If you are looking for an experienced and renowned orthopedic surgeon in Vienna / Austria, you will find some top specialists here for conservative and surgical treatments for the entire range of reading in orthopedics.
The most important services at a glance:
For surgical operations on the hip, I have specialized in the minimally invasive surgical technique via the front (anterior) access - it has the following advantages:
If a patient reports a so-called start-up pain (pain in the hip or groin during the first steps) stress pain, but also rest and night pain, and reports that it is difficult to bind shoes, this indicates an advanced wear of the hip joint (coxarthrosis, coxarthrosis) out. If the wear and tear with conservative treatments is no longer manageable for the patient, this very often leads to the need for an implantation of an artificial joint on the hip (hip endoprosthesis, total endoprosthesis) after thorough examination and taking x-rays.
The minimally invasive surgical technique via the front (anterior) access, which I have been carrying out for over 13 years, is the best method from the expert's point of view to provide surgery for patients with primary and secondary coxarthrosis as well as fractures of the femoral neck. Complex malpositions of the proximal femur are excluded.
Of course, our experts use the highest quality titanium implants available on the market, ceramic pairings or highly cross-linked polyethylene. At times, the bone quality also makes it necessary to use cemented implants.
Due to many years of work as senior physician / chief in the endoprosthetics teams of the leading clinics for orthopedics and orthopedic surgery in Vienna, which in medical care also has to take on the responsibility for difficult prosthesis changes and care for periprosthetic fractures, some of these experts have been with this again and again Faced as an operator.
This very elegant surgical method is very well suited to remove the excess bone especially during CAM hip impingement (FAI) and to restore a physiological / normal head and neck waist. In addition, changes to the socket and cracks in the joint lip (labrum) can also be treated arthroscopically.
With knee arthroscopy (joint mirroring), our experts perform surgical interventions on the meniscus in the event of meniscal tears (meniscal rupture) using the meniscal suturing technique or partial meniscal removal. Small localized cartilage injuries can also be treated arthroscopically. Free joint bodies (so-called "joint mice") are removed arthroscopically.
If the patient is “only” wearing the joint on the inside (medial side), the joint on the outside (lateral) including the meniscus situation is intact and the anterior cruciate ligament is intact next to the other ligaments, a so-called “hemislide prosthesis” can be used.
Our experts can draw on a wealth of experience here and have learned this technique from the best knee specialists in Austria's renowned hospitals, where for years the knee experts have only been involved in the implantation of half-sled prostheses.
When replacing an artificial knee joint with an existing gonarthrosis (wear of the knee joint), the functional unit consisting of joint, muscle and ligament structures of the natural knee joint must be taken into account. Depending on the cause of the underlying disease, each patient shows a different degree of destruction (degree of wear) of the 3 joint compartments.
The symptoms are changing, relapsing, shooting joint pain, effusions, increasing restriction of the mobility of the knees and reduction of the walking distance are becoming more and more common. Joint misalignments can also occur.
Conservative therapy of knee gonarthrosis in Vienna / Austria:
If the clinical subjective complaints can no longer be adequately controlled by conservative measures, there is a need for surgical treatment of gonarthrosis in Vienna.
Surgical therapy of knee gonarthrosis in Vienna / Austria:
In addition to hip arthroplasty, we also extensively present knee arthroplasty here, especially since most hospitals for orthopedics and orthopedic surgery in Vienna have a particularly innovative and special set of instruments for minimally invasive (MIS) surgical technology in knee arthroplasty. Thus, all patients are successfully cared for with this tissue and muscle-friendly surgical method.
This involves either a dull pushing apart of the lower, oblique muscle fibers of the vastus medialis muscle over a length of 1-3 cm, which only need to be adapted superficially when closing the wound, so-called MIDVASTUS access. This means that the so important extensor tendon (quadriceps tendon) is not injured and the patients can stretch and bend better during postoperative mobilization thanks to an improved force! The same applies to the SUBVASTUS approach, in which the vastus medialis muscle is bluntly detached from the intermuscular septum, thereby maintaining the integrity of the extensor.
Our knee joint experts use tried and tested, high quality endoprostheses that enable them to function very well. This depends not only on the surgical technique and the artificial joint used, but also on the condition of the knee before the operation.
Advantages of the methods used for knee replacement in Vienna are:
It should also be possible to practice sporting activities with an artificial knee joint. Basically, all joint-friendly sports can be practiced with smooth and flowing movements such as swimming, cycling, cross-country skiing and hiking. Shock movements on the joint as usual in contact sports (squash, handball and football) should generally be avoided so as not to endanger the life expectancy of the artificial knee joint.
This is the operative exchange of individual components or the entire previously implanted knee prosthesis.
Depending on the bone condition, ligament stability, malposition of the implanted knee prosthesis or if there is even a periprosthetic fracture (fracture of the bone into which the prosthesis was implanted), a previously uncoupled prosthesis must be replaced with a partially coupled or coupled knee prosthesis.
For example, axis-guided knee prostheses are used in a knee revision and are anchored in the bone with additional long stems. On average, such a knee revision becomes necessary about 10 to 15 years after the first implantation of the artificial knee joint, if it shows signs of wear or loosening.
Symptoms of loosening the knee prosthesis include pain during exercise, but also pain at rest, restricted movement, swelling and a feeling of instability in the knee joint.
After an infection has been ruled out by a puncture of the knee joint, the knee inspection can be started.
In some cases it is sufficient to replace the loose, worn components. Due to the modularity (modular principle) of the available revision prostheses, the individual parts of the knee prosthesis can be combined with one another in a wide variety of ways and individually adapted to the patient's situation.
