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Total knee replacement with rehabilitation (476165) | University Hospital Hamburg-Eppendorf - BookingHealth
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Normal walking without the use of walking aids (crutches, cane) will become possible in 6-12 weeks.<\/p>\n\n<p style=\"text-align:justify\">Finally, the attending physician will evaluate the results of <strong>control examinations<\/strong>, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.<\/p>\n\n<p style=\"text-align:justify\"><strong>Rehabilitation<\/strong>. The rehabilitation program begins after the transfer of the patient from the intensive care unit to a regular ward. It includes physical activity (from exercises in bed in the early days to exercises in the gym), physiotherapy, massage (including lymphatic drainage). 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Total knee replacement with rehabilitation in University Hospital Hamburg-Eppendorf

University Hospital Hamburg-Eppendorf

Hamburg, Germany
Program id # 476165
Doctor photo
Prof. Dr. med. Friedrich Böttner
Department of Adult and Pediatric Orthopedics
Specialized in: adult and pediatric orthopedics

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
    • indicators of blood coagulation
  • X-ray / MRI examination of the knee
  • preoperative care
  • total knee replacement, cost of the implant is included
  • symptomatic treatment
  • control examinations
  • the cost of essential medicines and materials
  • orthopedic appliances
  • physiotherapy
  • nursing services
  • full hospital accommodation
  • explanation of future recommendations
     

The program includes orthopedic rehabilitation:

  • Primary presentation in the clinic
  • medical history taking, including family history
  • complex of neurological and orthopedic examinations
  • X-ray examination
  • individual rehabilitation program, which includes:
    • Wii Fit training in the use of the balance
    • neuropsychological therapy
    • functional therapy of the upper extremities (ArmeoSpring)
    • kinesiotherapy (physiotherapy)
    • biocontrol with feedback
    • healing deep muscle massage
    • acupuncture of spasticity and pain syndromes
    • occupational therapy
    • psycho-educational classes
    • individual physiotherapy
    • microcurrent treatment
    • fangotherapy / cryotherapy
    • antispasmodic drug therapy
    • mobilization of limb joints
    • hydrotherapy / massage therapy / reflexology
    • training on special trainers
    • etc.
  • nurses care
  • stay in the hospital with full board
  • symptomatic and drug therapy

How program is carried out

Preliminary preparation for surgery: quitting smoking and drinking alcohol 2 weeks before surgery; 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. X-ray examination and MRI of the knee joints are performed. The examination takes 1-2 days.

Surgical knee replacement. The operation is performed under general anesthesia and lasts for about 2 hours.

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. Normal walking without the use of walking aids (crutches, cane) will become possible in 6-12 weeks.

Finally, the attending physician will evaluate the results of control examinations, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Rehabilitation. The rehabilitation program begins after the transfer of the patient from the intensive care unit to a regular ward. It includes physical activity (from exercises in bed in the early days to exercises in the gym), physiotherapy, massage (including lymphatic drainage). After discharge from the hospital, the patient is transferred to a specialized rehabilitation clinic for 2 weeks, where he undergoes an advanced rehabilitation course.

Required documents

  • Medical records
  • X-ray examination, MRI/CT scan (if available)

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About the department

The Department of Adult and Pediatric Orthopedics at the University Hospital Hamburg-Eppendorf offers the full range of accurate diagnostics and effective treatment of diseases of the musculoskeletal system in patients of all age groups. The clinical focuses of the department's specialists include the treatment of diseases of the joints, spine, hand, foot, bone and soft tissue tumors, bone tissue and joint infections, orthopedic pathologies in children, and orthopedic rheumatology. The therapeutic options include both conservative and surgical therapy. The department is headed by Prof. Dr. med. Friedrich Böttner.

All department's doctors are distinguished by high professionalism, vast working experience, due to which they guarantee the best treatment result for their patients. Also, the availability of cutting-edge operating rooms, effective conservative and surgical techniques, including the sparing ones, contribute to the successful clinical activities.

The service range of the department includes:

  • Surgical treatment of diseases of the upper and lower limbs
    • Reconstructive joint-conserving surgery
    • Surgical correction of limb deformities, corrective osteotomy
    • Surgery for congenital and acquired malformations of the upper and lower limbs
    • Arthroscopic joint surgery (shoulder, elbow, hip, knee, ankle joints)
    • Open surgery for all joints
    • Joint replacement surgery (shoulder, elbow, hip, knee, ankle joints)
    • Artificial ankylosis
    • Surgical resection of musculoskeletal tumors, including spinal tumors
    • Bone tissue repair
    • Tendon reconstructive surgery
  • Surgical treatment of spinal diseases
    • Minimally invasive spinal surgery
    • Spinal fusion
    • Correction of spinal deformities
    • Spinal disc replacement surgery(cervical and lumbar spine)
  • Conservative therapy
    • Comprehensive pain therapy (on an inpatient basis)
  • Other medical services

Curriculum vitae

Education

  • 1991 - 1997 Rostock University, Medical School, Germany.
  • 08 - 09.1992 Postgraduate Training Program, George Mason University, Fairfax, Virginia.
  • 02 - 03.1994 World Health Organization, Acupuncture, TaiChi&Chiropractic Training, Beijing, China.
  • 09 - 12.1996 Rotation in Orthopedic Surgery, New York University, Bellevue Hospital, New York.
  • 01 - 04.1997 Rotation in Internal Medicine, Tulane University, Tulane Medical Center, New Orleans, LA.
  • 05 - 08.1997 Rotation in General Surgery, Stellenbosch University, Tygerberg Hospital, Cape Town, South Africa.
  • 09 - 10.1997 Rotation in Orthopaedic Surgery, University of Birmingham, Royal Orthopaedic Hospital, Birmingham, United Kingdom.
  • 1997 Graduation, Rostock University Medical School.

