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Leg Fracture — Ostheosynthesis: treatment in the Best Hospitals of Germany

Catholic Clinic Koblenz-Montabaur

10/10
location_onGermany, Koblenz

Department of Adult and Pediatric Orthopedics, Traumatology, Endoprosthetics

According to the prestigious Focus magazine, the Department of Adult and Pediatric Orthopedics, Traumatology, Endoprosthetics ranks among the top German medical facilities specializing in the treatment of orthopedic diseases! The department offers comprehensive diagnostics, surgical and conservative treatment of all musculoskeletal disorders in adults and children. Also, the department provides an outpatient rehabilitation. The field of endoprosthetics is marked by the endoCert certificate, which indicates high treatment standards. The focus is also on the treatment of injuries of varying severity, including in elderly patients.

Brothers of Mercy Hospital Munich

10/10
location_onGermany, Munich

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.

Municipal Hospital Karlsruhe

9.8/10
location_onGermany, Karlsruhe

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.

Vitos Orthopedic Clinic Kassel

9.2/10
location_onGermany, Kassel

Department of Adult and Pediatric General Orthopedics, Trauma Surgery

The Department of Adult and Pediatric General Orthopedics, Trauma Surgery offers the full range of diagnostics and treatment of musculoskeletal pathologies. The specialization covers joint replacement surgery, foot and hand surgery, shoulder surgery, treatment of rheumatic joint lesions, treatment of injuries, sports orthopedics, treatment of orthopedic problems in children and adolescents, as well as pain therapy. The key to successful clinical practice is the highest professionalism and unique experience of the department's medical team combined with the very latest infrastructure and advanced equipment.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

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. 

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Trauma, Hand and Reconstructive Surgery

The Department of Adult and Pediatric Trauma, Hand and Reconstructive Surgery offers the full diagnostic and therapeutic service range in the fields of its specialization. In addition to medical care for patients with injuries of varying severity, the department specializes in knee surgery, surgical treatment of the hip joint and pelvis, surgery on the spine, shoulder and elbow joints, foot and ankle joints, sports traumatology, purulent surgery, etc. The department's scope of tasks is complemented by pediatric traumatology, surgical oncology, geriatric traumatology, as well as the treatment of patients with polytrauma. With the use of the very latest methods of osteosynthesis, modern replacement surgical techniques and long experience in proven surgical techniques, the department's specialists ensure optimal treatment results.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Traumatology, Hand Surgery, Plastic and Reconstructive Surgery

The Department of Traumatology, Hand Surgery, Plastic and Reconstructive Surgery covers the whole range of services in these focuses. The department specializes in joint replacement, treatment of tumors of the musculoskeletal system, endoscopic treatment methods for spinal injuries, arthroscopic treatment of joints, etc. The department is also a recognized Center for Sports Orthopedics.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Traumatology

The Department of Traumatology offers the full range of diagnostics and treatment for acute and chronic, acquired and congenital musculoskeletal injuries of any severity. The department's doctors have excellent professional skills in the treatment of injuries of the lower and upper limbs, spine, and pelvis. In addition, the specialists have rich experience in providing medical care to patients with polytrauma. The department's operating rooms have advanced equipment to provide patients with effective medical care, including emergency care. The department also has the necessary equipment for performing navigation-assisted surgery. A competent team of doctors, which is ready to help in urgent clinical cases at any moment, works around the clock in the medical facility. The department is certified as a supraregional Trauma Center (DGU) and a Center for Severe Injuries (SAV). There is also a helipad for the delivery of seriously injured patients.

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Trauma, Hand and Reconstructive Surgery

The Department of Trauma, Hand and Reconstructive Surgery offers the full range of surgical treatment and reconstruction for injuries and lesions of the musculoskeletal system. The department specializes in severe pelvic and spinal injuries, inflammation and bone tissue tumors, treatment of life-threatening polytrauma, as well as the treatment of elderly patients. Also, the department has a special experience in the treatment of knee and shoulder injuries.

