Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie
 Universitätsmedizin Leipzig

Dear Madame, Dear Sir,

the Division of Joint Replacement in Orthopaedics treats coxarthrosis, gonarthrosis and other degenerative changes in large and small joints.
Our services include a wide range of options regarding the implantation of cemented and non-cemented, uni-, bicompartmental and custom-made endoprostheses of the hip and knee joint. For these, minimal invasive and muscle sparing procedures are applied, which promote good postoperative function for both hip and knee joints and thus reduce postoperative pain.
Regarding the knee, we use both custom-made artificial joints and modern implants with improved kinematics, and unicompartmental prostheses, which preserve the ligaments and the adjacent joint structures. For tumors and revisions, Mega-Endoprostheses are used when necessary.
Another medical condition which progressively gains importance and is treated in our department is the avascular necrosis of the femoral head (AVN) in adults. Our department plays a key role in the preparation of guidelines on this subject and published - in cooperation with the German Rheumatism League - a patient guideline that can be accessed at www.AWMF.de. In addition to operative measures to take care of AVN, conservative treatments are increasingly being used.
The department of arthroplasty works closely together with the departments of Dermatology, Venereology and Allergology, the Rheumatism-Center and the Haemophilia Unit of our hospital in order to ensure optimal interdisciplinary care for our patients.

Prof. Dr. med. Roth
Head of Department of Joint Replacement/Orthopedics

Range of services
After exhausting all conservative treatment methods, such as physical therapy, medication, TENS treatment (delivery of electric current via the skin) and injections into the joint, Osteoarthrosis should be treated surgically. This allows us to remove the damaged parts and to replace it with an artificial joint (endoprostheses).

Coxarthrosis
Coxarthrosis is the technical term for the wear and tear of the hip joint. Typical clinical signs are the occurence of pain from the groin region to the knee and movement restrictions. When indicated, a surgical implantation of a total hip replacement (THR) can take place. This is the replacement of both the acetabulum and the femoral head. The implants are anchored with or without bone cement, depending on the bone quality. Depending on the degree and type of wear of the hip joint, a variety of implants are available. If suitable, a minimal-invasive surgical technique may be used, which results in less trauma to the tissue and allows a more rapid mobilization of the patient.

Gonarthrosis
Gonarthrosis refers to the wear of the knee joint. Clinical signs are, again, pain and movement restrictions and possibly a progressive deformity of the leg (bow legs, knock knees). The joint replacement is referred to as total knee replacement (TKR).
Here, the joint surfaces of the thighbone (femur) and shinbone (tibia) are replaced. Between the two mechanical hinge components from a metal alloy, a plastic inlay is inserted in order to provide an adequate range of movement. If only a part of the joint is affected, a so-called unicompartmental arthroplasty can be implanted. This results in a better function of the joint.

Other artificial joints
Artificial joints are also possible with arthrosis of other joints. Worth mentioning here in particular are the elbow joint, the ankle, shoulder, wrist, thumb saddle joint and the metacarpophalangeal joints of the fingers. The indication for endoprosthetic treatment of these joints can be confirmed in our outpatient clinics.

 
Letzte Änderung: 23.02.2016, 13:10 Uhr
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Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie