Helios ENDO-Clinic Hamburg
Department of Endoprosthetics, Revision and Septic Joint Surgery (579915)
Specialized in: endoprosthetics, revision and septic joint surgery
About the department
The Department of of Endoprosthetics, Revision and Septic Joint Surgery at the Helios ENDO-Clinic Hamburg offers the full range of services in these medical fields. The department's surgeons perform about 8,200 joint surgical procedures every year, therefore they have vast experience, which allows them to achieve excellent treatment results. The department is an international leader in joint replacement surgery. In addition, the department's competence includes revision surgery to replace artificial joints in the case of their damage, displacement or tear and wear, as well as septic interventions for the treatment of joint infections. The surgical treatment of joints is carried out with the help of the most advanced and most effective techniques, as sparing as possible. The department is headed by Prof. Dr. med. Thorsten Gehrke.
The department specializes in endoprosthetics of all joints (hip, knee, shoulder, elbow, ankle). The department's surgeons perform interventions in cutting-edge operating rooms equipped with all the technical innovations to ensure the most effective and at the same time safe treatment. In clinical practice, only high-quality prostheses are used, which are distinguished by their long-term period of service (from 15 to 20 years). With appropriate indications, sparing minimally invasive interventions are performed.
In order to consolidate the successful surgical treatment, the correct postoperative recovery is required. For this purpose, the department applies the FastTrack concept, which minimizes postoperative pain, ensures the rapid restoration of the patient mobility and significantly shortens the period of hospitalization. The patient takes the first steps already on the day of surgery, and one day later he is ready to perform a certain set of physiotherapy exercises. In the normal course of the postoperative period and in the absence of complications, the patient will be discharged or referred for rehabilitation on the fifth day after the operation. It should be noted that such a scheme is suitable only for 80% of patients. It all depends on the specific clinical case. The decisive factors are the age, general health of the patient and the presence of comorbidities.
A big advantage for patients is also the availability of the in-house Bone Bank in the department. Thus, the bone tissue that was lost or damaged during prosthetic replacement operations may be restored at any time. This bank has been operating for more than 35 years and provides patients with access to allogeneic (donor) transplants. The Bone Bank was designed and still functions in accordance with the recommendations of the Scientific Advisory Board of the German Medical Association for the Management of Bone Banks and the Medicinal Products Act.
The service range of the department includes:
- Hip replacement surgery
- Primary hip replacement surgery (cement and cementless fixation)
- Primary hip replacement surgery in dysplasia with autologous or homologous acetabular reconstruction
- Primary hip replacement surgery in posttraumatic, postinfectious and congenital deformities
- Revision interventions for the replacement of aseptic prosthesis (cement and cementless fixation)
- Reconstruction of bone defects using homologous and autologous bone tissues, as well as metal plates
- Pelvic reconstruction with the help of special rings, plates and customized implants
- One-stage and two-stage revision interventions in the case of prosthetic joint infection
- Thigh bone total replacement
- Implantation of prostheses in case of extensive bone loss
- Operations on the soft tissues of the hip joint (for example, in bursectomy)
- Transpositional interventions in congenital and acquired deformities (triple pelvic osteotomy)
- Arthroscopic reconstruction of cartilage tissue and ligaments in the case of their damage, as well as the reconstruction of bone defects in femoroacetabular impingement Hip arthroscopy
- Knee replacement surgery
- Implantation of the unicondylar (sliding) knee prostheses
- Implantation of bicondylar total knee prostheses
- Implantation of bound knee prostheses (tailored endoprostheses)
- Aseptic revision knee endoprosthetics
- One-stage and two-stage revision interventions in the case of prosthetic joint infection
- Knee arthroscopy
- Endoscopic meniscus repair (suturing, partial or total removal, etc.)
- Ligament plastic surgery (anterior and posterior cruciate ligament, patellofemoral ligament) in patellar instability
- Cartilage and bone tissue transplantation (OATS technique)
- Open and arthroscopic cartilage transplantation using special matrices
- Patella correction
- Tibial transposition osteotomy in O-shaped deformation of the lower limbs
- Tibial transposition osteotomy in X-shaped deformation of the lower limbs and in patellar deformities
- Shoulder replacement surgery
- Implantation of short-stem prosthesis with cementless fixation
- Implantation of stemless prostheses
- Total shoulder replacement surgery
- Implantation of inverse (constrained) shoulder endoprostheses
- Aseptic and septic revision shoulder surgery
- Arthroscopic and open rotator cuff reconstruction
- Other soft tissue interventions, acromioplasty, shoulder joint stabilization
- Stabilization in acute and chronic shoulder fractures, including autologous tendon transplantation
- Elbow replacement surgery
- Primary elbow replacement surgery
- Aseptic and septic revision elbow surgery
- Arthroscopic elbow interventions
- Ankle replacement surgery
- Endoprosthetics of the upper ankle part
- Ankle arthrodesis (upper and lower part of the joint)
- Rear foot reconstruction
- Reconstruction in forefoot deformities
- Revision surgery for the replacement of ankle prostheses
- Spinal fusion of the upper and lower ankle, tarsus and forefoot
- Tendon lengthening of the fore and rare foot
- Achilles tendon repair
- Operations in complex foot deformities, including rheumatic ones
- Treatment of compression syndromes
- Reconstruction of the arch of the foot in the tarsal area
- Transpositional interventions
- Other medical services
Education and Professional Career
- 1981 - 1987 Study of Human Medicine at the University of Hamburg.
