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Orthopaedics

We are reliant on a functioning musculoskeletal system, both when going about out daily and professional lives and when performing physical and sporting activities. Pain and functional limitations reduce our quality of life. The causes can be very varied and often require professional assessment and treatment. That is where we are here to help, with a wealth of experience in all orthopaedic disciplines and modern treatment concepts. Our professional motivation is to ensure that you can enjoy maximum quality of life.

Orthopaedic treatment concepts are used for people of any age.

We have patients from all age groups. Age-related, degenerative joint diseases (arthrosis) and painful malalignments, for example, of the knee or feet, are common reasons for people to contact us. Younger patients often seek an orthopaedic consultation for complaints associated with malalignment or overuse and sports-related issues. Patients with acute or chronic problems as a result of accidents also make up an important part of our daily orthopaedic work in the crossklinik.

Together with the patient, we define a conservative or surgical therapy procedure. Discussions do not focus on artificial joint replacement until all reconstructive, joint-preserving treatment options have been exhausted. In all cases, the needs of the individual patient are the priority when determining the appropriate treatment steps.

The shoulder joint is the most flexible joint in our bodies. A complex interaction of joints, ligaments and muscles is required to enable painless and complete mobility of the shoulder girdle. Shoulder pain may be due to overuse, wear or injury, and requires precise clinical and radiological evaluation to establish the cause. At the crossklinik, all problems involving the shoulder girdle are treated by a specialist team of doctors, sports scientists and physiotherapists. We have a special interest in arthroscopy (keyhole surgery) and prosthetic surgery (artificial joints).

Treatment areas:

  • Rotator cuff tears
  • Arthrosis of the shoulder
  • Impingement syndrome
  • Shoulder instability
  • Bone fractures
  • Ligament/tendon damage
  • Epicondylitis (tennis/golfer’s elbow)
  • Arthrosis of the elbow

The hand is a multifunctional body part that performs an incredible range of sophisticated functions. Indeed, it is not without good reason that the hand is referred to as a sensory organ. The combination of joints, bones, muscles, nerves, tendons and blood vessels, however, makes it a very complicated and vulnerable organ. The presence of so many different anatomical structures therefore requires extensive expertise to successfully treat conditions and injuries affecting the hand.

The most common complaints affecting the hands are inflammation of the tendon sheaths, nerve compression syndromes (e.g. carpal tunnel syndrome), painful snapping of the fingers, wear and tear of the joints (e.g. rhizarthrosis), ganglion cysts and hand injuries. In many cases, conservative treatment methods are sufficient, but surgical procedures often have the benefit of immediate functional improvement and a shorter healing period.

Forming the link between our trunk and our lower extremities, the hip joint is the largest joint in our musculoskeletal system. As a ball joint, it is extremely flexible in all directions. When patients experience functional restrictions of the hip joints due to arthrosis or injury, the surrounding joints are often affected as well. For example, the patient will suffer from pain in the lower back or knees. In many cases, physical activity and/or physiotherapy may resolve or stave off discomfort. Medicines can also be used to ease the pain. If the joint damage is at an advanced stage, surgical therapy must be considered. Depending on the situation, the options include joint-preserving arthroscopic procedures or prosthetic hip replacement. For prosthetic treatment, we are able to use minimally invasive surgical techniques in the majority of cases.

Treatment areas:

  • Osteoarthritis of the hip (coxarthrosis)
  • Minimally invasive total hip prosthesis
  • Hip arthroscopy for hip impingement and labral tears
  • Muscle and tendon injury to the muscular system surrounding the hip
  • Nerve compression syndrome (sciatic nerve entrapment)

The normal functioning of a knee joint is essentially dependent on its stability, its joint axis, the condition of the articular cartilage and the menisci. If one or more of these factors is impaired, more rapid degeneration and development of osteoarthritis of the knee, in addition to restrictions to daily life and physical activity can be expected. In some cases, it is possible to compensate for malfunctions or even delay the onset of symptoms associated with degenerative changes to the joint by ensuring the muscles are well exercised. In order to create an appropriate therapy concept, it is essential to first establish the nature and extent of the damage.

If there is any relevant instability that cannot be compensated for by the muscles, a surgical treatment strategy must be discussed.

Where changes in the cartilage or the onset of gonarthrosis is detected, injections into the joint can help to delay further degeneration alongside systemic treatments.

In principle, treatment options to preserve the joint should be favoured over joint replacement. In cases where it is possible to preserve the joint, arthroscopic or open, axis correction surgical techniques are used.

Where there is advanced knee osteoarthritis, there is an indication for partial or total prosthetic joint replacement. Both techniques are available at the crossklinik. In addition to conventional implantation techniques, we also offer a navigated, computer-assisted surgical procedure.

We also offer treatments for the following complaints:

  • Osteoarthritis of the knee (gonarthrosis)
  • Artificial knee joint (knee prosthesis)
  • Leg axis correction (corrective osteotomy around the knee joint)
  • Cruciate ligament surgery
  • Meniscal surgery
  • Partial meniscectomy
  • Meniscus repair
  • Cartilage surgery

Ankle joint
Our hind foot fits congruently into the mortice between the inner and outer ankle, and in conjunction with the system of muscles and tendons, provides the mechanism that enables us to walk. Stability is ensured passively by ligaments and actively by tendons and muscles. Due to the high degree of strain that they are subjected to in everyday life and during physical activity, these structures frequently sustain injury or damage due to overuse. We have been dealing with these common ankle problems for many years, including:
• Torn ligaments
• Cartilage damage
• Achilles tendon ruptures
• Ankle fractures
• Problems with entrapment (impingement)


Foot
The function of the skeleton of the foot, which carries us thousands of steps each day, depends on the harmonious interplay of a multitude of small bones. The malfunction of just a single connector in the foot can cause pain. Common reasons why people consult a doctor include conditions such as flat feet, or foot deformities such as splayfoot, which worsen over time. Arthrosis in various small joints of the foot can also result in pain. Surgical therapy must be considered in cases where the level of pain is restricting activity, deformities are worsening over time or the patient has problems wearing closed shoes. Generally, surgical techniques to either preserve or stiffen the joint are chosen.

Treatment areas:

  • Splayfoot problems, hallux valgus (bunion)
  • Toe malposition
  • Arthrosis
  • Tendon problems
  • Heel pain

We also perform nerve surgery and decompression surgery on the lower limbs, trunk and groin area. Nerve pain (neuralgia, entrapment) can occur after surgery, an accident or nerve entrapment due to scarring. When it comes to assessment and, if necessary, surgical therapy, we can also draw on the decades of experience of Prof. Dr. med. N. Lüscher, who works as a consultant in this field.

Physical and sporting activity makes a significant contribution to our overall well-being. Even with artificial joints, such activities can be maintained. A sensible level of performance and good technique are important, and caution is necessary for high-impact sports or those with a high torsional load. We will be happy to advise and support you when returning to your sport following surgery.

The best solution approaches often emerge during personal conversations. We are happy to take the time to discuss your personal concerns and develop an individual plan to enable you to achieve your goals.


Minimally invasive surgery on the foot and ankle joint

Minimally invasive surgery is the new surgical standard for procedures involving the foot and the ankle joint, and has been used successfully at the crossklinik for many years. Here, you can find out all about this gentle surgical technique, which leaves almost no visible scars.

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