Helios ENDO-Clinic Hamburg
Department of Orthopedics and Orthopedic Surgery, Foot Surgery (579921)
Specialized in: orthopedics and orthopedic surgery, foot surgery
About the Department of Orthopedics and Orthopedic Surgery, Foot Surgery at Helios ENDO-Clinic Hamburg
The Department of Orthopedics and Orthopedic Surgery, Foot Surgery at the Helios ENDO-Clinic Hamburg provides the full range of modern services for musculoskeletal disease diagnostics, conservative and surgical treatment. Particular attention is paid to arthroscopic and open interventions on all large and small joints, including the knee, hip, shoulder, elbow, and ankle joints. The department's team of doctors also successfully performs interventions on cartilage tissue, ligament plastic surgery and prosthetic repair, corrective osteotomy, operations to eliminate rheumatic joint lesions, and interventions for foot diseases. In most cases, surgeons use low-traumatic surgical techniques, which contribute to the rapid postoperative recovery. The medical facility offers many conservative treatment methods, such as acupuncture, physiotherapy, chiropractic, infiltration therapy, injection therapy, manual therapy, laser therapy, magnetotherapy, and many others. Conservative therapy can be used as a stand-alone treatment method or in addition to surgery. Each patient receives a carefully developed treatment plan, considering their individual needs and wishes. The Head Physician of the department is PD Dr. med. Carl-Heinz Hartwig.
The department's specialists most often deal with pathological lesions of large joints. At the early stages of the development of joint pathology, the specialists use only conservative treatment methods, but, in the advanced stages, it is often impossible to avoid a surgical intervention. As a rule, the doctors of the medical facility prefer arthroscopic surgery, namely minimally invasive interventions that are performed through a small puncture in the joint area. An optical device (arthroscope) and special miniature instruments are inserted through the puncture. Such an approach avoids extensive soft tissue lesions. Arthroscopic interventions significantly facilitate and accelerate postoperative recovery, as well as reduce the risk of postoperative complications. During arthroscopy, both general and regional anesthesia can be used. In rare cases, local anesthesia can also be used. The operation is followed by an examination aimed at the assessment of the results of the surgical intervention, which is repeated after a week.
The scope of tasks of the department's doctors also includes low-traumatic operations for knee ligament prosthetic repair and plastic surgery, stabilizing joint surgery, cartilage tissue transplantation, corrective osteotomy, and interventions for sports injuries. Patients can count on the most sparing, but, at the same time, highly effective treatment, after which they will be able to quickly get rid of pain and restore their mobility.
The department's therapeutic options are complemented by the treatment of foot diseases, including hallux valgus, hallux rigidus, ankle instability, Achilles tendon rupture, heel spur, metatarsalgia, hammer and claw toe deformities, Morton's neuroma, etc. The treatment of the abovementioned foot pathologies mostly requires surgery, if possible, minimally invasive. However, even in the advanced stages, there is still a chance to get rid of pathological foot changes with the help of conservative treatment methods. For example, the department's specialists successfully use extracorporeal shockwave therapy (ESWT) to treat Achilles tendon inflammation (achillodynia) and heel spurs. The main advantage of extracorporeal shock wave therapy is its high efficiency, but the therapeutic procedure eliminates the use of X-rays or drugs. The therapeutic effect is achieved through exposure to high-energy magnetic pulses. The classic course of ESWT therapy consists of 3-6 procedures on average. Most patients experience significant pain relief as early as 8-10 days after the first treatment. Physiotherapy and therapeutic exercises are often prescribed after extracorporeal shock wave therapy.
The department's range of medical services includes the following options:
- Digital X-ray scans
- Ultrasound scans
- Pedography (foot pressure measurement)
- 3D spine analysis
- Bone mineral density measurement (DXA)
- Conservative treatment
- Intra-articular injections
- Infiltration therapy
- Infusions as pain management
- Manual therapy
- Nerve root block
- Neural therapy
- Kinesiology taping
- Laser therapy
- Extracorporeal shock wave therapy
- Traditional Chinese medicine
- Trigger point shock wave therapy
- Surgical treatment
- Arthroscopic surgery for large and small joints
- Knee ligament prosthetic repair and plastic surgery
- Surgery for fractures
- Surgery for foot diseases (hallux valgus, hallux rigidus, ankle instability, Achilles tendon rupture, etc.)
- Stabilizing joint surgery
- Cartilage tissue and bone surgery, and cartilage tissue transplantation
- Corrective osteotomy
- Open surgery on the large and small joints
- Conservative treatment
- Other methods of diagnostics, conservative and surgical treatment of orthopedic diseases
Curriculum vitae of PD Dr. med. Carl-Heinz Hartwig
- 1977 - 1984 Medicine studies at the Universities of Mainz, Hamburg and Ludwig Maximilian University of Munich.
- 1984 Admission to medical practice.
- 1985 Doctoral Degree, Ludwig Maximilian University of Munich.
- 1997 Habilitation and PD title with the right to teach in Orthopedics, Medical School of the Eberhard Karl University of Tuebingen.
- 1984 - 1985 Assistant Physician in the Department of Anesthesiology and Intensive Care at the Municipal Hospital Sindelfingen.
- 1985 - 1987 Assistant Physician in the Department of Traumatology at the Municipal Hospital Sindelfingen.
- 1987 - 1997 Assistant Physician and Senior Physician in the Department of Orthopedics at the University Hospital Tuebingen.
- 1997 - 06.2018 Partner of the Joint Orthopedic Private Practice Orthopädie Mühlenkamp (Practicing and Cooperating Doctor).
- Since 07.2018 Head of the Department of Orthopedics and Orthopedic Surgery, Foot Surgery at the Helios ENDO-Clinic Hamburg.
- Arthroscopic and open, joint-preserving surgery (on all joints).
- Cartilage repair methods.
- Corrective osteotomy (hip and knee joint).
- Hip and knee arthroplasty.
- Differentiated surgery of the fore and rare foot.
- Upper ankle surgery, including arthroplasty and arthrodesis.
Board Certification and Specialization
- Board Certification in Orthopedics.
- Board Certification in Orthopedics and Traumatology.
- Specialization in Rheumatology.
- Specialization in Special Orthopedic Surgery.
- Radiodiagnostics (in the area of specialization).
- Sports Medicine.
Memberships in Professional Societies
- German Society for Orthopedics and Orthopedic Surgery (DGOOC).
- Professional Association of Medical Specialists in Orthopedics (BVOU).
- Professional Association of German Rheumatologists (BDRh).
- German Knee Society (DKG).
- German-speaking Working Group on Arthroscopy (AGA).
- German Orthopedic Foot and Ankle Society.
- German Society of Orthopedics and Orthopedic Surgery.
- Research Group on Acupuncture and Traditional Chinese Medicine (FACM).
- German Society for Sports Medicine and Prevention (DGSP).
Photo of the doctor: (c) Helios ENDO-Klinik Hamburg
Department of Orthopedics and Orthopedic Surgery, Foot Surgery.
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