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Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) (667318) | Vivantes Humboldt Hospital Berlin - BookingHealth
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According to its results, the most suitable endoprosthesis is selected.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Hip replacement<\/strong>. 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.<\/p>\n\n<p style=\"text-align: justify;\">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.<\/p>\n\n<p style=\"text-align: justify;\">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.<\/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.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li>X-ray examination of the hip joints<\/li>\n\t<li>MRI scan of the hip joints, if available<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>physical examination<\/li>\n\t<li>review of medical records<\/li>\n\t<li>laboratory tests:\n\t<ul>\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>indicators of inflammation (CRP, ESR)<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>X-ray examination of the hip<\/li>\n\t<li>MRI scan&nbsp;of the hip<\/li>\n\t<li>preoperative care<\/li>\n\t<li>hip replacement (hip endoprosthesis)<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>control examinations<\/li>\n\t<li>physiotherapeutic procedures<\/li>\n\t<li>orthopedic appliances<\/li>\n\t<li>the cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>full hospital accommodation<\/li>\n\t<li>explanation of future recommendations<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>Preliminary preparation for hip replacement<\/strong> includes quitting smoking and drinking alcohol; cancelling non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen); cancelling anticoagulants (warfarin); normalization of body mass, if possible.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Preoperative examination<\/strong>, including consultation with an anesthesiologist and necessary related specialists, takes 1-2 days. According to its results, the most suitable endoprosthesis is selected.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Hip replacement<\/strong>. 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.<\/p>\n\n<p style=\"text-align: justify;\">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.<\/p>\n\n<p style=\"text-align: justify;\">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.<\/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. 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Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)

Vivantes Humboldt Hospital Berlin

Berlin, Germany
Program id # 667318
Doctor photo
PD Dr. med. Karsten Labs
Department of Trauma Surgery and Orthopedics
Specialized in: traumatology, 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 (CRP, ESR)
    • indicators of 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

The Department of Trauma Surgery and Orthopedics at the Vivantes Humboldt Hospital specializes in joint-preserving and reconstructive surgery of the whole musculoskeletal system, treatment of sports injuries received while practicing amateur or professional sports.The department is headed by Dr. Karsten Labs.

Also, doctors of the department perform treatment of serious injuries, for example, bone fractures or injuries of the soft tissues of the extremities, pelvis and spine caused by common injuries or injuries in the workplace. 

The goal of all specialists of the department is to restore patient's health and mobility as soon as possible. To do this, the department employs highly qualified doctors who work closely together. Well-coordinated work of paramedical personnel, physiotherapists and doctors ensures competent medical care in accordance with the individual needs of the patient.

The department provides treatment for such clinical pictures:

  • Fractures
  • Dislocations
  • Damage to ligaments
  • Damage to the tendon
  • Soft tissue damage
  • Compartment syndrome (compression syndrome)
  • Delayed healing of fractures
  • Pseudoarthrosis
  • Deformations after fractures
  • Infections of bones (osteitis, osteomyelitis)
  • Infections of soft tissues

The range of medical services of the Department of Trauma Surgery and Orthopedics covers:

  • Treatment of injuries of the highest severity (polytrauma)
  • Treatment of fractures in all segments of the skeleton
  • Treatment of spinal injuries (in cooperation with the Department of Back Treatment)
  • Endoprosthetics for hip fractures (in cooperation with the Department of Endoprosthesis)
  • Arthroscopic surgery, incl. various interventions for cartilage transplantation
  • Cross-linked operations
  • Surgical treatment of complex knee injuries
  • Endoprosthetics of the shoulder and elbow joint in severe fractures (in cooperation with the Department of Shoulder Surgery / Elbow Surgery)
  • Reconstructive and conservative surgery after trauma, non-healing wounds, inflammation or tumors in all parts of the skeleton
  • Treatment of injuries in the elderly (in close cooperation with the Geriatric Department)
  • Surgical treatment of acute infections of soft tissues, bones and joints

Curriculum vitae

  • 1985 - 1991 The study of medicine at the Berlin University. Humboldt, Charite.
  • 1991 Department of Traumatology, Oskar-Ziethen Krankenhaus Clinic, Lichtenberg.
  • 1992 - 1997 Department of Orthopedics, Charité University Hospital, Berlin.
  • 2005 Assignment of additional specialization in the field of sports medicine.
  • 2006 Assignment of the title of specialist in orthopedics and traumatology.
  • 1998 - 2004 Senior physician at the Department of Orthopedics at the Charité Hospital, Subdivision of Shoulder and Knee Surgery and Sports Orthopedics.
  • 2004 - 2005 Chief physician of the Center for Orthopedics and Traumatology, City Clinic of Brandenburg-on-Hafele.
  • 2005 - 2016 Chief Physician of the Orthopedics Department at the Asklepios Birkenwerder Hospital.
  • Since 2017, the head physician of the Department of Orthopedics and Traumatology, head of the Department of Surgery for the Restoration of Mobility, the Vivantes Humboldt Hospital.
  • Leading physician-orthopedist of the Olympic base of Berlin.
  • Certified doctor of the International Volleyball Federation (FIVB).
  • Doctor-consultant of the national track and field team.
  • Doctor Cycling Team KED-STEVENS Berlin.

Photo of the doctor: (c) Vivantes Netzwerk für Gesundheit GmbH 


About hospital

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin. The hospital is famous for its impeccable reputation in the field of traumatology, orthopedics, urology and gynecology, as well as treatment of oncological diseases. Treatment in these fields is performed within the specialized centers at a hospital of national importance.

The Humboldt Hospital has 24 medical departments and about 700 beds at its disposal. Every year, a team of 250 doctors treats about 65,000 patients. The hospital combines high medical qualifications and modern technologies: urologists-surgeons employ operating system Da Vinci, Holmium laser enucleation of the prostate and therapeutic robot, neurological rehabilitation uses exoskeleton for walking training after acute disorders of cerebral circulation.

High quality of treatment is proved by the participation of hospital in the "Initiative of Quality Medicine" (Initiative Qualitätsmedizin, IQM) program.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Vivantes Humboldt Hospital live in comfortable single and double rooms.

Rooms are equipped with everything necessary to make the patient's stay in the hospital as convenient and pleasant as possible. It is worth noting the modern and stylish design of the rooms are at the level of a first-class hotel.

Each room has a separate bathroom with toilet and shower. The rooms also have internet access, satellite TV and a telephone.

Meals and Menus

The hospital offers delicious and healthy meals. For lunch, the restaurant offers an abundant selection of meals from 10 menus. There is also a vegetarian and diet menu.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV