Dr Tylla – Specialist for Orthopedics and Knee Specialist in Bavaria
- Regenerative cartilage and joint surgery
- Meniscus damage
- Ligament injuries
- Patellar instabilities
- Leg axis malpositions (bow and knock-knees)
- Mild cartilage damage or arthrosis in the early stages
Range of Diagnostic Services
- Medical history and physical examination
- CT scan
Range of Therapeutic Services
Regenerative cartilage and joint surgery
- Early treatment of cartilage damage
- Microfracturing and bone drilling
- Treating osteochondrosis dissecans of the knee joint
- Cartilage cell transplantation using matrix-assisted chondrocyte transplantation
- Cartilage-bone transplantation
- Cartilage chip technique using minced cartilage
- Complex combination surgery on cartilage, menisci, ligaments, and bones
- Treatment of osteonecrosis in the knee joint (Ahlbäck's disease, bone necrosis)
- Joint-preserving treatment of cartilage damage by implantation of partial knee prostheses
- Partial meniscus resection
- Meniscus reconstruction
- Artificial meniscus replacement
- Anterior cruciate ligament reconstruction
- Replacement posterior cruciate ligament
- Revision cruciate ligament reconstructions
- Lateral ligament instabilities
- Complex ligament instabilities
- Treatment of plica syndrome
- Patellar stabilization with plasties (MPFL plasty dynamic and static, trochlear plasty)
- Displacement osteotomies
Leg Axis Malpositions (Bow and Knock-Knees)
- Realignment osteotomies close to the knee joint (upper and lower leg as well as treatment of rotational malpositions)
About Dr Alfred Tylla
Dr Alfred Tylla is a specialist in knee surgery and physician in charge of the knee section of the certified knee center at Rummelsberg Hospital.
Knee surgery is performed with great experience and in high quality at the "Official Knee Center" under the direction of Dr Tylla, which the German Knee Society has awarded. In addition, the hospital became renowned for all sports orthopedic interventions around the knee.
Knee Surgery Rummelsberg – Experts for Knee Surgery in Bavaria
The team led by Dr med Alfred Tylla focuses on reconstruction and preservation of function after injuries to the knee joint. The certification as a center for knee surgery in Bavaria accredits this department with exceptionally high case numbers for all interventions around the knee joint, which add up to 600 interventions annually. Patients, but also referring colleagues, benefit from this enormous experience level.
Regenerative Cartilage and Joint Surgery: Use of State-of-the-Art Therapeutic Procedures
At Rummelsberg Hospital, in addition to established procedures of conventional knee surgery, pioneering achievements are also performed, advancing medical research. Such offers are always understood as alternatives to techniques that have been tried and tested for a longer period and are only included in the hospital's range of services after careful research. For the treatment of minor cartilage defects, microfracturing has also proven to be a beneficial concept. In this procedure, tiny fractures are created in the degenerated cartilage using drilling holes, so that stem cells can migrate there, from which a new cartilage cover can develop.
In the case of larger cartilage lesions, cartilage cell transplantation is also an option. In this case, healthy chondrocytes (cartilage cells) are removed in a first procedure, cultivated in the laboratory, and transplanted to the defect site in a second procedure. These and other innovative therapeutic approaches for joint defects are routinely used by Dr Tylla and his team in Rummelsberg.
Specialists in Trauma and Sports Injuries: Treatment of Meniscus Tears and Ligament Injuries.
Competitive athletes and averagely active persons are afflicted by severe knee traumas involving the menisci and the ligaments in everyday life. These injuries often take a long time to heal on their own. Still, it is not uncommon for the joint's stability to be permanently impaired afterward and for repeated dislocations.
To avoid such unpleasant experiences, it is recommended to reconstruct the natural conditions in the joint by ligamentoplasty to ensure sufficient ligament tension and, consequently, stability. Postoperatively, physiotherapy enables patients to secure the treatment result with the moderate exercise of the stabilizing musculature.
Diagnosis and Therapy for Patellar Instability
An awkward movement in everyday life is often enough to cause the patella to jump out of its bony guide. Usually, the small bone can be easily repositioned, but the joint still swell painfully. A shallow bony groove makes some people particularly predisposed to this injury, and it is not uncommon for the stabilizing medial patellofemoral ligament (MPFL) to be affected as well. Ligamentoplasty is advised if this is the case. This involves harvesting a tendon from the patient's body (gracilis tendon in the front of the tibia) to replace the ruptured ligament. In this way, a new dislocation of the patella can be effectively prevented despite anatomical susceptibility.
Correction and Surgery of Leg Axis Misalignments (Bow- and Knock-Knees)
All lower extremity axis abnormalities accelerate wear of the articular cartilage and can result in severe osteoarthritis of the knee. These axial abnormalities can be acquired through injury or genetics; by performing a realignment osteotomy, Dr Tylla can straighten the leg axis by wedge-shaped bone excisions and subsequent screw fixation with angle-stable titanium plates to distribute the load evenly over the joint surface. This can prevent or at least slow down cartilage damage. In addition, due to the immediate relief of already damaged cartilage, many patients report significant relief of their pain.
