Osteosarcoma — Surgery With Endoprosthesis Implantation: treatment in the Best Hospitals of Germany
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Department of Adult and Pediatric Orthopedics, Traumatology and Hand Surgery
The Department of Adult and Pediatric Orthopedics, Traumatology and Hand Surgery offers the full spectrum in these medical focuses. The department specializes in the diagnosis and treatment of all diseases of the musculoskeletal system in adults and children, trauma of any severity, including sports injuries, endoprosthetics, hand and foot surgery. The goal of the department's specialists is to effectively treat and restore the quality of patients’ lives.
Department of Adult and Pediatric Orthopedics, Traumatology
The Department of Adult and Pediatric Orthopedics, Traumatology is part of the specialized Center for Musculoskeletal Disorders, whose medical team consists of highly qualified orthopedists, traumatologists, and spinal surgeons. The department offers modern diagnostics and treatment of the entire range of musculoskeletal diseases. The department's field of competence includes the treatment of injuries of varying severity. The therapeutic options cover both conservative measures and surgical interventions, which are mainly performed using sparing minimally invasive techniques. The treatment concept is based on the comprehensive approach – from the use of conservative methods to physiotherapeutic procedures the day after surgery.
Department of Adult and Pediatric Orthopedics, Traumatology, Foot Surgery
According to the prestigious Focus magazine, the Department of Adult and Pediatric Orthopedics, Traumatology, Foot Surgery ranks among the top German medical facilities specializing in hip surgery! The department offers the full range of high-precision diagnostics and conservative and surgical treatment for diseases of bones, joints, muscles, ligaments, and tendons. One of the department's key areas of clinical practice is large joint arthroplasty. In this area, the department is awarded the prestigious endoCert certificate. The doctors in the department's operating rooms successfully perform knee, hip, and shoulder replacement surgery. Whenever possible, preference is given to minimally invasive joint replacement surgery. An important part of the work of the department's doctors is the treatment of orthopedic diseases and musculoskeletal injuries in children. The specialists at the medical facility also have long experience in helping patients with foot pathologies and deformities, including hallux valgus, hallux rigidus, hammer toes and claw toes, metatarsalgia, etc. The department's doctors have in their arsenal state-of-the-art equipment and modern treatment methods that allow for the achievement of excellent therapeutic results. More than 3,500 inpatients and about 17,000 outpatients are treated at the medical facility every year.
Department of Orthopedics, Traumatology, Spinal Surgery and Foot Surgery
According to the Focus magazine, the Department of Orthopedics, Traumatology, Spinal Surgery and Foot Surgery ranks among the top German medical facilities in treating orthopedic diseases and spinal surgery! The department carries out comprehensive examinations and effectively treats musculoskeletal diseases and injuries. The department has about 130 beds for its patient hospitalization. Doctors annually admit more than 4,000 patients for inpatient treatment. Several thousand surgical interventions of varying complexity are performed on the basis of the medical facility annually. The department offers the services of the certified Maximum Care Joint Replacement Surgery Center (EPZmax) and the certified Trauma Center. In addition, the department's specialists have vast experience in treating spinal and foot pathologies. The main goal of the department's doctors is to restore mobility and eliminate pain. The specialists always prefer an individual approach to each patient and his clinical case.
Department of Adult and Pediatric Traumatology, Orthopedic Surgery, Hand and Foot Surgery
The Department of Adult and Pediatric Traumatology, Orthopedic Surgery, Hand and Foot Surgery offers the full range of modern services to the patients with musculoskeletal diseases and injuries. The key areas of specialization include conservative and surgical treatment of injuries and degenerative changes in the limbs, joints, pelvis and spine. The department is certified by the German Trauma Society (DGU) and has an SAV certificate, which indicates the excellent achievements of the medical facility in the treatment of injuries of any severity. The department performs most surgical interventions using minimally invasive and endoscopic surgical techniques, thanks to which the patients can regain their mobility and return to their usual daily life in the shortest possible time. The department's experienced surgeons perform more than 6,000 operations annually, including particularly complex ones. About 3,000 inpatients and more than 20,000 outpatients receive medical care here every year. The department has 90 beds.
Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery, Hand Surgery and Rheumatology
The Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery, Hand Surgery and Rheumatology offers the full range of diagnostic and therapeutic services in its areas of specialization. The key areas of work of the department's doctors include large joint arthroplasty, arthroscopic interventions on the knee, hip, and shoulder joints, conservative and surgical treatment of foot and hand diseases and deformities, rheumatic joint lesions, orthopedic diseases in children, and musculoskeletal injuries. The key to successful clinical practice is the professionalism and unique experience of the department's medical team, combined with the advanced infrastructure and state-of-the-art equipment. The department has 5 operating rooms equipped with the latest technology. Most surgical interventions are performed using minimally invasive techniques, due to which, in the shortest possible time, the patient is verticalized, their mobility is restored, and a pronounced pain syndrome is excluded. The department annually performs more than 4,500 surgical interventions, including especially complex ones, so the specialists at the medical facility are rightfully proud of their impressive clinical experience in the surgical treatment of orthopedic diseases. Over the years, the department has gained an excellent reputation not only in Germany but also far beyond its borders.
Department of Adult and Pediatric Orthopedics
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital regularly demonstrates high treatment success rates, takes an active part in the training of medical students, and works tirelessly on promising research projects. The university hospital consists of 29 specialized departments and 16 scientific institutes, where more than 7,000 highly qualified employees work for the benefit of their patients. More than 55,000 inpatients and about 300,000 outpatients are treated here every year. The hospital has 1,274 beds. The medical team of the hospital is focused on providing personalized medical services using the most modern and sparing diagnostic and treatment methods.
Department of Adult and Pediatric Orthopedics, Traumatology
According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of modern medicine. A distinctive feature of the hospital is the presence of unique therapeutic methods for the treatment of complex and rare clinical cases.
Department of Adult and Pediatric Orthopedics, Special Orthopedic Surgery and Rheumatic Orthopedics
According to the Focus magazine, the Department of Adult and Pediatric Orthopedics, Special Orthopedic Surgery and Rheumatic Orthopedics ranks among the top German medical facilities specializing in the treatment of orthopedic diseases in adults and children, as well as in hip surgery! The department offers the full range of medical services in these medical fields. It carries out both diagnostics and treatment of patients of all age groups, including very elderly patients, with various musculoskeletal diseases. The therapeutic options include both conservative and surgical treatment methods. The department is distinguished by high professionalism of doctors, advanced infrastructure and invaluable experience in the field of its specialization, due to which it occupies leading positions in the European medical arena and guarantees an optimal treatment result.
Department of Adult and Pediatric Orthopedics, Traumatology
According to the Focus magazine, the Department of Adult and Pediatric Orthopedics, Traumatology ranks among the top German medical facilities in the field of its specialization! It offers the full range of conservative and surgical treatment of musculoskeletal diseases. The department's priorities include knee and hip surgery, including endoprosthetics, spinal surgery, shoulder and elbow surgery, surgical oncology of the musculoskeletal system and the treatment of injuries of varying severity. With an annual number of more than 8,000 inpatients, the department has the status of one of the largest and most reputable in the field of its competence.
Department of Adult and Pediatric Orthopedics, Foot Surgery
The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annually admits more than 65,000 inpatients for diagnostics and treatment, and about 250,000 outpatients receive effective medical care. The hospital also performs more than 40,000 surgical procedures every year, and about 2,100 babies are born here annually.
Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery
The Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery offers the full range of diagnostics, conservative and surgical treatment of musculoskeletal diseases and injuries. The department is a certified Endoprosthetics Center – more than 1,000 primary joint replacement surgeries are performed here annually. The surgeons of the Endoprosthetics Center also specialize in particularly complex clinical cases and revision procedures for the replacement of previously implanted artificial joints. In addition, the department has the status of the interregional Trauma Center certified in accordance with the standards of the German Trauma Society. The department has also been awarded a Certificate of Excellence from the German Orthopedic Foot and Ankle Society (DAF) in the field of foot surgery. A separate area of clinical activity is the treatment of diseases, injuries and congenital malformations of the musculoskeletal system in children. Depending on the severity of the clinical case, both conservative and surgical techniques are used in the treatment of orthopedic pathologies in children. The department's medical team prefers sparing low-traumatic surgery, while open operations are performed only if other therapeutic options are ineffective.
