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Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) (379258) | Charite University Hospital Berlin - BookingHealth
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Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) in Charite University Hospital Berlin

Charite University Hospital Berlin

Berlin, Germany
Program id # 379258
Doctor photo
Prof. Dr. med. Carsten Perka
Department of Adult and Pediatric Orthopedics, Traumatology
Specialized in: adult and pediatric orthopedics, traumatology
Specialization Curriculum vitae

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 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

155 Booking Health patients have already received treatment in the Department of Adult and Pediatric Orthopedics, Traumatology at the Charite University Hospital Berlin.

99% of patients recommend this hospital and department.

You can read reviews about the quality of the Booking Health service here.

 

According to the Focus magazine, the Department of Adult and Pediatric Orthopedics, Traumatology at the Charite University Hospital Berlin 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. The department is headed by Prof. Dr. med. Carsten Perka.

The department provides first-class medical services based on tremendous experience and rich traditions. The productive research activities of the department's orthopedists and traumatologists allows for the introduction of all the innovations of modern medicine into clinical practice. The department is certified as the interregional Trauma Center in the district of ​​Berlin and Brandenburg, so the medical team works around the clock and it is ready to provide emergency and effective medical care for injuries of varying complexity.

Special attention should be paid to the excellent infrastructure of the department, in particular, 8 state-of-the-art operating rooms. The department's surgeons annually perform more than 8,500 surgical interventions, which is an indisputable proof of the outstanding quality of treatment and invaluable experience in the treatment of musculoskeletal diseases.

The department's physicians also have exceptional qualifications in the treatment of orthopedic diseases and injuries in children, including their consequences in adulthood. In the case of such pathologies, the doctors set themselves the goal of not only curing the young patient from the diseases, but also ensuring the proper development of the growing organism. The doctors of the department mostly have to deal in their clinical practice with such pediatric orthopedic pathologies as hip dysplasia, slipped capital femoral epiphysis, Perthes disease, foot deformities, axial deformities of the lower limbs, leg length discrepancies, etc. 

The service range of the department includes:

Knee surgery
  • Degenerative knee diseases (arthrosis)
  • Ligament injuries
  • Sports injuries
    • Partial knee endoprosthetics
    • Total knee endoprosthetics
    • Revision knee interventions
Pelvic and hip surgery
  • Joint degeneration (arthrosis)
  • Circulatory disorders in the femoral head (femoral head necrosis)
  • Congenital malformations (for example, hip dysplasia)
  • Displaced endoprostheses
  • Pathological changes in the femoral head and the edge of the acetabulum, which lead to impingement syndrome
  • Injuries due to accidents (fractures of the acetabulum, femoral neck)
  • Abnormal hip position, incorrect bone accretion (pseudarthrosis)
  • Infections
  • Arthritis (for example, rheumatoid arthritis)
    • Joint replacement surgery (using minimally invasive techniques, navigation systems)
    • Treatment of joint pains after joint replacement surgery
    • Revision hip interventions, reconstruction of bone defects using modern implant systems and tailored prostheses
    • Hip arthroscopy
    • Reconstructive pelvic interventions in congenital and acquired deformities (for example, Ganz pelvic osteotomy in hip dysplasia)
    • Joint preservation operations and interventions for the correction of axial hip deformities (for example, corrective osteotomy)
    • Treatment of pelvic and hip fractures and their long-term effects
    • Conservative and surgical treatment of congenital hip dysplasia/hip dislocation at any age
    • Conservative and surgical treatment of aseptic necrosis of the femoral head in adults and children
    • Conservative and surgical treatment of chronic inflammatory hip diseases
    • Conservative and surgical treatment of infectious diseases with damage to the pelvic and hip bones
    • Surgical treatment of pelvic and hip tumors
Spinal surgery
  • Spinal disc herniation and fractures
  • Spinal stenosis
  • Slipped vertebrae (spondylolisthesis)
  • Scoliosis
  • Kyphosis
  • Pectus excavatum and pectus carinatum
  • Inflammatory spinal diseases
  • Spinal tumors and metastases
  • Vertebral body fractures
Shoulder and elbow surgery
  • Shoulder surgery
    • Arthroscopic subacromial decompression in impingement syndrome
    • Arthroscopic intervention in forearm calcification
    • Clavicle arthroscopic resection in shoulder arthrosis
    • Arthroscopic arthrolysis for frozen shoulder 
    • Rotator cuff reconstruction in its fracture
    • Arthroscopic biceps tenodesis
    • Arthroscopic interventions for the treatment of upper part of the articular lip lesions of the scapula 
    • Arthroscopic stabilizing interventions in acute and chronic shoulder injuries and clavicle fractures
    • Arthroscopic and open stabilizing interventions in shoulder dislocation
    • Arthroscopic reconstruction of the glenoid cavity
    • Arthroscopic treatment of fractures in the area of glenoid cavity
    • Arthroscopic treatment of the shoulder cartilage injury (transplantation of autologous chondrocytes, mini-replacement surgery)
    • Anatomical and inverse shoulder replacement surgery in primary and secondary osteoarthrosis
    • Revision joint replacement surgery
    • Treatment of shoulder girdle fractures
    • Reconstructive or stabilizing interventions on the sternoclavicular joint in arthrosis
  • Elbow surgery
    • Arthroscopic elbow surgeries
    • Arthroscopic surgery for the removal of loose body in the joint and cartilage plastic surgery
    • Refixation of distal biceps tendon
    • Surgical treatment of epicondylitis (tennis elbow, golfer's elbow)
    • Surgical treatment of elbow stiffness
    • Surgical treatment of elbow instability
    • Surgical treatment of elbow arthrosis
    • Neurolysis
    • Treatment of fractures
    • Joint replacement surgery
  • Conservative therapy (individually developed physiotherapy programs, early rehabilitation for the restoration of functions)

