Joint replacement in Germany: masterly performed last-line treatment
October 1st, 2019 by Brown Traci
Joint replacement in Germany includes endoprosthetics of all large and small joints. Individual prostheses selection and using reliable materials (e.g. carbon-coated, metal or plastic implants) guarantees a long recurrence-free period and high quality of life after the surgery. German doctors are particularly competent in performing technically complicated revision surgeries and post-surgical orthopedic rehabilitation. Hip and knee arthroplasty is the most commonly performed procedures.
Absolute and relative indications for arthroplasty
Joint replacement surgery is always the last-line therapy in all joint pathologies. Only when the conservative techniques, including pharmacotherapy and physical therapy, can not relieve symptoms, the substitution of the affected joint with an artificial implant is considered.
The hip joint is replaced in patients with:
- Idiopathic coxarthrosis at stages ІІІ-ІV. Patients at stage II can be candidates for surgery in the presence of severe pain syndrome along with functional disorders.
- Dysplastic coxarthrosis at stages ІІІ-ІV. Patients at stage II can be candidates for surgery in the presence of severe pain syndrome along with functional disorders.
- Non-infectious (aseptic) femoral head necrosis.
- Hip impingement.
- Posttraumatic joint changes.
The knee is replaced in patients with:
- Osteoarthritis at stage IV. Patients at stage III can be candidates for surgery in the presence of a severe disability.
- Inborn joint deformities, including dysplasia.
- Severe traumatic damages and posttraumatic deformities.
- Chronic infectious processes.
- Joint deformities connected with autoimmune pathologies.
Eligible patients undergo thorough examination for assessment of general health conditions and excluding possible contraindications for the surgical intervention.
X-ray examination, CT scans or MRI, and osteodensitometry allow doctors making choice between the total hip replacement and sparing superficial arthroplasty (McMinn’s surgery). Patients with significant joint deformities, osteoporosis, or femur neck fracture are candidates for total hip replacement. McMinn’s surgery is considered inactive physically and young patients with a relatively preserved femur.
Regardless of the replacement surgery type, the intervention includes the following stages:
- Providing a patient with anesthesia, general or spinal one.
- Making large incisions for the back or front surgical approach in open surgeries or making 3-4 cm long incisions in minimally invasive surgeries.
- Removing a damaged hip joint and an artificial prosthesis placement.
- Connecting the prosthesis to the bones with surgical cement or by the cementless method.
- Closing the wound and putting a sterile dressing on it.
In the early postoperative period, physical rehabilitation starts. McMinn’s surgery allows the mobilization of a patient as early as a day after the intervention.
Depending on the extent of the knee joint affection, German surgeons select one of the three basic techniques of arthroplasty.
Total knee replacement includes a substitution of the entire knee joint. During the procedure joint parts of femur and tibia are processed, the patella undergoes resurfacing, and metal implant with a medical-grade plastic spacer is placed. The prosthesis can be fixed with both bone cement and the cementless method.
Unicompartmental knee replacement is a type of partial joint substitution. Suitable candidates for the intervention are patients with affection for separate joint structures. For example, the Repicci implant substitutes only one femur condyle and may be placed during the minimally invasive procedure, which is an additional benefit.
Resurfacing of the knee is performed with UniCAP or HemiCAP implants. HemiCAP is designed for the femoral and patellofemoral resurfacing. UniCAP is designed for the resurfacing of extensive cartilage lesions. Both interventions affect only cartilage, preserving the bone component of the knee joint.
Arthroplasty in Germany with Booking Health
Thousands of patients attracted by the benefits of the German healthcare system undergo joint replacement in Germany annually. The most reliable way of overcoming all possible administrative and medical obstacles is using the services of Booking Health.
Booking Health is the certified provider of medical tourism (quality control certificate ISO 9001:2015) that offers help in organizational and health-connected issues:
- Choosing the right hospital based on independent ratings.
- Distant consultations directly with your physician.
- Preparing medical programs in advance and explaining its stages.
- Providing reasonable costs, without overpricing and additional fees (saving up to 50%).
- Making the appointment without being on the waiting list.
- Monitoring treatment at all stages.
- Help in buying and forwarding medical products, if necessary.
- Communication with the clinic during recovery of a patient, arrangement of follow-up examination.
- Control of all invoices and return of unspent funds.
- Offering service of the TOP level: booking accommodation and plane tickets, transfer organization, services of translator and interpreter.
Should you apply via the “Send request” form on the website bookinghealth.com, a specialist will contact you the same day for planning further steps towards your health restoration.