Osteosarcoma — Surgery Without 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 Department of Adult and Pediatric Orthopedics provides the full range of modern diagnostic services and effective treatment methods for patients with musculoskeletal diseases. The medical facility admits patients of all age groups, including young children and adolescents. Special attention is paid to the treatment of hip and knee arthrosis, foot diseases and deformities, spinal pathologies, and benign and malignant musculoskeletal tumors, including bone metastases. An experienced team of pediatric orthopedists takes care of young patients. The specialists conduct both conservative and surgical treatments for hip dysplasia, Perthes disease, slipped capital femoral epiphysis, clubfoot, flat feet, scoliosis, bone and soft tissue sarcomas, bone fractures, and other pathologies and injuries. The department successfully performs CT-guided nerve root blocks for the treatment of back pain. When surgical treatment is required, the department's team of doctors uses sparing, minimally traumatic techniques. Modern navigation systems are used during joint replacement surgery to ensure the most accurate positioning of the artificial joint. The department strictly follows the recommendations of the German Society for Orthopedics and Trauma Surgery (DGOU), which ensures highly effective treatment.
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, Traumatology
According to the Focus magazine, the Department of Adult and Pediatric Orthopedics, Traumatology ranks among the top German departments specializing in endoprosthetic joint replacement! The department offers the full range of services in the field of diagnostics and treatment of all diseases of the musculoskeletal system. In addition to surgical treatment, a number of effective conservative treatments are available in the department, for example, physiotherapy, occupational therapy, therapeutic exercise. The highly qualified doctors who have a rich experience and outstanding treatment results take care of the patients' health.
Department of Adult and Pediatric Orthopedics, Foot Surgery
The Department of Adult and Pediatric Orthopedics, Foot Surgery offers the full range of services for the diagnostics and treatment of musculoskeletal diseases: bone, joint, muscle, ligament and tendon diseases. Special attention in the department's clinical practice is paid to knee and hip replacement surgery, including revision interventions to replace previously implanted prostheses, treatment of foot diseases, musculoskeletal cancers, orthopedic diseases in children. In addition, the department's specialists deal with the treatment of rare and especially complex musculoskeletal diseases. The department's highly specialized medical team applies only modern diagnostic and therapeutic techniques in their practice, and the long-term experience of doctors guarantees top-class surgical and conservative treatment. As a certified Maximum Care Endoprosthetics Center, the department's doctors annually perform more than 1,000 surgical procedures for partial and total joint replacement. Every year, more than 10,000 patients entrust their health to the department's medical team. Whenever required, doctors from related medical specialties are involved in the treatment process. The main goal and focus of doctors is to maximally restore the patient's health and give him the opportunity to return to his usual way of life.
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.
Osteosarcoma is a severe malignant neoplasm, which often begins to grow from the tissues of the femur. The disease is treatable, but its treatment requires the long-term chemotherapy, surgery and follow-up rehabilitation, which lasts up to 12 months. The likelihood of a successful treatment outcome largely depends on the skills of the surgeon who operates the patient. You can use the services of the best doctors in the leading Cancer and Orthopedic Centers in Germany.
Goals of the surgical procedure
Surgery to treat osteosarcoma can be performed for one of the following two purposes:
- Confirmation of the diagnosis.
- Complete cure of the disease.
These surgical interventions follow one after another. It is better that the same doctor performs them. This will allow him to perform the diagnostic operation with an eye on the treatment, which will reduce the radicalization of the intervention.
Principles of surgical treatment
In sarcoma of the femur, the purpose of the treatment is to completely remove the tumor. The doctor also dissects a part of the healthy tissue. This is required in order to reduce the possibility of the presence of cancer cells. The increased radicalness of the operation is a good prevention of cancer recurrence.
After surgery, the removed tissue will be examined in a laboratory. The doctors assess whether cancer cells remain at the edges of the resection, since this affects further treatment tactics. If the margins are positive, the patient requires additional measures to prevent recurrence, because its risk in this case is assessed as high.
At what stage is the operation possible?
To assess the operability of the neoplasm and determine the optimal treatment tactics, osteosarcoma is classified into the following three types:
- localized resectable;
- localized unresectable;
- metastatic.
The tumor grade is also assessed. It can be high or low. Unfortunately, a low grade is rare. The most favorable prognosis is localized resectable osteosarcoma. A radical operation can be performed in any case. In case of low-grade tumors, the treatment can be limited to surgical intervention, but if it is high-grade tumor, complex therapy is required. It includes the following measures:
- Chemotherapy within 10 weeks.
- Tumor removal.
- In a positive resection margin – the second operation or a course of radiation therapy.
- Chemotherapy within 12 months.
With localized unresectable osteosarcoma, the doctor can perform surgery at the time of diagnostics. The most common causes are too large formation and its location near vital structures.
The treatment regimen is similar. The doctors start with chemotherapy. In the case of success, the neoplasm may decrease in size. This will make the tumor resectable. If surgical treatment is not possible, the doctors try to control the disease for some time using radiation and chemotherapy. These methods do not cure the disease, but reduce symptoms and increase life expectancy.
The metastatic sarcoma an be operated, but only in the case that all tumors are resectable. The treatment regimen is the same. The only difference is that the surgical intervention serves to remove not only the tumor, but also metastatic foci.
Surgical treatment options
Osteosarcoma of the limbs can be treated using one of two methods. These are:
- Organ-preserving operation.
- Amputation.
If possible, the doctors try to perform organ-preserving surgery to treat osteosarcoma, because it allows a person to maintain working capacity, physical activity and a high quality of life in the future.
The organ-preserving removal of the sarcoma of the femur is considered to be a technically complex operation. It is important that an experienced surgeon performs it. He can remove the neoplasm with the further implantation of the endoprosthesis or perform the replacement of a bone defect with autologous tissues from the donor area. During the operation, the orthopedist strives to preserve tendons, large nerves and blood vessels.
Where can you undergo treatment?
You can undergo treatment of sarcoma of the femur in Germany at the best clinics in this country. Please, contact the specialist of the Booking Health company for this purpose. We will arrange your trip to one of the German Orthopedic Centers for you to get surgical treatment. We provide the following services and benefits:
- Selection of the best clinic for the diagnosis of sarcoma of the femur and the treatment of this disease.
- Reduced financial costs for your treatment up to 50% due to the lack of coefficients and overpricing for foreign patients.
- Booking the operation on the convenient dates for you.
- Preparation of the program, taking into account previously performed examinations.
- Establishment of communication with the doctor of the Department of Orthopedics.
- Monitoring of the program at all its stages.
- Control of invoices and return of unspent funds for unperformed procedures.
- Buying and forwarding of medicines.
- Organization of additional diagnosis of sarcoma of the femur, treatment procedures or rehabilitation.
- Communication with the clinic upon the completion of osteosarcoma treatment.
The Booking Health will provide you with top-class services. We will book a room in the hotel and airline tickets for you, meet you at the German airport and take you to the medical facility or hotel.
