Surgery treatment of carpal tunnel syndrome in University Hospital Ulm
University Hospital Ulm
Ulm, Germany
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Program id #
533888
Prof. Dr. med. Florian Gebhard
Department of Adult and Pediatric Trauma Surgery, Hand Surgery, Foot Surgery and Plastic Surgery
Specialized in: adult and pediatric trauma surgery, hand surgery, foot surgery, plastic surgery The program includes:
- Initial presentation in the clinic
- history taking
- general clinical examination
- MRI/X-ray of the hand and forearm
- neurological examination
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- inflammation indicators
- TSH-basal, fT3, fT4
- indicators blood coagulation
- electromyogrphy
- electrophysiology
- general blood analysis
- preparation of pre-operational standard
- endiscopic surgery
- symptomatic therapy
- full board clinic stay for up to 4 days
- cost of required medications
- nursing staff services
- elaboration of further recommendations
Required documents
- Medical records
- Electroneuromyography (ENMG) (if available)
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About the department
The Department of Adult and Pediatric Trauma Surgery, Hand Surgery, Foot Surgery and Plastic Surgery at the University Hospital Ulm offers the full range of medical services in areas of its specialization. Founded in 1973, the department has earned the status of one of the best medical facilities of this kind in Germany. The department provides both conservative and surgical treatment of injuries of any severity in adults and children, as well as pathologies and deformities of the hand and foot. The department's specialists also effectively treat bone and soft tissue tumors in cooperation with orthopedists. In the field of plastic surgery, the main focus is on reconstructive interventions, skin grafting, and the removal of benign and malignant skin tumors. The department has 100 beds for the hospitalization of patients. The medical facility is certified by the German Trauma Society (DGU) as a supraregional Trauma Center, so patients can count on high-quality treatment using the most advanced therapeutic methods. The department's trauma surgeons also have long experience in the treatment of injuries in elderly patients (DGU certification). Patient care is provided on both an inpatient and an outpatient basis, with many minor surgical procedures being performed on an outpatient basis without a mandatory hospital stay. The team of the department's doctors works in accordance with current clinical protocols, always prioritizing the use of sparing treatment methods. The department is headed by Prof. Dr. med. Florian Gebhard.
The department's trauma surgeons admit patients with fractures of the upper and lower limbs, pelvis, and spine, as well as joint and soft tissue injuries. The medical facility employs a highly specialized team of experts for the treatment of young patients with fractures. Doctors treat fractures with plaster casts, and in complicated cases, minimally invasive surgery (osteosynthesis) is performed to stabilize fractures with screws, rods, plates, and other metal devices. When performing surgery, trauma surgeons align the fragments of the broken bone, due to which it is securely fixed in an anatomically correct position until complete healing.
The department is one of the largest medical facilities in the south of Germany, specializing in the treatment of spinal injuries. It has gained vast experience in the surgical treatment of spinal fractures, including osteoporotic fractures, and the correction of post-traumatic spinal curvatures. In many cases, orthopedists and neurosurgeons are involved in the therapeutic process. The specialists perform minimally invasive surgery to place modern titanium implants for the treatment of cervical spine fractures. For patients with thoracic and lumbar spine fractures, doctors implant internal fixation systems with angular stability. The department's operating rooms are equipped with advanced navigation systems, with the help of which surgeons manage to place implants and internal fixation systems for stabilizing spinal fractures with pinpoint precision. This very fact plays a decisive role in treatment success. The department's trauma surgeons brilliantly perform vertebroplasty and kyphoplasty to treat spinal fractures with osteoporosis. The use of minimally invasive surgical techniques for the treatment of spinal fractures allows the patient to quickly get rid of pain, and the patient can move independently on the day of the operation.
The department has been treating bone and soft tissue malignancies in adults and children, including spinal tumors and bone metastases, for more than 20 years. Patients with such diagnoses are treated in the specialized Sarcoma Center in close collaboration with the Comprehensive Cancer Care Center Ulm (CCCU). The focus of the department's physicians is on patients with spinal tumors. Degenerative processes in the vertebrae caused by malignant tumor growth are associated with a high risk of paraplegia (impairment of leg or arm function), so tumor surgical removal is required in such cases. Following the resection of a malignant spinal tumor, the department's specialists often perform stabilization interventions to prevent vertebral fractures. Should metastases be detected in the vertebral body, prosthetic repair may be required.
