Cartilage Surgery Specialist Dr Kniffler

Dr/Univ. Libre de Bruxelles Heino Kniffler
Practice Owner
Specialist in Orthopaedics / Cartilage Surgery
Frankfurt, Germany

Orthopaedic practice clinic at the Kelkheim Health Centre  - Logo

Treatment Focus

  • Joint-preserving conservative and surgical therapies
  • Innovative joint-preserving osteoarthritis therapy
  • Modern interventions to regenerate cartilage in knee and ankle
  • Ligament-plasty at the knee
  • Diseases of the kneecap (patella)
  • Endoprosthetics of the knee joint

Medical Range

Range of Diagnostic Services

  • Imaging diagnostics: Digital X-ray, sonography
  • Bone densitometry: For osteoporosis, DXA method (calculation of mineral content using X-ray radiation)
  • 3D spine measurement: To analyse body statics and spine
  • Determination of final body height: Calculation of expected body height once growth is complete by means of X-ray image of the left hand
  • Cross-section imaging: Computed tomography (CT) and magnetic resonance imaging (MRI) are available at the Kelkheim Health Centre.

Range of Therapeutic Services

Joint-Preserving Conservative Therapies

  • Disburdening therapy using orthoses and insoles
  • Injection therapy utilizing endogenous, conditioned plasma (PRP) and hyaluronic acid
  • Injection therapy using endogenous fragmented adipose tissue
  • Coolief radiofrequency therapy for treating knee pain
  • MBST – MRI resonance therapy to stimulate cartilage regeneration
  • Extracorporeal shockwave therapy for muscle and tendon pain
  • Cryotherapy for reducing pain and eliminating swelling conditions
  • Physical therapy for swelling and pain relief
  • Kinesio taping, classic taping, immobilising bandages and splints
  • Recommendations for diet, behaviours, training and home exercises

Joint-Preserving Surgical Therapies

  • Joint-preserving minimally invasive surgery on the knee joint
  • Meniscus and cruciate ligament surgery
  • Stabilising operations on the kneecap (MPFL reconstructions)
  • Modern regenerative cartilage methods such as minced cartilage (autologous cartilage chips) with matrix application
  • Matrix-associated autologous chondrocyte transplantation MACT (autologous cartilage cell transplantation)
  • Osteochondral transplants OCT (cartilage bone transplantation)
  • Bone graft reconstructions of the knee and ankle joints
  • Osteotomies near the knee joint to correct the mechanical axis
  • Subchondroplasty (filling painful bone cysts under the cartilage)

Joint Replacement Surgery

  • Individual endoprosthetics on the knee joint with modern implants under navigation
  • Partial joint replacement such as unicompartmental knee replacement, insertion of mini-implants, and isolated replacement of the kneecap joint
  • Complex replacement of endoprostheses of the knee joint under navigation

About Dr/Univ. Libre de Bruxelles Heino Kniffler

Dr/Univ. Libre de Bruxelles Heino Kniffler is a specialist in cartilage surgery and co-owner of the orthopaedic clinic at the Kelkheim Health Centre.

For the physician in holistic preservation and restoration of the musculoskeletal system and his team, the patient is the center of activity and they proficiently accompany him or her on his way to active health.

Professional qualifications: Specialist in Orthopaedics and Orthopaedic Surgery

Dr Heino Kniffler is not only a specialist in orthopaedics, he is also educated in special orthopaedic surgery. With his broad knowledge and experience, he and his team symbolize optimal patient care in the Rhine-Main area.

Area of Specialisation: Modern Treatment of Cartilage Damage and Osteoarthritis

Dr Kniffler and his team cater to the individual needs of patients and offer innovative treatment methods with a special focus on joint preservation. Depending on the size, location and degree of the joint damage, and taking into consideration the patients' requirements in relation to his/her joint, individually tailored cartilage therapy can be offered. This service is possible due to the broad range of conservative and surgical treatment spectrum of the practice clinic.

PRP therapy (platelet-rich plasma): Numerous Application Areas

The so-called PRP method is considered to be particularly gentle and promising, because it is treated with the human body's own growth factors. In PRP therapy, the body's own platelet-rich plasma is injected into the affected joint. This substance contains growth factors which initiate self-healing and regenerative processes in the injected area. These promising therapies, the PRP therapy just mentioned here and, in addition, the so-called hyaluronic acid therapy (Improvement of the visco-elastic properties of the diseased tissue) have numerous applications. For example, after cartilage operations, such as micro-fracturing, mosaicplasty or autologous chondrocyte transplantation, these healing methods are implied. Even after surgery on tendons like cruciate ligament, Achilles tendon or rotator cuff injuries, the treatments promise great success as tissue regeneration is stimulated and homeostasis in the joint improves.

