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Endoprosthesis replacement in knee arthritis with rehabilitation (424307) | University Orthopedic Hospital Hannover-Annastift MHH - BookingHealth
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X-ray examination and MRI of the knee joints are performed. The examination takes 1-2 days.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgical knee endoprosthesis replacement<\/strong>. The operation is performed under general anesthesia and lasts for about 2 hours.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Postoperative care<\/strong>. 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.<\/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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X-ray examination and MRI of the knee joints are performed. The examination takes 1-2 days.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgical knee endoprosthesis replacement<\/strong>. The operation is performed under general anesthesia and lasts for about 2 hours.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Postoperative care<\/strong>. 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. 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Endoprosthesis replacement in knee arthritis with rehabilitation in University Orthopedic Hospital Hannover-Annastift MHH

University Orthopedic Hospital Hannover-Annastift MHH

Hannover, Germany
Program id # 424307
Doctor photo
Prof. Dr. med. Henning Windhagen
Department of Reconstructive Joint Surgery and Endoprosthetics
Specialized in: reconstructive joint surgery, endoprosthetics

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 of blood coagulation
  • X-ray examination of the knee
  • CT scan of the knee
  • preoperative care
  • endoprosthesis replacement
  • symptomatic treatment
  • control examinations
  • physiotherapeutic procedures
  • orthopedic appliances
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • explanation of future recommendations


The program includes orthopedic rehabilitation:

  • Primary presentation in the clinic
  • medical history, including family history
  • complex neurological and orthopedic examinations
  • X-ray examination
  • complex neurophysiological examinations
  • individual rehabilitation program, which includes:
    • Wii Fit training in the use of the balance
    • neuropsychological therapy
    • functional therapy of the upper extremities (ArmeoSpring)
    • kinesitherapy (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 endoprosthesis 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 Reconstructive Joint Surgery and Endoprosthetics at the University Orthopedic Hospital Hannover-Annastift MHH offers the full range of services in these fields. The department is headed by Prof. Dr. med. Henning Windhagen, who is a highly qualified surgeon with outstanding achievements in the area of his specialization.

The main clinical activities include minimally invasive hip and knee replacement surgery, other interventions on the hip and pelvic organs, surgery to remove benign and malignant tumors of the musculoskeletal system. The department has state-of-the-art operating rooms, equipped with everything necessary for successful treatment.

The service range of the department includes:

  • Joint replacement surgery
    • Hip and knee replacement surgery in severe lesions
    • Revision joint replacement surgery, joint replacement surgery after septic and neoplastic lesions
    • Joint replacement surgery in rheumatic diseases, osteoporosis, necrosis
    • Bone tissue transplantation
    • Manufacturing of individual prostheses (customized)
    • Minimally invasive knee and joint interventions
    • Surgical procedures under the control of navigation systems
    • Other services
  • Hip and pelvic surgery
    • Treatment of impingement syndrome with the help of joint-preserving techniques
    • Bone and soft tissue surgery
    • Corrective osteotomy in lesions of the pelvic bones and femur
    • Treatment of femoral head necrosis (within the specialized center)
    • Other services
  • Corrective interventions to eliminate deformities
    • Complex reconstructions in deformities
    • Bone lengthening (according to Ilizarov’s technique)
  • Treatment of benign and malignant tumors of the musculoskeletal system
    • Surgical treatment of bone sarcoma
    • Joint replacement surgery after interventions to remove tumors
    • Biological methods of reconstruction
    • Surgical treatment of metastases in bone tissue
    • Surgical treatment of soft tissue sarcoma
    • Treatment of benign tumors of soft tissues and bones
    • Other medical services

Photo of the doctor: (c) DIAKOVERE Annastift 


About hospital

According to the prestigious FOCUS magazine, the University Orthopedic Hospital Hannover-Annastift MHH ranks among the top German hospitals of 2018!

As an academic hospital at the Hanover Medical School, the University Orthopedic Hospital Hannover-Annastift MHH offers a first-class medical care corresponding to the highest level of university medicine. The hospital is fitted out with the advanced medical equipment, an innovative X-ray unit, five modern operating rooms and the state-of-the-art Outpatient Surgery Center. The competent medical team, consisting of 540 workers from various medical areas in the field of orthopedics, takes care of the health and well-being of patients.

The main clinical focuses of the medical facility include spinal surgery, knee, hip, shoulder, ankle endoprosthetics, pediatric orthopedics and neuro-orthopedics, sports orthopedics and intensive care. The specialists from all these areas work in close cooperation, thereby providing patients with comprehensive and effective treatment of even the most complex and advanced clinical cases.

The peculiarity of the hospital is that its employees honor the long traditions of the medical institution and, just like a hundred years ago, they give the first priority to moral values, human attitude towards patients and respect for each individual.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Orthopedic Hospital Hannover-Annastift MHH live in comfortable triple patient rooms. Single or double enhanced-comfort rooms may be booked at extra charge. The furnishing of the standard patient rooms includes a comfortable bed, a bedside table for personal items, TV, a radio and a telephone. On the territory of the hospital there is wireless Internet. Also, the hospital operates the Rooming-in, system, thanks to which children may stay in one patient room with their parents.

Meals and Menus

The patients of the hospital are offered a delicious and quite varied three meals a day. In addition to the daily menu, a list of individual dishes is available to choose from. In addition, the menu features vegetarian dishes. With appropriate indications, the dieticians of the hospital will develop an individual diet for the patient. Also, on the territory of the hospital there is an excellent cafeteria where one can have a cup of aromatic coffee or hot tea with delicious confectionery.

The hospital offers a full range of laboratory tests (general, tests for infections, etc.), various modifications of ultrasound scans, CT scans, MRI and PET / CT, biopsy and other examinations. Treatment with medications, endoscopic and robotic operations are carried out here. The hospital offers patients all the necessary therapeutic techniques in the field of orthopedics.

  • Intervertebral disc replacement
  • Treatment of spinal stenosis
  • Stabilization of shoulder and other joints
  • Treatment of skull deformities
  • Joint replacement

These are herniated discs, spinal injuries and stenosis of the spinal canal, chronic back pain, damage of large joints (including sports injuries), cerebral palsy, scoliosis, hip impingement, foot deformities and other pathologies.

  • Spine surgery
  • Sports orthopedics
  • Pediatric orthopedics and neuroorthopedics
  • Joint replacement
  • Foot surgery

Over 540 highly qualified physicians work at the hospital.