Professional Career

  • 1998 - 1999 Internship in Orthopaedic Surgery, Department of Orthopedics, University Hospital Muenster, Germany.
  • 1999 - 2000 Residency in Orthopaedic Surgery, Department of Orthopedics, University Hospital Muenster, Germany.
  • 12.1999 Visiting Resident, Prof. T.P. Sculco, Hospital for Special Surgery, New York, USA.
  • 05 - 06. 2000 Travelling Fellow, American Orthopedic Association and North German Orthopedic Association, Loma Linda Medical School, Loma Linda, CA, USA.
  • 2000 - 2001 Research Fellow, Arthroplasty, Surgical Arthritis, Hospital for Special Surgery, New York, USA.
  • 2001 - 2004 Residency in Orthopaedic Surgery, Department of Orthopedics, University Hospital Muenster, Germany.
  • 01.2004 German board certification in Orthopedic Surgery, Germany.
  • 2004 Orthopaedic Surgeon, Department of Orthopedics, University Hospital Muenster, Germany.
  • 2004 - 2005 Fellowship, Total Joint Arthroplasty, Hospital for Special Surgery, New York, USA.
  • 2005 - 2006 Fellowship, Sports Medicine, Steadman Hawkins Clinic of the Carolinas Spartanburg, SC, USA.
  • 08.2006 Attending Orthopedic Surgeon, Hospital for Special Surgery, New York, USA.
  • 08 - 09.2006 Pelvic Osteotomies Germany/Switzerland, Dr Kalchschmidt, Municipal Clinic Dortmund GmbH, Germany.
  • 10 - 12.2006 Hip Arthroscopy Fellowship. M. Philippon Steadman Hawkins Clinic, Vail, CO, USA.

Medical License

  • 09.2009 Full License, New York (253920).

Awards

  • 2000 Travelling Fellowship, North German Orthopedic Association/American Orthopedic Association.
  • 2005 Award for Excellence in Blood Management, Orthopaedic Research and Education Foundation.
  • 2013 European Society of Anesthesiology Best Abstract Award, Annual Meeting.

Memberships Professional Societies

  • South German Orthopedic Association, Germany.
  • German Society of Orthopedic and Trauma, Germany.
  • North German Orthopedic Association, Germany.
  • Orthopedic Research Society, Active Member, USA.
  • New York Medical Society, USA.
  • Arthroscopy Association of North America, USA.
  • International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine, USA.
  • Society for the Advancement of Blood Management (SABM).
  • American Academy of Orthopedic Surgeons (AAOS).
  • American Association of Hip and Knee Surgeons (AAHKS).

Photo of the doctor: (c) Universitätsklinikum Hamburg-Eppendorf (UKE) 


About hospital

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany!

Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care of the health of patients. About 2,900 of them are doctors and researchers, while more than 3,400 of them work as nurses and therapists. The hospital has 1,738 beds for inpatient treatment. The key principles of each employee’s work is care for the health and well-being of the patient.

It is worth noting that the medical facility became the first university hospital in Europe, which introduced an electronic system for storing medical histories. Thus, all the processes of diagnostics and treatment are stored electronically. In 2011, the hospital was certified as the first fully digital hospital in Europe.

The hospital presents all fields of modern medicine. The doctors of the medical facility have the necessary theoretical knowledge and enormous clinical experience, which allows them to easily cope with the treatment of common and extremely rare, complex clinical cases.

An important component of the university hospital work is research activities aimed at the development of innovative diagnostic and treatment methods. The main scientific focuses of the hospital include neurobiology, oncology, examination of the cardiovascular system, infectious and inflammatory diseases. Today, the key attention is also paid to researches in the field of molecular imaging and skeletal biology.

The hospital is distinguished not only by the first-class medical care, advanced technical equipment, but also by the modern infrastructure, courteousness, friendly and respectful attitude towards the patient by the entire medical staff.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Hamburg-Eppendorf live in comfortable single and double rooms designed in bright colors. Each room is equipped with an ensuite bathroom with a toilet and a shower. The standard room includes an automatically adjustable bed, a bedside table, a wardrobe, a table and chairs for receiving visitors, a telephone, a radio and a TV. Also, there is Wi-Fi access.

Meals and Menus

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

Hospital accommodation

During the outpatient program, you may stay in a hotel at the hospital.

Hotel

During the outpatient program, you may stay in a hotel of your choice. Managers will help you 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.

  • Coiling and clipping of aneurysms of different localizations
  • Transjugular intrahepatic portosystemic shunting in patients with portal hypertension
  • Minimally invasive surgeries (da Vinci)
  • Removal and reconstruction of mammary glands
  • Hyperthermic intraperitoneal chemotherapy (HIPEC)

These are arteriovenous malformations and angiomas, vascular aneurysms, pathologies of the mammary glands, pelvic organ prolapse, urinary incontinence, malignant tumors of various localizations (area of ​​​​special attention is treatment of intestinal cancer), pathologies of liver and pancreas, cataracts and rare ophthalmic pathologies (aphakia, aniridia ), infertility and other diseases.

  • Interventional neuroradiology
  • Mammology
  • Oncology
  • Gastroenterology
  • Surgery

Over 2,900 highly qualified physicians and researchers work at the hospital.