Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) in International Neuroscience Institute Hannover
International Neuroscience Institute Hannover
Hannover, Germany
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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 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. 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>","is_ambulant":"0","bh_fee":"0","only_for_children":"2","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"2","clinic_icon":"6040f528d0090.jpg","city":"Hannover","clinic_site":"https:\/\/www.ini-hannover.de\/","department_recommend":"0","country":"Germany","country_id":"1","clinic_name":"International Neuroscience Institute Hannover","cinic_name":"International Neuroscience Institute Hannover","department_id":"4520","duration":"8","direction":"Hip Surgery","min_duration":0,"clinic_id":"3163","paketPrice":5800,"paket":"<ul>\n <li>Interpreter up to 15 hours<\/li>\n <li>Translation up to 10 pages<\/li>\n <li>Visa support<\/li>\n\n\n<\/ul>","title":"Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)","price":{"val":23010.34,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[{"id":"need_to_use_head_doctor","title":"Treatment by leading experts","type":"val","val":"5460.48","req":0}],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"3","distance":"22","airport_title":"Hannover"},{"id":"24","distance":"127","airport_title":"Bremen"},{"id":"9","distance":"177","airport_title":"Hamburg"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}
Program id #
687942
Prof. Dr. med. Ulrich Bosch
Department of Orthopedic Surgery and Sports Traumatology
Specialized in: orthopedic surgery, sports traumatology 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 Orthopedic Surgery and Sports Traumatology at the International Neuroscience Institute Hannover offers a wide range of diagnostic and therapeutic services for patients with musculoskeletal diseases and injuries. The focus of the department's medical team is on patients with diseases of the knee, hip, shoulder, elbow and ankle joints. The department's experienced surgeons most often perform arthroscopic interventions, as well as partial and total joint replacement surgery. Revision interventions to replace previously implanted prostheses are also within the competence of the department's orthopedists. The department's experts devote enough time to counseling patients, explaining the features of upcoming treatment and expected therapy results. When performing surgical treatment, the doctors widely use sparing minimally invasive and arthroscopic techniques, and therefore postoperative recovery takes place in the shortest possible time. Moreover, the patient experiences only mild pain. To consolidate the results of the main course of treatment, the patients undergo an individually selected course of physiotherapy. The Chief Physician of the department is Prof. Dr. med. Ulrich Bosch.
The primary focus of the department's work is replacement of large joints, which in many cases is the only effective treatment option for patients with degenerative joint diseases or traumatic injuries. The orthopedic surgeons of the medical facility specialize in both partial and total joint replacement surgery. It goes without saying that the specialists always strive to preserve the patient's own joint as much as possible and, if possible, perform its partial replacement. It should be noted that the department uses in its clinical practice only high-quality endoprostheses from well-known world manufacturers distinguished by a long service life. The endoprosthesis is selected for each patient individually, completely repeats the shape and structure of a normal human joint, and also performs all its functions. In addition, when choosing the optimal type of endoprosthesis, the age, anatomical and physiological characteristics of the patient are taken into account. The department is a progressive medical center, and therefore actively implements the very latest surgical techniques. Thus, joint replacement surgery is performed in the department using minimally invasive techniques. The operations are most often performed under local anesthesia, which helps to exclude the negative effect of general anesthesia on the body. When performing the surgical procedure, the surgeons use computer navigation systems, under the guidance of which they can reliably fix the endoprosthesis in the correct position in relation to adjacent anatomical structures. As a rule, the duration of the operation is about an hour. During the intervention, the surgeon makes one or several small incisions in the joint, through which he performs all manipulations to replace the affected joint with an endoprosthesis using a miniature camera and special surgical instruments. After the operation, the wound is sutured and a sterile bandage is applied. After surgery, the doctors conduct follow-up examinations to assess the outcome of intervention and physiotherapeutic procedures to restore the patient's mobility.
The team of the department's doctors is also proud of its successful results in the field of arthroscopic interventions, which represent the least traumatic surgical techniques available in modern orthopedics and traumatology. Arthroscopy can be performed for both diagnostic and therapeutic purposes. The procedure of arthroscopic surgery is as follows: the surgeon makes a small skin incision a few millimeters in size, through which he inserts the optical system (arthroscope) and surgical instruments into the joint. The optical system allows the doctor to clearly see the anatomical structures of the joint, eliminating unnecessary manipulations and damage to the healthy tissues. The patient can leave the hospital 1-3 days after the arthroscopic procedure, which is one of the main advantages of the technique over classic open surgery. In addition, such operations guarantee minimal blood loss and almost do not leave any scars. The department's surgeons perform arthroscopic interventions for injuries to the menisci, ligaments, synovium, cartilage, as well as rotator cuff tear, the presence of intra-articular loose bodies, impingement syndromes, etc.
The department's key clinical focuses include:
- Treatment of knee diseases and injuries
- Treatment of hip diseases and injuries
- Treatment of shoulder diseases and injuries
- Treatment of elbow diseases and injuries
- Treatment of ankle diseases and injuries
- Treatment of other musculoskeletal diseases and injuries
The department's surgical options include:
- Arthroscopic surgery
- Minimally invasive surgery
- Large joint replacement surgery
- Revision joint replacement surgery
- Other services
Curriculum vitae
Prof. Dr. med. Ulrich Bosch is the Chief Physician of the Department of Orthopedic Surgery and Sports Traumatology at the International Neuroscience Institute Hannover. The specialist received his Doctoral Degree in Medicine from the University of Tübingen in 1984. A habilitation procedure followed in 1993 at the Hanover Medical School. In 1997, Dr. Ulrich Bosch was appointed as Extraordinary Professor at the Hanover Medical School. The specialist also worked in the Department of Trauma Surgery at the Hannover Medical School. In 2002, the doctor became the Head of the Department of Orthopedic Surgery and Sports Traumatology at the International Neuroscience Institute Hannover. The priority areas of the specialist's research activities include the treatment of knee and shoulder diseases.
Awards and Honors
- 1991 Albert Trillat Young Investigator's Award.
- 1998 Jenö Manninger Medal of the Central Institute of Traumatology, Budapest, in recognition of his special merits in the joint research work.
- 1998 Research Excellence Award of the American Orthopaedic Society for Sports Medicine.
- 2003 DonJoy Award of the Working Group on Arthroscopy for the research on alpha smooth muscle actin in fibroblastic cells in the knee of a person suffering from arthrofibrosis.
- 2006 First Bundeswehr Medical Command Award for the surgical treatment of soldiers wounded in Afghanistan.
Photo of the doctor: (c) International Neuroscience Institute®
About hospital
The International Neuroscience Institute Hannover is an advanced highly specialized hospital that provides patients with the diagnostics of diseases of the nervous system and further required treatment. The key areas of competence of the medical facility include neurology, neurosurgery and neuroradiology. In addition, the hospital has laboratories for science experiments and clinical research. The hospital was founded in 1998 by Professor of Neurosurgery Majid Samii and over the time of its clinical activities has gained an impeccable reputation not only in Germany, but also far beyond its borders. The medical complex has unique medical equipment, which allows the specialists to treat diseases of the brain and spinal cord, spine and peripheral nerves using innovative therapeutic methods, many of which are not available in developing countries.
The presence in the hospital of such high-tech devices as a 3 Tesla MRI scanner, a 128-slice CT scanner, a 1.5 Tesla intraoperative MRI scanner, an intraoperative 32-slice CT scanner, a biplane angiography system and intraoperative neuromonitoring systems allows the doctors to accurately determine the nature of pathological changes in the nervous system, as well as reliably monitor each surgical manipulation in order to exclude damage to important functional regions of the brain and spinal cord. The hospital performs innovative stereotactic radiosurgery offered by only a few leading medical centers in the world.
The hospital is also proud of its medical staff, consisting of leading German specialists in neurosurgery, neurology, diagnostic and interventional neuroradiology, internal medicine, oncology, otolaryngology, ophthalmology, orthopedics and other medical disciplines. The work of an interdisciplinary medical team allows the doctors to provide the most effective treatment, taking into account all the clinical features of a particular neurological disorder. The doctors of the medical complex always strive to establish a trusting contact with the patient, devote enough time to personal communication with their patients and always try to support them on their way to recovery. The health of the patient is the main value for the hospital's medical team, and therefore all the doctors' efforts are aimed at achieving complete recovery or long-term remission in case of incurable diseases of the nervous system.
The hospital is notable for its unusual architecture – the shape of a huge building made of glass and metal resembles a human brain. The hospital has a cozy and pleasant atmosphere. It is focused on the patients' comfort, and therefore all diagnostic and therapeutic rooms are designed in such a way that a person does not feel like he is in the hospital. The interior of the hospital is more like a modern comfortable hotel
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the International Neuroscience Institute Hannover live in single, double and triple rooms with all the necessary amenities. The design of the rooms gives patients the impression that they are in a top-class hotel, but not at the hospital. All patient rooms have modern furniture. They are made in pleasant light colors and have large windows offering scenic views of the nearby park. Each patient room has an ensuite bathroom with shower and toilet. The patients with disabilities are offered rooms with a specially equipped bathroom. All patient rooms have TV and telephone. In addition, if desired, the patient and his accompanying person can live in modern apartments with an exclusive design.
The medical facility has beautiful meeting rooms for family and friends. These rooms are decorated with works of art, including paintings and sculptures. It is worth noting that the hospital is located near a large park, which is ideal for walking when free from therapeutic procedures.
Meals and Menus
The patients of the hospital are offered delicious meals in the spacious and cozy cafe of the medical facility. The menu features German and Oriental cuisine, as well as kosher dishes. When cooking, chefs use only high-quality and fresh products, while their skills allow creating incredibly delicious culinary masterpieces.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV
Accompanying person
During the inpatient program, the accompanying person can live with the patient in a patient room or a hotel of his choice. Our managers will help you choose the most suitable option.
Hotel
During the outpatient program, the patient can stay at the hotel of his choice. Our managers will help you choose the most suitable option.