An integral part of the department's clinical practice is hand surgery. The specialists in this field treat traumas, burn injuries, rheumatic lesions, and other hand pathologies. Replantation interventions and surgical repair of congenital hand malformations in children are regularly performed here. Hand surgery is performed using modern microsurgical techniques, powerful surgical microscopes, and other high-tech equipment.
The department offers excellent medical services in the field of foot surgery. Foot diseases and injuries represent a serious problem because patients suffer from pain and cannot move normally. The department admits patients with a wide range of foot pathologies, deformities, and injuries, ranging from hallux valgus, hallux rigidus, hammer toe, Morton's neuroma to Achilles tendon ruptures and heel spurs. Whenever possible conservative treatment is preferred. Surgeons perform operations using minimally invasive techniques. This ensures a rapid recovery for patients in the postoperative period. Many foot interventions are performed in an outpatient operating suite.
The department's key clinical focuses include:
- Adult and pediatric trauma surgery
- 24-hour emergency medical care for patients with all types of injuries, including highly severe injuries and multiple injuries
- 24-hour emergency medical care for children with broken bones, soft tissue injuries, tendon injuries, and multiple injuries
- 24-hour emergency medical care for accidents at work, during leisure time, and sports injuries
- Conservative and surgical treatment of pseudarthrosis
- Conservative therapy
- Shockwave therapy
- Surgical treatment
- Osteosynthesis with nails, plates, or rods
- Transplantation of the patient's own bone tissue from the iliac crest or plastic surgery with artificial materials to replace bone tissue deficiency
- Conservative therapy
- Conservative and surgical treatment of bone and soft tissue infections
- Conservative and surgical treatment of bone and soft tissue malignancies of any location, including metastases in the spine and bones in adults and children (interdisciplinary treatment)
- Hand surgery
- Conservative and surgical treatment of hand injuries
- Conservative and surgical treatment of chemical burns and fire burns of the hand
- Conservative and surgical treatment of infectious lesions of the hand
- Conservative and surgical treatment of rheumatic diseases affecting the hand
- Surgical removal of hand tumors
- Surgical repair of hand deformities in children
- Hand and finger replantation surgery
- Foot surgery
- Conservative and surgical treatment of foot injuries
- Conservative and surgical treatment of hallux valgus
- Conservative and surgical treatment of hallux rigidus
- Conservative and surgical treatment of innervation disorders in ankle arthrosis
- Conservative and surgical treatment of acute and chronic ankle ligament instability
- Conservative and surgical treatment of acute and chronic injuries/diseases of the Achilles tendon
- Conservative and surgical treatment of tarsal tunnel syndrome
- Conservative and surgical treatment of Morton's neuroma
- Conservative and surgical treatment of exostosis
- Conservative and surgical treatment of heel spurs
- Conservative and surgical treatment of diabetic foot syndrome
- Surgical repair of traumatic and degenerative foot deformities
- Surgical repair of congenital foot malformations
- Surgical repair of hammer toe and claw toe deformities
- Surgical repair of foot deformities caused by rheumatic diseases
- Arthrodesis of the foot and ankle joints
- Ankle arthroscopy
- Ankle replacement surgery for arthrosis
- Tendon surgery (including tendon replacement surgery)
- Plastic surgery
- Scar revision after accidents, burns, and operations
- Plastic surgery for soft tissue defects
- Skin grafting
- Removal of benign skin tumors: nevi, hemangiomas, atheromas
- Removal of malignant skin tumors
- Other medical services
Curriculum vitae
Higher Education and Professional Career
- 1979 - 1985 Medical studies, Ludwig Maximilian University of Munich.
- 1985 - 1987 Captain and Diving Service Doctor in the Bundeswehr.
- 1987 - 1989 Assistant Physician, Department of Trauma Surgery and Burn Medicine, Central Bundeswehr Hospital in Koblenz.