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

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.

University Hospital Bonn

9.2/10
location_onGermany, Bonn

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.

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Orthopedics and Traumatology

According to the Focus magazine, the Department of Orthopedics and Traumatology ranks among the top German medical facilities specializing in the treatment of injuries of any severity! The department offers the full range of diagnostic and therapeutic services to patients with diseases and injuries of the musculoskeletal system. The department has been certified by the German Society of Traumatology as a supra-regional Trauma Center. In addition, the medical institution is a certified Center for Gerontological Traumatology, the Center for Arthroscopy and Joint Surgery.

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Orthopedics, Trauma and Reconstructive Surgery

The Department of Orthopedics, Trauma and Reconstructive Surgery offers the full range of modern diagnostic examinations, conservative and surgical treatment of the musculoskeletal system. The competence also includes round-the-clock medical care for patients with severe and multiple injuries. The department operates a certified Endoprosthetics Center, within which the patients undergo knee, hip and shoulder replacement surgeries. All the department's doctors have excellent qualifications and they are recognized experts in their field of competence, which guarantees the highest quality of medical service.

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Traumatology, Hand Surgery

The Department of Adult and Pediatric Traumatology, Hand Surgery offers the full range of diagnostics and treatment of injuries of any severity. The specialists of the department have outstanding experience in the treatment of multiple injuries. If necessary, all the necessary doctors from the related fields will be involved in the treatment process. In addition, the department’s competence allows to perform all modern osteosynthesis procedures, including minimally invasive arthroscopic procedures, as well as shoulder, hip and knee replacement surgery.

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Trauma, Hand, Reconstructive Surgery

The Department of Adult and Pediatric Trauma, Hand, Reconstructive Surgery offers all modern surgical interventions in these medical fields. The department specializes in the treatment of patients with polytrauma, pelvic surgery, endoprosthetics, cancer, reconstructive surgery and hand surgery. The department has 62 beds for inpatient treatment and 3 high-tech operating rooms for both planned and emergency operations. The prestigious certificates of the Interregional Trauma Center of the German Society of Traumatology and the EndoCert certificate testify to the outstanding quality of medical services.

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Traumatology

The Department of Adult and Pediatric Traumatology offers the full range of services in this ​​medical field and is one of the leading medical facilities in Germany. The department enjoys an excellent reputation in Munich and Upper Bavaria. The department's doctors specialize in the treatment of bone fractures, soft tissue injuries and joint diseases. The specialists of the medical facility are distinguished by exceptional competence in the treatment of polytrauma and high severity injuries. In addition, the department's traumatologists have a wealth of experience in the treatment of patients with abnormally healing bone fractures. The department provides emergency medical care around the clock. It has state-of-the-art technical resources to assess the patient's condition with trauma during the admission to the department and to provide the most effective treatment. All therapeutic measures meet the requirements of the current treatment guidelines of the German Trauma Society.

Lower limb fractures include an impairment of the integrity of the femur, tibia, fibula, and foot bones. If you are injured, you can undergo your treatment in Germany. In most cases, doctors use conservative treatment methods that keep a patient mobile. All manipulations are performed with adequate anesthesia. The treatment of leg fracture in Germany can be successful, even for chronic and complicated injuries.

Content

  1. Hip fractures
  2. Knee fractures
  3. Lower leg fractures
  4. Ankle fractures

Osteosynthesis can be closed or open. Doctors in Germany use more patient-friendly osteosynthesis systems than in most other countries. A person can thus walk and maintain their lifestyle as close as possible to the usual one.

You can seek medical attention from the Catholic Clinic Koblenz-Montabaur, the Brothers of Mercy Hospital Munich, or the Municipal Hospital Karlsruhe.