Department of Adult and Pediatric Orthopedics
The Department of Adult and Pediatric Orthopedics is the center of maximum orthopedic care and offers the diagnostics and treatment of all diseases and injuries of the musculoskeletal system. Along with the full range of modern operative and conservative orthopedics, the department specializes in hip and knee replacement surgery using the minimally invasive methods, replacement/revision of prostheses, orthopaedic oncology, foot surgery and patella problems in the patella.
Department of General Orthopedics and Orthopedic Oncology
The Department of General Orthopedics and Orthopedic Oncology offers the full range of conservative and surgical treatment of all musculoskeletal diseases. The department ranks among the largest medical facilities of this kind in Germany, as well as among the specialized authoritative departments for the treatment of bone and soft tissue tumors in the European medical arena. The treatment is carried out both on an outpatient and inpatient basis, including the outpatient operations. In addition to its successful clinical activities, the department is proud of its productive research work, which has given birth to many innovations in orthopedics, for example, the department's specialists have patented the very latest prosthetic systems, particularly in the field of orthopedic oncology.
Department of Adult and Pediatric Orthopedics
The Department of Adult and Pediatric Orthopedics offers the full range of modern diagnostics and treatment of diseases, deformities of the musculoskeletal system in patients of all age groups. The priority task of all specialists of the department is to preserve the mobility of the patient and improve the quality of his life. In the field of surgical treatment, the main focus is on joint arthroplasty, resection of musculoskeletal tumors, as well as surgical correction of spinal defects and pathologies. In addition, the department specializes in the treatment of sports injuries.
Department of Orthopedics and Traumatology
According to the Focus magazine, the Department of Orthopedics and Traumatology ranks among the top German departments specializing in joint replacement surgery! The department specializes in the diagnostics and treatment of all diseases and injuries of the musculoskeletal system. The therapeutic options include both conservative and surgical treatments. The department has 5 modern operating rooms, which meet stringent hygienic standards and a high technological level (for example, 2D and 3D X-rays, navigation systems, surgical microscopes, etc.). Also, it is possible to perform operations on an outpatient basis.
Sarcoma of the femur is one of the most malignant tumors. It grows rapidly, spreads metastasis to the lungs and other organs. However, in recent years, the doctors in Germany have noted a significant increase in the survival rate of the patients with this disease. This country performs high-quality organ-preserving operations. In combination with chemotherapy, they can provide a recovery of the patient, whereas the follow-up rehabilitation makes it possible to return him to an active full life.
How is the treatment of osteosarcoma carried out?
Surgery remains the primary treatment option in osteosarcoma, but regardless of the stage of the process, if it is a high-grade tumor, chemotherapy can be additionally performed.
The standard treatment regimen for a resectable tumor is as follows:
- Biopsy. A doctor performs a surgical intervention, during which he obtains a small fragment of the tumor. It is sent for the histological examination. As a result, the accurate diagnosis is established. In addition, it enables the determination of the histological type of the tumor, which affects the choice of treatment tactics. It is desirable that the biopsy is performed by the same orthopedist who will perform further radical surgery. Such an approach allows the doctor to reduce the extent of operation and maintain the function of the limb. If an excisional biopsy is aimed at the upcoming radical surgery, the likelihood of leg amputation is reduced.
- Chemotherapy. Most оsteosarcomas have a high grade, and therefore, in the classic option, the treatment begins with chemotherapy. It is required for the destruction of cancer cells, which could spread in the body. In addition, they help to reduce the size of the neoplasm, thereby facilitating the process of its removal. The operation performed after chemotherapy can be less invasive, and this reduces the risk of disability in the patient. Chemotherapy is prescribed for 10 weeks.
- Radical surgery. It is performed directly to remove the osteosarcoma. German surgeons always prefer organ-preserving surgical interventions. This is technically a more complicated operation. It is prolonged, requires many efforts, experience and skills from the doctor. However, in the end, a person retains a limb. Eventually, he recovers not only the ability to self-service, but can also return to his professional activities.
- Chemotherapy. It is required for the prevention of a recurrence. It is carried out within 1 year after the operation. It significantly increases the survival of the patient in comparison with the operative therapy alone. Chemotherapy drugs can destroy the remaining cancer cells, regardless of their location. Therefore, such treatment reduces the possibility of not only local, but also long-term recurrence.
Simultaneously, the patient will undergo a rehabilitation. It will allow him to restore the limb function, to return to a normal social and professional life. Rehabilitation can last up to 12 months.
At what stages is the operative therapy of sarcoma of the femur possible?
Osteosarcoma can be divided into the following types:
- localized or metastatic;
- resectable or unresectable.
Resectable cancer is considered a sarcoma, which can be removed. It does not matter if it is localized or metastatic. If the metastases are small, they can also be removed. The primary tumor at the time of the appearance of metastasis is not necessarily large. In some cases, metastatic lesions are detected earlier than the osteosarcoma itself.
Nonetheless, localized sarcoma of the femur is significantly more resectable. As a rule, it can be removed. The symptoms of the disease occur early. The pathology causes severe pain, which forces a person to visit a doctor.
The tumors, which are too large or with the location near vital anatomical structures cannot be removed, but they can become resectable after chemotherapy, as they decrease in size. In the case of success, the operation can still be carried out. If the neoplasm does not decrease, only radiation and chemotherapy can be carried out, which do not cure the disease, but help a person to prolong life.
How is the surgical treatment of osteosarcoma carried out?
There can be used the following two main options for the surgical treatment of sarcoma of the femur:
- Amputation of a limb.
- Organ-preserving operation for osteosarcoma removal.
German experts prefer organ-preserving operations. They are sufficiently qualified for successful performance of these complex surgical interventions. These surgical procedures allow for achieving similar long-term results. In the case of success, the person is completely cured of the disease.
The sarcoma of the femur can be removed with the indent from the edge of the tumor. During the surgery, bone and soft tissue defects always occur. Bone defects can be replaced by one of two methods or a combination of both of them. The doctor can use either autologous bone tissue of the patient from the donor area, or a tumor endoprosthesis. The implantation of an endoprosthesis made of synthetic materials has an obvious advantage, it does not require additional surgery and does not carry a risk of complications from the donor area. The artificial bone after implantation successfully grows into the tissue, thereby ensuring the preservation of the function of the operated limb.
After surgery, the removed material is always examined for the presence of tumor cells. They should not be detected at the edges of the resection. Should cancer cells be detected, the risk of recurrence of femoral sarcoma will be assessed as high. In this case, to prevent osteosarcoma recurrence, the patient requires an additional operation or a course of radiation therapy.
In Germany, the surgical treatment of sarcoma of the femur is performed by the best professionals in the world. They achieve excellent results in the treatment of the dangerous disease. Therefore, foreign patients often come to German clinics in order to undergo surgery to remove osteosarcoma.
Treatment in Germany with the Booking Health company
To undergo the treatment of osteosarcoma in Germany, you can use the services of the Booking Health company. We will arrange a trip for you to one of the best German clinics, so that you can take advantage of the very latest achievements in orthopedics and oncology. You will be treated by the best specialists in the world. This is important in the case of osteosarcoma, since the survival of patients with this disease largely depends on the skills of the surgeon who performs the operation.
You will receive a number of benefits:
- Treatment of sarcoma in Germany will take place within the specialized Center for Orthopedics, which shows the best statistics on this disease.
- Provision of favorable costs for medical procedures and the entire therapeutic program up to 50% due to the absence of coefficients and overpricing for foreign patients.
- Booking an appointment on the most suitable dates for you.
- Preparation of the program taking into account previously performed examinations.
- Establishment of communication directly with the attending physician who carries out surgical treatment.
- Monitoring of the program at all its stages.
- Control of invoices and return of unspent funds.
- Buying and forwarding of medicines.
- Organization of additional diagnostic, therapeutic procedures or rehabilitation.
- Communication with the Department of Orthopedics upon the treatment completion.
We will provide top-class services. We will buy airline tickets, book a room at the hotel near the Center for Orthopedics, meet you at the German airport and take you to the clinic by car.
