Joint-preserving surgery

You are looking for an experienced medical specialist in the field of Joint-preserving surgery? At PRIMO MEDICO you will exclusively find experts, clinics, and centres in Germany, Austria, and Switzerland!

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Doctors and medical centres specialising in Joint-preserving surgery

Specialists in the Field of Joint-preserving surgery


Information About the Field of Joint-preserving surgery

Acute and chronic damage to joints needs to be examined by a specialist as soon as possible. If there is no complete cure, then sooner or later they will make joint replacement necessary. Joint preserving surgery provides great opportunities to delay artificial joint replacement with prostheses by years and sometimes decades.

Aims of joint preservation surgery

Totally destroyed joints have to be replaced by joint prostheses. Although they provide a good level of functionality, they can never come close to the quality of your own joint. Furthermore, there is a risk of prosthesis loosening or inflammation.

Whenever possible, the best option is to preserve the affected joint. Through the years, joint preserving surgery has evolved and improved methods for early treatment of joint damage and for preventing or delaying joint replacement for as long as possible.

Joint diseases that can be managed by joint-preserving surgery

Joint preserving surgery can be done in cases where cartilage damage does not cross a certain degree. So, joint preserving surgeries can be performed for osteoarthritis of stage I-II.

In addition, injured ligaments as well as tendons that have ruptured during sports accidents can be replaced or stitched abck together.

Several rheumatic diseases result in inflammation or deposits in the joint over their course and these can be removed or alleviated by means of joint-preserving surgery.

Tumor orthopedics , as well as knee surgery and sports traumatology employ joint-preserving procedures whenever possible to manage musculoskeletal lesions.

Among these are knock knees and bow legs , shoulder problems brought on by impingement syndrome or recurrent dislocations of the shoulder joint.

Methods of joint-preserving surgery

A detailed diagnosis is always the first step in any therapy. The orthopedist begins with an interview to learn more about your complaints including their character and duration. This is followed by a physical examination (appearance, shape, range of motion of the joints). Imaging procedures then complete the diagnosis ( MRI , ultrasound and X-ray ).

At this point, the data can be assessed and used to design a treatment plan for the patient and start the best possible therapy.

As far as possible, joint-preserving surgery is done in a minimally invasive way. Arthroscopy (joint endoscopy) is employed. It involves a camera and special instruments that are inserted into the joint through small skin incisions. The orthopedist is able to monitor his actions on a screen. Open surgery is an alternative method which is often performed for larger interventions.

These methods can be smoothen out ragged cartilage surfaces of the joints. Defects in the cartilage can be replaced by cartilage grafts from those parts of the joint that bear no stress.

Also inflamed mucosa that lines the joint can be removed by arthroscopy by the orthopedic surgeon. It is even possible to regenerate dead bone areas located right underneath the cartilage layer without having to undergo major surgery. No matter whether knee or shoulder joints are affected, orthopedic surgeons can suture ruptured tendons or even replace them using the patient's own muscular tendons.

In certain cases, a realignment osteotomy may be indicated. This involves modifying the angle of the bone in proximity to the joint. This will divert the load to healthy cartilage and bone areas.


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