Do not hesitate to contact the specialists from the Booking Health company and we will take care of the arrangements for your trip. The Booking Health team will recommend a hospital and a doctor, make an appointment without a long wait, help you to apply for a visa and prepare medical documents, provide an interpreter, control the cost of medical services provided and all treatment stages.

Hip fractures

 

Femoral neck fractures are the most common among proximal femur fractures. They often occur in older patients suffering from osteoporosis, with minimal impact on the bones. Due to a lack of blood supply, such fractures heal slowly, and prolonged immobilization leads to severe complications. Conservative management of femoral neck fractures is therefore a thing of the past as it has been replaced by active surgical tactics. Hip replacement surgery is performed by doctors, and open bone repositioning with fixation is used less frequently. 

Intertrochanteric and pertrochanteric proximal femur fractures are less common. They are characterized by a large area of ​​fracture and contact of fragments. The blood supply, however, is good, so these fractures can be treated with conservative methods. Doctors use skeletal traction for up to 1.5 months. The immobilization period is at least 3 months. As a rule, surgery is performed only if a patient's early activation is required. The bones are fastened with screws, L-shaped plates, or nails. Healthcare professionals at hospitals abroad use dynamic screws, after the implantation of which external immobilization is not required and a person can walk after 3 weeks.

Diaphyseal femur fractures occur when the bone fractures closer to the central part, between the hip and knee joint. This is a severe injury with bleeding, and a person often develops shock. Treatment can be conservative or surgical. Conservative treatment consists of fixing the hip with a plaster cast in the abduction position. The higher the fracture, the stronger the abduction. Some types of fractures can be treated with skeletal traction. Surgical treatment includes intramedullary osteosynthesis. The limb fixation lasts 3 months.

Knee fractures

 

Knee fractures are injuries to the bones that form the knee joint. These are the patella, the lower part of the femur and the upper part of the tibia.

Fractures of the femoral and tibial condyles are intra-articular. If there is no displacement, patients are treated with conservative methods. The joint is punctured, blood is removed, painkillers are injected, and a bandage is applied. Immobilization terms are 1-2 months, depending on how many condyles are broken. If the fragments are displaced, a closed repositioning is performed. If ineffective, doctors resort to skeletal traction. Sometimes it is necessary to perform surgical repositioning with the fixation of fragments and osteosynthesis.

Patellar fractures result from a fall on the knee joint. A displacement of up to 3 mm can be treated with conservative methods. If the displacement is greater, surgery will be performed as soon as possible. The term of immobilization of the limb is one and a half months.

Lower leg fractures

 

There are two bones in the lower leg, namely, the tibia and the fibula.

Diaphyseal tibial fractures are usually treated with conservative methods. If there is a displacement, a manual or hardware reposition is performed with the follow-up application of a bandage. For patients with oblique and spiral fractures, skeletal traction is performed for up to one and a half months, but osteosynthesis is more often used since it allows a person to remain mobile.

Isolated fibula fractures are rare. Treatment consists of immobilizing the limb with a plaster cast for 3 weeks. The bone is thin and heals quickly. A month later, a person's ability to work is restored.

Ankle fractures

 

Ankle fractures are the most common leg fracture. A person has two ankles, namely medial and lateral. They are located in the ankle joint. Their fractures account for 20% of all skeletal fractures. More than half of them occur without any displacement or with minimal displacement that does not require any repositioning. Treatment is conservative: matching fragments, if required; immobilization in the case of lateral ankle fracture lasts 1 month, and in the case of medial ankle fracture it is for 1,5 months. If two ankles are fractured, osteosynthesis may be required.

You are welcome to use the Booking Health service to undergo your diagnostics, treatment of your leg fracture, and orthopedic rehabilitation in Germany. On our website, you can find prices, compare the cost of treatment in different Trauma Centers, and make your treatment appointment at the best price. The specialists from the Booking Health company will help you to find the most suitable clinics in Germany and take care of the arrangements for your trip.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

Journal of Orthopaedic Surgery and Research

MedicineNet

PubMed




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