- 1988 - 1989 Research Fellow, Anatomy, Institute of Anatomy, Christian Albrecht University of Kiel.
- 1989 - 1991 Assistant Surgeon at the Johanniter Hospital Geesthacht.
- 1991 - 1993 Assistant Physician in Orthopedics, Department of Orthopedics, University Hospital Kiel.
- 1993 - 1995 Assistant Surgeon, Helios ENDO-Clinic Hamburg.
- 1995 - 1998 Assistant Physician in Orthopedics, Department of Orthopedics, University Hospital Kiel.
- 1999 Senior Physician, Department of Orthopedics, University Hospital Kiel.
- 1999 - 2002 Senior Physician, Orthopedics, Helios ENDO-Clinic Hamburg.
- 2002 - 2005 Leading Senior Physician, Orthopedics, Helios ENDO-Clinic Hamburg.
- 2005 Chief Physician in the Department of Orthopedics, Regio Wedel Clinic.
- Since 2005 Head of the Department of of Endoprosthetics, Revision and Septic Joint Surgery at the Helios ENDO-Clinik Hamburg.
- 1983 - 1996 Lecturer of the Gymnastics and Leisure Association, Hamburg (Sports Medicine).
- 1996 - 1997 Lecturer at the Institute of Sport of the Christian Albrecht University of Kiel (Sports Orthopedics/Sports Anatomy).
- Since 2010 Lecturer in "Sports Medicine", Medical School Hamburg.
Memberships in Professional Societies
- Since 2015 Member of the European Hip Society.
- Since 2014 Member of the International Hip Society.
- Since 2014 Member of the American Association of Hip and Knee Surgeons.
- Since 2013 Member of the Germany Knee Society.
- 2010 Corresponding Member of the Colombian Society of Orthopedic Surgery and Traumatology.
- Since 2007 Honorary Member of the Asociacion Argentina para el Studio de la Cadera y la Rodilla.
- Since 2005 German Association for Arthroplasty.
- Since 2000 Corresponding Member of the Asociacion Argentina para el Studio de la Cadera y la Rodilla.
- Since 1990, German Sports Medicine Association.
- Corresponding Member of the Orthopedic Trauma Association Rosarina, Rosario, Argentina.
- European Bone and Joint Infection Society.
Titles and Honorary Positions
- 2013 President of the Congress of the North German Orthopedic and Trauma Surgeons Association.
- 2012 Assistant Professor at the University of Bosse, Bogota, Colombia.
- Since 2011 Assistant Professor of the University of Chile.
- Since 2010 Lecturer of the International Course on Hip and Knee Joint Diseases, Ciudad de Medellín, Colombia.
- Since 2008 Visiting Professor at Shanghai Jiao Tong University, China.
- Since 2008 Visiting Professor at Shanghai Jiao Tong University.
- Since 2007 Honorary Professor of the Third Hospital of Hebei Medical University, Shijiazhuang, China.
- Since 2007 Honorary Member of the Asociacion Argentina Para El Estudio de La Cadera Y La Rodilla.
- Since 2007 Visiting Professor at № 6 Clinic, Shanghai, China.
- Since 2006 Visiting Professor at Al Razi Hospital in Kuwait.
- Since 2005 Honorary Professor in the Department of Orthopedic Surgery at the Guangzhou Hospital, Shanghai, China.
- Since 2004 Honorary Director of the Chinese-German International Center for Training and Teaching, Yantai Yuhuangding Hospital, Shandong Province, China.
- Since 2004 Medical Consultant of Beijing DCN Orthopaedic Hospital, Beijing, China.
- Since 2004 Technical Consultant, Department of Orthopedics, Jiangmen Central Hospital, Guangdong Province, China.
- Since 2002 Honorary Professor at the University of Nanjing and Qingdao, China.
- Since 2000 Corresponding Member of the La Sociedad Boliviana de Ortopedia y Traumatologia.
- Since 2003 Corresponding Member of the Orthopaedic Trauma Association Rosarina, Rosario, Argentina.
- Since 2013 Corresponding Member of the Colombian Society of Orthopedic Surgery and Traumatology.
Photo of the doctor: (c) Helios ENDO-Klinik Hamburg
Department of Endoprosthetics, Revision and Septic Joint Surgery.
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