Autologous Fat Transplantation

AMFAT (autologous micro-fragmented adipose tissue) therapy with Lipogems® is an innovative therapy in which the body's own fat is processed, micro-fragmented, purified and concentrated in a closed system. The liquid thus obtained is then injected into the affected joint. When applying this biological treatment, physicians take advantage of the fact that there are 500 to 1000 times more active, reparative cells (mesenchymal stem cells) in adipose tissue processed with this technique than there are found in the same quantity of bone marrow. Immunomodulatory and anti-inflammatory effects occur in the damaged joint treated with Lipogems. Different growth factors are released, initiating repair processes and restoring homeostasis (metabolic balance) in the joint. The processed adipose tissue acts like a biological reactor in the joint, reducing inflammation and initiating regenerative processes which support the body's own healing powers and protect the cartilage from further damage.

Cartilage Surgery: Progress or Stage Depending

Cartilage is a nerve-free tissue that is not supplied through the blood and therefore, is not capable of regeneration. This means, once cartilage damage has occurred, it cannot reverse or heal itself and keeps deteriorating. Leaving the condition untreated, full-depth cartilage damage leads to the development of premature joint degeneration, in other words to osteoarthritis. Deep cartilage damage usually requires surgery. Only then, a natural healing process can be evoked to restore the joint function. Depending on the size, location, and degree of joint damage, various procedures are available.

For small cartilage damage, the so-called micro- or now called nano-fracturing method is performed arthroscopically. It is a drilling into the bone lamella adjacent to the cartilage. Better results are now achieved with the additional application of a matrix. These cell-free implants serve as placeholders. They migrate into the cartilage cells and form regenerated cartilage.

If the cartilage damage is slightly greater or the underlying bone is damaged, cartilage bone cylinders can be embedded into the defective area from a peripheral zone.

Large articular cartilage defects can be successfully reconstructed biologically by means of cartilage cell transplantation. Here, autologous cartilage cells are removed from the body, grown in a special laboratory, and then implanted in the affected joint. This allows a hyaline, or hyaline-like, articular cartilage to once again grow, filling the defective area and possessing all the properties of the original cartilage.

Today’s modern methods are called matrix-associated autologous chondrocyte transplantations (MACT). It is important to note that concomitant injuries such as ligament instabilities, dislocation of the kneecap, and misalignments of the leg axis (X-leg or O-leg) must be treated concurrently in order to successfully proceed with cartilage therapy.

Visit Dr Kniffler's website for further information.

Curriculum Vitae

1979 – 1986 Studied Human Medicine at the Université Libre de Bruxelles, Belgium
1986 – 1990 Training at the Surgical Clinic of the Städtischen Krankenanstalt (Municipal Hospital) in Cologne-Holweide, Cologne
1990 – 1994 Specialist training at the Orthopaedic Clinic of St. Franziskus Hospital, Cologne
1994 – 1997 Leading Senior Physician and Deputy Chief Physician at the Orthopaedic Clinic of the Bundesknappschafts Krankenhaus (Federal Miners' Hospital) in Püttlingen/Saar
1997 – 2005 Established orthopaedist in Kelkheim/Taunus, in-patient physician
2005 – present Resident orthopaedist in the orthopaedic clinic of Dr Kniffler, Dr Richter and Carsten Dehler at the Kelkheim Health Centre.

Professional qualifications:

1995 Specialist in orthopaedics
1997 Sub-specialisation in rheumatology
2000 Facultative further education: special orthopaedic surgery

Additional areas of qualification:

Sports medicine, chirotherapy, osteology, special pain therapy, specialist for accidental occupational injuries

Medical Team

  • Carsten Dehler
    Co-owner of the practice
    for orthopaedics, chirotherapy, emergency medicine and sports medicine
  • Dr Klaus-Wolfgang Richter
    Employed doctor
    Specialist in orthopaedics, chirotherapy and sports medicine

Location

Kelkheim railway station 1 km
Frankfurt/Main central station 20 km
Frankfurt/Main airport 25 km
Mainz airport 60 km

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Contact

Dr/Univ. Libre de Bruxelles Heino Kniffler
Practice Owner

Orthopaedic clinic at the Kelkheim Health Centre
Frankenalle 1, D-65779 Kelkheim

T: +49 6195 606 96 20
F: +49 6195 6772 444
E: kniffler@primomedico.com

Clinic:

By appointment only:

Monday to Thursday
8.00 am - 12.00 pm
2.00 pm - 5.00 pm

Friday
8.00 am - 12.00 pm

Practice sometimes open on Saturdays. Please contact by phone.

Private Consultations
Daily by arrangement at short notice, please dial
+49 6195 6772 488

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