Knowledge Creation

On this page you will find some more information on Endoprosthetics.

The two different types of prosthetics

 Primary Endoprosthetics

Primary endoprosthetics is the first artificial joint replacement. Primary endoprosthetics is an established procedure worldwide for arthritic symptoms in order to treat patients for arthritic pain and restore mobility and quality of life. After accidental injuries however, primary endoprosthetics can be challenging when there has been bone loss, misalignments play a role, soft tissue coverage is problematic and possibly wound healing disorders or infection of the soft tissue and / or bone already exist. Possible implants are therefore weighed up in advance. Patient and physician must discuss the options together and plan the next therapy steps.

Examples of more complex operations are hip implants after pelvic fractures or knee replacements after tibial plateau fractures and instabilities or misalignments. 

The choice of possible implants always depends on the individual circumstances. The planning of joint replacements takes a high priority and always takes place prior to surgery. If there are doubts whether the available endoprostheses are sufficient, special implants are requested. In individual cases, an extra prosthesis must be manufactured which is planned and produced on the basis of three-dimensional cross-sectional images.

 Revision Arthroplasty

Revision arthroplasty is the partial or complete replacement of knee or hip prostheses,. Revision arthroplasty is becoming increasingly important. Causes are the increasing numbers of artificial joints and the aging population.

Exceeding the average service life of 15-20 years of hip and knee joints, can cause discomfort again due to wear and loosening of the implants. The wear and loosening mostly requires the partial or complete replacement of the prosthesis.

In addition to loosening, falls and fractures near prosthetics also play an increasing role. Special implants enable a rapid and complete recovery of function.

Infection of the prosthesis is a serious complication. Detection of infection of the prosthesis is a serious complication for the patient. The early and targeted treatment of infections and all accompanying diseases is important. Immunodeficiency, diabetes, arterial obstructive disease, and many others frequently play an important role in treatment. Therefore, the interdisciplinary collaboration with the departments of septic and reconstructive surgery, plastic surgery and internal medicine etc. are important. The goal is always the restoration of joint function and rehabilitation of the infection.