 

Hand surgery

 

  • Fractures and dislocations of the hand, fingers
  • Wrist ligament rupture
  • Injuries of flexor and extensor tendons
  • Skier's thumb
  • Chronic tendon injuries (tendon transplantation)
  • Claw fingers
  • Trigger fingers
  • Hand nerve injury
  • Finger joint arthrosis
  • Rhizarthrosis
  • Peripheral nerve compression syndromes (for example, carpal tunnel syndrome)
  • Dupuytren's contracture
  • De Quervain's tendovaginitis
  • Ganglion
  • Hand infections
  • Regional pain syndrome
  • Wrist osteoarthritis
  • Wrist fractures
Foot and ankle surgery
  • Forefoot surgery
    • Hallux valgus (corrective osteotomy and soft tissue surgery)
    • Hallux rigidus (joint-preserving and stabilizing operations)
    • Toe deformities (for example, hammer toes)
    • Toe deformity after Keller-Brandeis operation
    • Metatarsalgia (for example, Morton's neuroma, transverse flatfoot)
    • Digitus quintus varus (little toe deformities)
  • Rear foot surgery
    • Arthrosis of the upper ankle joint (joint replacement surgery and stabilizing interventions)
    • Lower ankle osteoarthritis and other degenerative changes
    • Congenital and acquired axial deformities of the leg and foot (corrective osteotomy)
    • Joint contracture (arthrolysis)
  • Cartilage damage and arthrosis
    • Congenital or posttraumatic axial deformities (corrective osteotomy with joint preservation, corrective arthrodesis)
    • Ankle replacement surgery
    • Osteochondral lesion of the talus (for example, dissecting osteochondritis)
  • Foot deformities
    • Reconstruction in wrong position of the rear foot
    • Planovalgus foot deformity
    • Hollow foot
    • Clubfoot
    • Cavus foot
  • Injuries and fractures, including sports injuries
    • All injuries and fractures of the foot and ankle
    • Acute ligament injuries and chronic ankle instability
    • Stabilization in ligament injuries
    • Distal ankle instability after acute or chronic syndesmotic injury
    • Foot and ankle tendon injuries
    • Achilles tendon rupture (minimally invasive and open Achilles tendon rupture)
    • Osteochondral injuries (arthroscopic ankle surgery)
    • Treatment of pseudoarthrosis
  • Treatment of diabetic foot syndrome
  • Treatment of heel spurs
  • Treatment of Ledderhose disease
  • Treatment of nerve compression syndromes 
  • Foot and ankle revision surgery

Sports medicine

 

Septic surgery

  • Prosthesis infections
  • Bone infections
  • Vertebral body inflammation
  • Joint infections

Surgical oncology

  • Bone tumors
  • Soft tissue tumors
  • Bone metastases
Pediatric orthopedics
  • Hip dysplasia
  • Slipped capital femoral epiphysis 
  • Perthes disease
  • Congenital clubfoot, neurogenic clubfoot and other foot deformities
  • Osteochondritis dissecans
  • Idiopathic/neuromuscular scoliosis
  • Difference in length of the lower limbs and axial lower limb deformities
  • Benign bone tumors
  • Hereditary cartilaginous exostoses
  • Purulent arthritis/osteomyelitis
  • Skeletal dysplasia
  • Phosphate diabetes

Neuroorthopedics

  • Conservative and surgical treatment of the effects of neuromuscular diseases of the musculoskeletal system in children and adults
  • Comprehensive diagnostics, including imaging procedures and gait analysis, interdisciplinary development of individual therapeutic schemes
  • Treatment using orthoses and orthopedic aids
  • Botulinum toxin therapy
  • Bone and soft tissue surgery for the treatment of contractures and deformities, including all foot surgeries, pelvic osteotomy and scoliosis therapy
  • Treatment of degenerative changes in musculoskeletal system in patients with neuromuscular diseases
  • Rehabilitation
  • Conservative and surgical treatment of muscular torticollis
  • Treatment of cerebral palsy
  • Conservative and surgical treatment of spina bifida
  • Conservative and surgical treatment of muscular dystrophies

Traumatology (treatment of injuries of varying severity, including polytraumas)

 

Other medical services

 

 

Curriculum vitae

University Education and Postgraduate Training

  • 1985 - 1991 Study of Medicine, Humboldt University of Berlin.
  • June 1991 Admission to medical practice.
  • June 1994 Dr. med., Department of Adult and Pediatric Orthopedics, Traumatology, Charite University Hospital Berlin (Prof. H. Zippel).
  • October 2000 PD, Dr. med., Department of Adult and Pediatric Orthopedics, Traumatology, Charite University Hospital Berlin (Prof. H. Zippel).
  • September 2005 Professor in Orthopedics.