- 1989 - 1993 Assistant Physician and later Senior Physician, Department of Urology, Bundeswehr Hospital Ulm.
- 1993 - 2006 Managing Senior Physician, Department of Adult and Pediatric Trauma Surgery, Hand Surgery, Foot Surgery and Plastic Surgery, University Hospital Ulm.
- 2003 Extraordinary Professorship, University of Ulm.
- Since 2007 Head Physician, Department of Adult and Pediatric Trauma Surgery, Hand Surgery, Foot Surgery and Plastic Surgery, University Hospital Ulm.
- 2010 Deputy Dean of the Faculty of Medicine, University of Ulm.
Qualifications
- 1988 Additional qualification in Sports Medicine.
- 1993 Board certification in Surgery.
- 1995 Specialization in Trauma Surgery.
- 1995 Additional qualification in Hand Surgery.
- 1998 Habilitation, University of Ulm.
- 2001 European Board of Surgical Qualification (EBSQ) Exam in Trauma Surgery.
- 2003 Additional qualification in Physiotherapy.
- 2006 Board certification in Orthopedics and Trauma Surgery.
- 2007 Qualification in Trauma Surgery.
Memberships in Professional Societies and Committees
- German Society of Surgery (DGCH).
- Surgical Research Section of the German Society of Surgery (DGCH).
- Professional Association of German Surgeons (BDC).
- Association of Bavarian Surgeons (VBC).
- German Trauma Society (DGU).
- Deputy Chairman of the Alumni Association German Chapter.
- International Society for Computer Assisted Orthopaedic Surgery (CAOS).
- International Member of the Orthopedic Trauma Association (OTA).
- Member of the Scientific Committee of the German Trauma Society (DGU).
- Editorial Board Member of the Langenbeck's Archives of Surgery.
- Advisory Board Member of Der Unfallchirurg, Springer.
- Deputy Chairman of the Working Group on Robot-Assisted Surgery of the German Trauma Society (DGU).
Photo of the doctor: (c) Universitätsklinikum Ulm
About hospital
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.
The University Hospital Ulm is the largest medical complex in the region, and practically all areas of modern medicine are represented here. Transplantology and oncology are among the priority areas of clinical activity in the medical facility. The hospital holds leading positions in the world in bone marrow transplantation. In addition, the hospital has advanced experience in cancer treatment. The Comprehensive Cancer Center is recognized as the leading facility of this kind in the country, and it is certified by the German Cancer Society (DKG). It provides effective treatment for various types of cancer. The center also offers innovative CAR T-cell therapy. In addition, the Cancer Center is actively engaged in research activities to improve available treatment methods and develop innovative therapeutic techniques to fight cancer.
Along with the use of advanced technologies, doctors show respect, understanding, and a humane attitude toward the patient. The medical team includes competent psychologists, who are always ready to provide assistance and support to the patients and their families during the therapeutic process.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the University Hospital Ulm live in comfortable single and double rooms with a modern design and light colors. All patient rooms have an ensuite bathroom with a toilet and a shower. The patient room furnishings include a comfortable automatically adjustable bed, a bedside table, a wardrobe, a table and chairs, a telephone, a radio, and a TV. Wi-Fi access is also available in patient rooms.
The hospital also offers enhanced-comfort rooms, which additionally have a safe, a refrigerator, and upholstered furniture. The bathroom in the enhanced-comfort room has changeable towels, a cosmetic mirror, a hairdryer, and toiletries.
Meals and Menus
Patients and their accompanying person are offered three meals a day: breakfast, lunch, and dinner. The patient and accompanying person have a choice of three menus every day, including a vegetarian menu. Patients staying in the enhanced-comfort rooms are also offered light snacks, fruits, desserts, and hot and cold drinks in the comfortable lounge area.
If, for some reason, you do not eat all the foods, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to treatment.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV
Religion
The hospital has a chapel where Catholic and Protestant services are held weekly. The services are also broadcast on the internal television channel of the hospital. The chapel is open 24 hours a day for visits and prayers.
The services of other religious representatives are available upon request.
Accompanying person
Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.
Hotel
You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.
