General and trauma surgery
We are a team of experienced trauma surgeons and we provide care for approximately 250 poly-traumatized patients per year, i.e. patients with life-threatening injuries.
Our department deals with initial treatment (including life saving emergency resuscitation) as well as further surgical treatment of accident victims and polytrauma patients; in this way every, member of the trauma team contributes to the continuum of quality trauma care.
The care of severely injured patients in the shock room is provided by all specialized disciplines, however, the team of trauma surgeons take the lead role. Our clinic a is a central interface in the trauma network and we have one of the highest treatment volumes of poly traumatized patients per year amongst German clinics.
Injury patterns, diagnostics, therapy and injuries of children and adolescents greatly differ from those of adults due to the characteristics of the growing skeleton.
With regard to this particular circumstance we put special focus on the treatment of injuries with children and young people. A major portion of accidents occurs during school and kindergarten time or on the way to school and kindergarten. These are subject to the workman’s compensation treatment procedures.
Our goal is to achieve an optimal treatment result by means of early therapy and rehabilitation planning. This also involves recognizing problems at an early stage and adapting the treatment, if required. Numerous injuries with children may be treated conservatively, i.e. without surgery, taking into consideration the expected growth that potentially may correct misalignment subsequent to bone fractures.
However, this is not possible with all fractures, so sometimes surgery is necessary in order to avoid late damages. We employ methods specially designed to children as e.g. elastic intramedullary titanium nails (ESIN). Numerous methods may be performed minimally invasive (keyhole surgery). Besides treating bone fractures we offer a wide range of diagnostics and therapies of joint injuries including injuries to the meniscus and cruciate ligament, cartilage defects, and vascular disorders such as osteochondrosis dissecans. We provide both acute care for fresh injuries and also treatment of subsequent conditions.
Despite optimal therapy of a bone fracture, deformations and functional limitations of a joint may sometimes arise due to so-called growth disorders. Depending on the localization and type of injury a spontaneous correction caused by further growth may be awaited, or a corrective surgery might be planned and performed. A severely injured child always represents a particular situation.
The cooperation with the Garmisch-Partenkirchen Clinic ensures optimal treatment of children by means of close interdisciplinary cooperation with various specialized departments such as paediatric surgery, paediatrics, anaesthesia and radiology.
Our range comprises:
- Example for elastic intramedullary nailing with titanium nails of complete forearm fracture of a 9-year old child.
- Fresh injuries of motion system
- Bone fractures
- Joint injuries including injuries of meniscus, ligaments and cartilage
- Poly traumatized patients / severely injured children
- Paediatric surgery methods
- Minimal invasive surgery (keyhole surgery)
- Treatment of post trauma conditions
Visceral traumatology is the general term for injuries to the intestines (Latin: viscera, adjective visceralis: “concerning the intestines“).It basically refers to injuries of the entire abdominal area, but also injuries of the lung, throat and oesophagus.
The major causes for visceral traumas are road traffic accidents.
Injuries to the abdominal area are often caused by impacts onto the steering column or due to compression exercised by the seat belt across the pelvis. Children also suffer from visceral injuries, typically caused by bicycle or scooter accidents.
Direct impact handlebar injuries account for a significant proportion of bicycle-related injuries to internal organs. Abdominal or soft tissue injuries are primarily dangerous due to the threatening internal blood loss. This concerns above all injuries of spleen and liver.
Other severe trauma injuries may affect the so-called hollow organs, e.g. injuries of stomach, small intestines or colon. Gastrointestinal organs such as the bowel can spill their contents into the abdominal cavity which may cause severe life-threatening infections of the abdominal region. Besides clinical examination abdominal injuries are diagnosed by ultrasound scan and computer tomography.
In most cases this is sufficient for a clear unambiguous diagnosis. Sometimes, however, laparoscopy is required in order to get a correct diagnosis; this minimal invasive key-hole technique allows direct examination of the abdominal region. Severe abdominal injuries are often linked with further injuries of poly traumatic events.
The priority is stabilizing the patient with definite treatment following in the course. This care of the most severely injured trauma patients is referred to as “damage control surgery” meaning a type of surgery preventing further damage. Visceral trauma care does not only concern the critical first minutes of treatment but also the reconstructions of injury consequences subsequent to abdominal injuries. Such injuries may be abdominal wall hernia and reconstruction surgeries in case a temporary artificial bowel outlet was initially created.
Functional proctological disorders, i.e. concerning the colon, are frequent after pelvic injuries. The differentiated care of such consequences is also a task of visceral trauma care.
The center for trauma surgery and sports orthopaedics at the Garmisch‐Partenkirchen clinic is operated by the BG-Unfallklinik Murnau (Workmen’s Compensation Trauma Clinic Murnau, Germany) since July 01, 2007.
Patients benefit from modern surgery methods based on the availability of modern extensive technical equipment. We provide intramedullary supports, fixed angle implants, miniature surgical implants for hands and intraoperative x-ray and navigation techniques up to different methods of minimal invasive surgery of joints. The departments for trauma surgery and sports orthopaedics ensures the conservative and surgical treatment of injuries as well as the treatment of subsequent damage and arthrocentesis.
In addition, the center for trauma surgery and sports orthopaedics is the head of the interdisciplinary emergency ambulance. High quality emergency patient care for trauma patients at specialist level is ensured for 24 hours a day with 5 treatment units, a shock room with modern equipment, ultrasonic, x-ray and cross sectional diagnosis. Patients suffering from polytraumas, spinal cord injuries or severe craniocerebral trauma are treated in close cooperation with the Trauma Clinic Murnau (BG‐Unfallklinik Murnau) which guarantees - if necessary – a transfer of such patients to the corresponding specialized department at any time.