knee joint cartilage
  • Alignment, removal or reconstruction in damaged articular lip 
  • Surgical treatment of hip necrosis
  • 3-dimensional correction of the pelvis in hip dysplasia (PAO, triple pelvic osteotomy, derotation and varus osteotomy)
  • Hip replacement surgery (total and partial)
  • Conservative treatment
  • And many other treatments

Diseases of the shoulder

Arthroscopic interventions

  • Reconstruction of the rotator cuff (tendon suturing), revision and repeated operations after unsuccessful tendon suturing
  • Shoulder stabilization (Bankart procedure)
  • Treatment of biceps brachii tendon (tenodesis and tenotomy) in biceps brachii tendon rupture
  • Removal of calcareous plaque in calcific tendinitis
  • Subacromial shoulder decompression in shoulder impingement syndrome
  • Resection of the angular part of the shoulder joint
  • Stabilization in (acute and chronic) shoulder instability
  • And other interventions

Open interventions

  • Shoulder replacement surgery
  • Revision interventions (also renewal of the prosthesis after a few years)
  • Prosthesis replacement
  • Tendon transplantation in incurable rotator cuff defects
  • Operations to stabilize bones
  • Stabilization in (acute and chronic) shoulder instability
  • And other interventions 

Curriculum vitae

  • 1986 - 1998 Department of Trauma Surgery, Hannover Medical School (Head: Prof. Dr. H. Tscherne).
  • 1990 Specialist in Surgery.
  • 1991 Specialist in Trauma Surgery.
  • 1993 Defense of doctoral dissertation, Traumatology (topic: "Functional treatment of the Achilles tendon rupture. Clinical and experimental research").
  • 1994 Additional qualification in emergency medical care.
  • 1993 Senior Physician of the Department of Trauma Surgery.
  • 1993 Academic Supervisor of the working group on foot surgery, Department of Trauma Surgery.
  • 01/1998 Visiting Professor.
  • Since 1998 Chief Physician of the Center for Foot, Knee and Hip Surgery, Sports Traumatology, ATOS Orthopedic Clinic Heidelberg.
  • 07/2010 Chief Physician of the ATOS Orthopedic Clinic Heidelberg.

Membership in professional societies

  • Since 1989 Member of the German Society of Surgery.
  • Since 1990 Member of the German Society of Traumatology.
  • Since 1990 Member of the working group  "Sports Medicine (CAS)" in the German Society of Surgery.
  • Since 1991 Member of the Society of Orthopedic Traumatological Sports Medicine.
  • Since 1991 Member of the working group "Sonography", German Society of Surgery.
  • Since 1991 Member of the working group "Distraction osteogenesis", German Section of the International Association for Osteosynthesis Study.
  • Since 1994 Board Member of the European Society of Foot and Ankle Surgeons.
  • Since 1995 Member of the working group "Biomechanics of the Foot and Ankle", American Orthopaedic Foot and Ankle Society.
  • Since October 1996, Chairman of the Education Committee of the European Society of Foot and Ankle Surgeons.
  • Since 1997 International Member of the American Orthopedic Society of Foot and Ankle Surgery.
  • Since October 1997 Management Board Member of the journal "Foot and Ankle Surgery".
  • Since June 1998 Board Member of the European Foot and Ankle Society.
  • Since May 2005 Honorary Member of the Brazilian Foot and Ankle Society.
  • Since October 2005 Visiting Professor of the 3rd Military Medical University of Chongqing (China).
  • Since 01.01.2006 "International external adviser" (Chinese University of Hong Kong).

Photo of the doctor: (c) ATOS Klinik Heidelberg 


About hospital

Founded in 1991, the ATOS Clinic Heidelberg combines top-quality service and cutting-edge medicine. It keeps track of the latest scientific developments and contributes to those developments. 

The clinic has 73 beds. It treats about 3,000 inpatients every year. There are 5 modern operating rooms with the state-of-the-art equipment, where experienced surgeons perform surgical procedures of any severity. 

The clinic employs respected medical experts whose reputations reach beyond regional and national borders. They have the very latest treatment methods and ensure the best treatment results with the help of qualified application of modern medical equipment.

Much attention is paid to interdisciplinary cooperation, which opens the possibilities for developing complex and individual approaches to treatment, allowing to achieve the most favorable results of therapy. At the primary admission to the clinic, it usually offers a special examination with the involvement of specialists from different fields. Thus, the patient has the opportunity to undergo a thorough, comprehensive preventive check-up, which, in addition to orthopedic aspects, includes an examination of the state of the cardiovascular system and other vital organs. In addition, there can be made additional examinations in allergies, oncological diseases, diabetes mellitus, etc.

The clinic provides highly specialized medical services corresponding to the strictest international standards. Every effort of the medical staff is aimed at ensuring the best treatment result and making the patient feel comfortable during the entire period of the hospital stay.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

Patients of the ATOS Clinic Heidelberg live in single, double and triple rooms. In addition, the clinic offers enhanced-comfort rooms and suites. In order to make patients feel at home, the rooms have light colors and modern design. Standard rooms are equipped with air conditioning, radio, minibar, safe and comfortable sofa, where the patient can communicate with their visitors. Also, patients are offered a modern multimedia system and access to the Internet throughout the clinic.

Meals and Menus

The restaurant of the clinic offers delicious food. The choice of dishes is very diverse: the menu features German and exotic cuisine. All dishes are cooked from quality, fresh products, so even real gourmets will appreciate the dishes. All individual dietary preferences of patients are also taken into account.

Breakfast is served at 08:00 a.m. in a buffet-style. Lunch begins at 12:00 p.m. Here patients are offered a menu of three dishes to choose from, incl. soup or salad and a delicious dessert. Dinner, consisting of 2 dishes to choose from, is served at 17:30 p.m. From 14:45 p.m., you can also enjoy a cup of coffee with a tasty cake.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV