JOINT REPLACEMENT: HIP TEP
HIP OSTEOARTHRITIS
In the context of treating hip joint osteoarthritis (HIP OSTEOARTHRITIS), in addition to conservative measures, surgical interventions may also be necessary:
- Joint-preserving surgery on the hip joint (correction of malpositions and anatomical variants mostly using minimally invasive arthroscopy (arthroscopy), partly also using joint opening (MINI-OPEN).
- Endoprosthetic surgery on the hip joint (replacement of destroyed joint parts with artificial implants made of titanium, ceramic, and high-quality plastic)
Artificial joint replacement is a very successful and reliable treatment option in the advanced stage of osteoarthritis.
- Minimally invasive surgical method (ALMIS access) without injury to the musculature
- Cement-free short stem prostheses
- Cementless conventional straight stems
- Cemented Implants (for Osteoporosis)
- Bearing made of Ceramic / highly cross-linked Polyethylene
Hip replacement: Artificial hip joint from a specialist in Mainz
If joint pain due to osteoarthritis severely limits quality of life, an artificial hip joint, medically referred to as hip replacement (total endoprosthesis), offers a proven solution for restoring pain-free mobility. At ENDOPROTHETICUM Rhein-Main, Prof. Dr. med. Karl Philipp Kutzner is your experienced specialist for artificial joint replacement. We offer you the latest surgical procedures and individual care to achieve the best possible outcome for you.
What is a hip replacement?
A hip replacement is a surgical procedure in which the worn-out hip joint is replaced with an artificial implant. This implant, the artificial hip joint, mimics the function of the natural joint and typically consists of an acetabular cup, a femoral head, and a stem anchored in the femur. The goal of the procedure is to eliminate pain caused by advanced osteoarthritis and restore mobility.
When is an artificial hip joint the right choice?
The decision for a hip replacement is made when conservative treatment methods such as physiotherapy, pain medication, or injections no longer provide sufficient relief. The main indication is advanced hip joint arthrosis (coxarthrosis), which leads to the following symptoms:
- Severe, persistent pain in the hip, groin, or thigh
- Significant limitation of mobility and walking ability
- Nighttime pain that disturbs sleep
- Significant reduction in quality of life and ability to perform everyday activities
The procedure: Implantation of an artificial hip joint
Als ausgewiesener Hüft-Spezialist setzt Prof. Dr. Kutzner auf minimalinvasive Operationstechniken. Diese schonenden Verfahren ermöglichen eine schnellere Genesung und reduzieren das Operationstrauma. Besonderes Augenmerk liegt auf modernen Implantaten, wie dem Kurzschaft, der knochensparend ist und sich ideal für aktive Patienten eignet. Der Eingriff zur Implantation einer Hüft-TEP wird präzise geplant und auf Ihre individuelle Anatomie abgestimmt.
Your benefits at ENDOPROTHETICUM Rhein-Main
- Highest Expertise: Prof. Dr. Kutzner is a renowned specialist for the use of artificial joints.
- Modern techniques: Use of minimally invasive techniques and high-quality prosthetics such as the short stem prosthesis.
- Individual counseling: We take the time to comprehensively inform you about the artificial hip joint and the entire treatment process.
- Holistic care: From diagnosis to surgery and aftercare, we are your reliable partner.
Contact your specialist for hip replacement
Are you suffering from hip pain and considering an artificial hip joint? Schedule a consultation at our practice in Mainz. Prof. Dr. med. Kutzner and his team will analyze your situation and work together with you to find the best solution for a pain-free and active life. We look forward to helping you.
THE ORIGINAL: THE WIESBADEN HIP
THE "WIESBADENER HIP" CONSISTING OF THE MINIMAL-INVASIVE "WIESBADENER APPROACH" AND A BOTH MODERN AND PROVEN CEMENTLESS SHORT STEMPROSTHESIS (DEVELOPED BY PROF. PFEIL) SHOWS EXCELLENT RESULTS AND IS WELL KNOWN FAR BEYOND THE RHINE-MAIN REGION.
AS A HIP SPECIALIST, I HAVE ACCUMULATED CONSIDERABLE EXPERIENCE IN THIS TECHNIQUE SINCE 2010 AND HAVE PERFORMED SEVERAL THOUSAND IMPLANTATIONS WITH CONTINUOUS FURTHER DEVELOPMENT.
PROF. KUTZNER: YOUR HIP SPECIALIST IN MAINZ AND WIESBADEN
AT ENDOPROTHETICUM (SPECIALTY PRACTICE JOINTREPLACEMENT)
Your hip specialist in Mainz: Prof. Dr. med. Karl Philipp Kutzner
The hip is one of the largest and most heavily stressed joints in the human body. Conditions such as osteoarthritis, femoral head necrosis, or rheumatoid arthritis can lead to severe pain and a significant reduction in quality of life. When conservative therapies reach their limits, artificial joint replacement (hip TEP) can restore mobility and enable pain-free living. At ENDOPROTHETICUM Rhein-Main, you have access to Prof. Dr. med. Karl Philipp Kutzner, a renowned hip specialist who provides comprehensive care.
Why a hip specialist is crucial for success
The implantation of a hip endoprosthesis is a highly specialized procedure that requires extensive experience and precision. A proven Hip Specialist like Prof. Kutzner has in-depth knowledge of the latest surgical techniques and prosthesis models. This ensures that the best individual solution is found for each patient, be it a standard prosthesis or a special short shaft that can be used in a bone-sparing manner.
The benefits of treatment with a hip specialist:
- Precise diagnostics: Exact analysis of the cause of your hip complaints as a basis for therapy planning.
- Individual counseling: Detailed information about all treatment options and selection of the suitable prosthesis type.
- Modern surgical techniques: Use of minimally invasive, muscle-sparing surgical techniques for faster rehabilitation.
- Expertise in short stem prostheses: Prof. Kutzner is a recognized short stem expert who safely applies this bone-sparing method.
- Comprehensive aftercare: A structured follow-up care ensures long-term success of the operation.
The range of services offered by our hip specialist
At ENDOPROTHETICUM Rhein-Main in Mainz, we offer a treatment for your hip disease tailored to your needs. As your experienced hip specialist Prof. Kutzner covers the entire spectrum of endoprosthetic joint replacement.
Focus of our practice:
- Primary implantation of hip endoprostheses (hip replacement): The first-time use of an artificial hip joint in advanced joint wear.
- Short stem endoprosthetics: Particularly suitable for younger and active patients, as more of their own bone is preserved.
- Revision surgeries (Revisions): Replacement of loosened or worn-out prosthesis components.
- Minimally invasive surgical techniques: Sparing of muscles and soft tissues to accelerate the healing process.
Your Path to a New Hip Joint
If hip pain dominates your daily life, don't hesitate to schedule an appointment with our hip specialist in Mainz. Prof. Dr. med. Kutzner and his team take the time for a thorough examination and a personal consultation. Together, we will find the best solution to help you regain more mobility and joy in life.
MINIMALLY INVASIVE ALMIS APPROACH (ANTEROLATERAL)
The minimally invasive anterolateral approach (front-lateral) to the hip joint, also "Wiesbadener Zugang" called, does not damage the surrounding musculature.
The blunt preparation is performed using the so-called Wiesbadener finger.
ALL IMAGES Courtesy of MATHYS
ARTIFICIAL HIP JOINT:
HIGH-QUALITY MATERIALS
Cementless hip stems are usually made of titanium . Allergies or intolerances are not known. With the help of a titanium plasma spray coating as well as a calcium phosphate coating, the growth of the bone to the shaft is achieved in the first weeks after the operation.
The principle of isoelasticity of titanium-coated cups made entirely of polyethylene results in optimal bone preservation in the long term. The abrasion resistance has been further improved by the introduction of Vitamin E stabilized, highly cross-linked polyethylene . The material significantly reduces the oxidation of the plastic and the probability of abrasion-related osteolysis in the long term can be almost ruled out.
The quality of medical ceramics and the better wettability reduce abrasion against conventional polyethylene to 1/10. With highly cross-linked polyethylene, abrasion is further minimized. The even greater advantage of ceramic-ceramic sliding pairs in terms of abrasion is negatively impacted by the need for a rigid socket implant. Rarely, ceramic fractures and squeaking are possible.
As a hip specialist, I therefore recommend the hard-soft pairing with a ceramic head and an isoelastic monoblock cup made of highly cross-linked polyethylene as a low-risk and absolutely reliable solution.
ALL IMAGES Courtesy of FA. MATHYS
SHORT STEMPROSTHESES
ENDOPROTHETICUM: SHORT-STEM SPECIALIST
SHORT STEM PROSTHESES IN HIP ARTHROPLASTY
Short Stem Prostheses have become increasingly popular in recent years. The implantation of a short stem aims to preserve the bone and create favorable conditions for revision without changing the basic concepts of conventional hip arthroplasty.
Short stems were developed decades ago to ensure a bone- and soft tissue-friendly implantation approach; numerous innovations and modifications have come onto the market in recent years.
The concept of modern calcar-guided short stems in hip arthroplasty aims at the precise reconstruction of the individual, anatomical hip geometry. This involves a
bone- and soft tissue-sparing implantation technique in conjunction with a physiological load on the joint-proximal part of the femur, used to preserve the bone in the long term.
The short and round short-stem prostheses fit excellently with the
minimally invasive ALMIS approach, damage to the musculature is not necessary. Unlike conventional straight stems, implantation is achieved using the "round the corner" technique.
ALL IMAGES Courtesy of MATHYS
INDIVIDUAL
IMPLANTATION
A MAJOR DIFFERENCE FROM CONVENTIONAL HIP ENDOPROSTHETICS LIES IN THE POSSIBILITY OF INDIVIDUAL IMPLANTATION OF A CALCAR-GUIDED SHORT STEM.
YOU CAN SEE THIS WELL IN THIS VIDEO.
OPERATIONPROCEDURE WITH A SHORT STEM PROSTHESIS
WHAT IS THE PROCEDURE FOR A HIP TEP IMPLANTATION?
HERE, LOOK OVER MY SHOULDER DURING THE OPERATION OF A SHORT STEM PROSTHESIS
BONE INTEGRATION AND AFTERCARE
INFORMATION ABOUT THE INTEGRATION OR INGROWTH OF THE CEMENTLESS OPTIMYS SHORT STEM PROSTHESIS CAN BE FOUND IN THIS VIDEO.
RESULTS FROM THE PROSTHESISREGISTERS
With now almost two million documented knee and hip implantations, the results of which can be found in the current annual report, the EPRD is one of the world's largest registers for hip and knee replacements.
In particular, the possibility created in the ERPD to obtain current information about the further course of knee and hip implants from all consenting patients through the participating health insurance companies makes the register so unique and meaningful.
SHORT STEM PROSTHESES IN THE REGISTER
MEANWHILE, IN 12% OF ALL PRIMARY IMPLANTATIONS, A SHORT STEM PROSTHESIS IS USED. THE PROPORTION HAS BEEN STEADILY INCREASING OVER THE PAST FEW YEARS.
The register shows a significantly lower complication rate compared to conventional implants.
THE OPTIMYS SHORT STEM
The results of the short stem prosthesis developed in Wiesbaden demonstrate the TOP POSITION IN THE GERMAN ENDOPROSTHESIS REGISTER.
Source: www.eprd.de
CONVENTIONAL HIP ENDOPROSTHETICS
Standard prostheses, or so-called straight stem prostheses, are proven implants that have been in use for decades. They can usually be inserted either cement-free or cemented (bone cement is a plastic that acts as a bonding agent between the bone and the implant). They are often used in cases of reduced bone quality. In cases of existing osteoporosis , the operation is usually performed with cement.
HIPSPECIALIST
AS A HIP SPECIALIST , I am happy to advise you comprehensively on the different treatment options!
The Endoprosthesis Center of Endoprotheticum Rhein-Main: various techniques and prostheses for your individual needs!
PARTNER