Expertise in the Treatment of Mild Cartilage Damage / Early-Stage Osteoarthritis
Any incipient osteoarthritis is in urgent need of treatment, even with mild pain symptoms. Early intervention can relieve the joint cartilage, an intervention that has a more effective and lasting effect than any pain medication. In addition, through timely diagnosis, a small arthroscopic intervention (joint endoscopy) can often avoid the costly implantation of a total endoprosthesis in an open surgical technique. In the case of arthrosis, painful waiting always means a loss of quality of life and a worsening of the symptoms due to increased wear and tear.
|2000||Professional training for paramedics, Jettingen|
|2000 – 2006||Study of human medicine at the Georg-August-University, Göttingen|
|2000||Professional training for paramedics, Jettingen|
|2004 – 2012||Research associate in the Thoracic Cardiovascular Surgery (THG) Göttingen (Head: Prof. Dr Dr phy. F. A. Schöndube)|
|2012||Doctorate, grade: "magna cum laude"|
|1999 – 2006||Parametic, Red Cross Neumarkt|
|2007||Assistant Physician in General, Visceral and Vascular Surgery and Trauma Surgery and Orthopedics (Heads: Dr H. Rogenhofer and Dr T. Strube), Kreisklinik Roth|
|Seit 2009||Emergency Medical Services in Parsberg, Hemau, Hersbruck, Neumarkt|
|2010||Foundation of the Interdisciplinary Wound Team (iWT), Head Physician and Scientific Director, Neumarkt, Roth|
|2011||Assistant Physician in General, Visceral, Vascular and Thoracic Surgery and Trauma Surgery and Orthopedics (Head: Associate Professor Dr A. Fürst), Caritas Hospital St. Josef Regensburg|
|2012||Assistant Physician in Visceral and Thoracic Surgery and Trauma Surgery (Heads: Dr M. Kästel and Dr T. Schmickal), Neumarkt Hospital|
|2013||Medical Director of the Wound Group, Neumarkt Hospital|
|2014||Specialist in Visceral and Thoracic Surgery and Trauma Surgery ( Heads: Dr M. Kästel and Dr T. Schmickal), Neumarkt Hospital|
|Seit 2014||Medical Service in the DRK Flight Service and Recovery Transport, Berlin|
|2015||Acting Senior Physician in the Clinic for Trauma, Shoulder and Reconstructive Surgery, Sports Medicine and Sports Traumatology (Head: Prof. Dr R. Stangl), Rummelsberg Hospital (Sana Kliniken AG), Schwarzenbruck|
|2016||Senior Physician in the Clinic for Trauma, Shoulder and Reconstructive Surgery, Sports Medicine and Sports Traumatology (Head: Prof. Dr R. Stangl), Krankenhaus Rummelsberg (Sana Kliniken AG), Schwarzenbruck|
|Seit 2017||Managing Senior Physician and Representative Head Physician in the Clinic for Trauma, Shoulder and Reconstructive Surgery, Sports Medicine and Sports Traumatology (Head: Prof. Dr R. Stangl), Krankenhaus Rummelsberg (Sana Kliniken AG), Schwarzenbruck|
|Seit 2017||Representative for Radiation Protection, Rummelsberg Hospital (Sana Kliniken AG), Schwarzenbruck|
|2017||Coordinator Geriatric Traumatology Center, Rummelsberg Hospital (Sana Kliniken AG), Schwarzenbruck|
|2019||Certification Knee Surgeon of the German Society for Knee Surgery (DKG e.V.)|
|Seit 2019||Medical Director of the Rummelsberg Knee Center, Rummelsberg Hospital (Sana Kliniken AG), Schwarzenbruck|
|2020||Specialist in the Clinic for Orthopedics and Trauma Surgery (Head: Univ.-Prof. Dr H. J. Bail), University Hospital Paracelsus Medical Private University Nuremberg|
|Seit 2020||Senior Physician - Knee Joint Preservation and Sports Orthopedics Section, as well as Managing Senior Physician and Deputy Chief Physician in the Clinic for Trauma, Shoulder and Reconstructive Surgery, Sports Medicine, and Sports Traumatology (Head: Prof. Dr R. Stangl), Rummelsberg Hospital (Sana Kliniken AG), Schwarzenbruck|
Medical Qualifications and Advanced Training
- Specialist for visceral surgery
- Specialist in trauma surgery and orthopedics
- An additional specialist title for special trauma surgery
- Specialist with additional qualification in X-ray diagnostics for the organ system: skeleton
- Certified knee surgeon of the German Society for Knee Surgery (DKG e.V.)
- Specialized emergency physician/physician in rescue service
- Specialized in X-ray diagnostics of the skeleton (skull, skeleton of the trunk, and extremities)
- Specialized knowledge in X-ray diagnostics of the thorax
- Specialized expertise in emergency diagnostics for adults and children
- Good Clinical Practice (GCP)
- Quality management, according to KTQ (Cooperation for Transparency and Quality in Health Care)
- ATLS Provider
- Dr Josef Maurer
Acting Senior Physician
- Dr Anton Doro
Acting Senior Physician
- Sebastian Herrler
Acting Senior Physician
|Ochenbruck Railway Station||1.5 km|
|Nuremberg Airport||35 km|
|Munich Airport||147 km|
|Frankfurt Airport||252 km|
Information About Nuremberg
The second-largest city in Bavaria comes across as entirely unexciting. But Nuremberg is characterized by the historic buildings of the old town, surrounded by the imposing city wall. On the sandstone mountain, the medieval Kaiserburg is enthroned and gives the view over the city's roofs and the most important churches of Nuremberg. Additionally, museums, sights, shopping miles, and fancy stores make Nuremberg a lively town with a lot of atmosphere and flair.
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