Cartilage Surgery Specialist Dr Kniffler
- Micro/nano-fracturing with matrix application (AMIC method)
- Autologous cartilage cell transplantation: matrix-associated chondrocyte transplantation (MACT)
- Cartilage-bone transplantation: mosaicplasty or osteochondral autologous transplantation (OATS)
- Autologous bone-augmentation plastic surgeries using the Surgical Diamond Instruments system
- Corrective osteotomies around the knee joint in case of misalignment or unilateral osteoarthritis
- Knee joint replacement, unilateral or bilateral knee arthroplasty using computer navigation, and petellofemoral joint replacement
- Conservative, non-operative treatment of osteoarthritis
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
- Outpatient and inpatient operations: Arthroscopic reconstructive surgery on shoulder and knee, AMIC and MACT cartilage surgery, corrective osteotomies close to the knee joint, patella stabilisation surgery, Knee joint replacement, unilateral or bilateral knee arthroplasty using computer navigation, patellofemoral joint replacement, forefoot surgery
- Osteoarthritis therapy: PRP therapy (platelet-rich plasma therapy, using autologous blood sample), hyaluronic acid therapy (improvement of the viscoelastic properties of the diseased synovial fluid), MBST magnetic resonance therapy to stimulate cartilage regeneration
- Physical treatment: Shockwave therapy, cyrofoss (acute pain relief), magnetic field therapy (metabolic activation), electrotherapy, kinesio taping
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.
Focus: Modern Treatment of Cartilage Damage and Osteoarthritis
Dr Kniffler and his team focus on individualised therapy. They don’t only apply classical medicinal therapies like glucosamine and chondroitin sulphates which form the basic building blocks of cartilage. In addition, they treat their patients with joint injections and various surgical methods as well. A special focus is placed on surgical, joint preserving procedures. Dr Kniffler not only takes into consideration size, location, and degree of the joint damage, but also pays great attention to the patient’s personal needs and requirements regarding his or her joint situation. The Kelkheim Health Centre offers an individually tailored cartilage therapy. The extended treatment methods are possible due to the clinic's broad spectrum of both, non-surgical and operative treatments.
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.
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.
|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.|
|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
- Carsten Dehler
Co-owner of the practice
for orthopaedics, chirotherapy, emergency medicine and sports medicine
- Dr Klaus-Wolfgang Richter
Specialist in orthopaedics, chirotherapy and sports medicine
|Kelkheim railway station||1 km|
|Frankfurt/Main central station||20 km|
|Frankfurt/Main airport||25 km|
|Mainz airport||60 km|
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Dr/Univ. Libre de Bruxelles Heino Kniffler
Orthopaedic clinic at the Kelkheim Health Centre
Frankenalle 1, D-65779 Kelkheim
By appointment only:
Monday to Thursday
8.00 am - 12.00 pm
2.00 pm - 5.00 pm
8.00 am - 12.00 pm
Practice sometimes open on Saturdays. Please contact by phone.
Daily by arrangement at short notice, please dial
+49 6195 6772 488