Professional Career

  • 1991 - 1996 Professional training in Orthopedics, Charite University Hospital Berlin (Head: Prof. Dr. med. H. Zippel).
  • October 1996 Examination in Orthopedics.
  • December 1996 Consultant in Orthopedics, Charite University Hospital Berlin.
  • December 1996 - September 2003 Consultant in Orthopedics, Head of the Section of Endoprosthetics, Charite University Hospital Berlin.
  • Since 1999 Organizer of national and international operational technical courses on hip and knee replacement surgery (three years).
  • Since October 2003 Head of the Department of Adult and Pediatric Orthopedics, Traumatology at the Charite University Hospital Berlin.
  • Since 2005 Extraordinary Professor for Orthopedics.
  • 09.10.2006 Invitation to the position of W3 Professor (on a funded basis) for Endoprosthetics and Regenerative Medicine at the Charite University Hospital Berlin (for a period of 5 years).
  • 2013 Presiding Invited Speaker of the American Hip Society, AAOS.

Clinical Interests

  • Hip and knee arthroplasty, including revision interventions.
  • Treatment of bone infectious diseases and prosthetic joint infections.
  • Pelvic reconstructive surgery.
  • Periacetabular, femoral and tibial corrective osteotomies.
  • Foot surgery.

Publications

  • Author of over 400 publications in international publications.
  • Editor and author of over 50 books and book chapters.

Memberships

  • German Society of Orthopedics and Orthopedic Surgery (DGOOC).
  • German Society of Traumatology (DGU).
  • Orthopedic Association of Northern Germany (NOV).
  • American Association of Orthopedic Surgeons (AAOS).
  • Member of the International Hip Society.

Photo of the doctor: (c) Charité – Universitätsmedizin Berlin

About hospital

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! 

The hospital in Germany provides modern diagnostics and treatment of patients, as well as the training of practicing physicians and scientists. More than half of all German Nobel Prize winners in the field of medicine and physiology, such as Emil von Behring, Robert Koch and Paul Ehrlich, trained and worked in the hospital. The structure of the medical complex includes over 100 specialized departments and institutes, which allows the doctors to guarantee their patients' services in all the existing medical fields. The hospital in Germany has outstanding experience in treating particularly complex clinical cases.

The hospital annually diagnoses and treats more than 152,693 inpatients and about 692,920 outpatients. It also has a huge medical team consisting of 4,225 scientists and doctors and and more than 4,500 nursing staff members who provide top-class medical treatment in Germany. The key task for all specialists of the medical facility is restoring the patient's health or preserving in critical cases. At the same time, the hospital offers a friendly atmosphere, and each patient feels care, respect and sympathy.

The excellent technical medical equipment, highly skilled personnel, availability of innovative diagnostic and treatment techniques, and high ethical standards form a solid foundation for successful clinical and scientific activities. Thus, the hospital is a leading provider of high-quality treatment in Germany.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Charite University Hospital Berlin live in comfortable rooms made of modern design. Each room is equipped with an ensuite bathroom with a toilet and a shower. The standard room furnishing includes an automatically adjustable bed, a bedside table, a wardrobe for storing clothes, a table and chairs for receiving visitors, and a TV. If desired, Wi-Fi access can be provided. The hospital also offers enhanced-comfort rooms.

Meals and Menus

The patient and his accompanying person have a daily choice of three menus. If for any reason, you do not like the food, you will be offered an individual menu. Please inform the medical staff about your dietary preferences before the treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

Religious services are available upon request.

Accompanying person

During the inpatient program, an accompanying person may stay with you in a patient room or at the hotel of your choice.

Hotel

During the outpatient program, you can live at a hotel of your choice. Managers will help you to choose the most suitable options.

The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET / CT, angiography, myelography, biopsy and other examinations. Treatment with medications, endoscopic and robotic operations, stereotaxic interventions is carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.

  • Proton therapy
  • CyberKnife treatment
  • Hyperthermic intraperitoneal chemotherapy (HIPEC)
  • PSMA therapy with Lutetium-177
  • Joint replacement in adults and children

These are oncological diseases, benign neoplasms of the brain and spinal cord, heart valve defects, diabetes mellitus and its complications, joint diseases and other pathologies.

  • Neurosurgery
  • Oncology
  • Plastic and reconstructive surgery
  • Interventional radiology
  • Proton therapy (Proton Therapy Center BerlinProtonen)

The medical team includes more than 4,225 highly qualified scientists and doctors.