JOINT REPLACEMENT: THA

JOINT REPLACEMENT OF THE HIP: THA

ARTHRITIS OF THE HIP

surgical interventions be necessary in addition to conservative measures as part of the therapy of hip arthrosis (arthrosis hip)

Joint-preserving operations on the hip joint (correction of misalignments and anatomical variants, usually using minimally invasive joint endoscopy (arthroscopy), sometimes also using joint opening (MINI-OPEN).
Endoprosthetic operations on the hip joint (replacement of the destroyed parts of the joint 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 stages of osteoarthritis.

Minimally invasive surgical method (ALMIS approach) without injuring the muscles
Cementless short-stem prostheses
Cementless conventional straight stems
Cemented implants (for osteoporosis)
Wear couples made of ceramic / highly cross-linked polyethylene

THE ORIGINAL: THE WIESBADEN HIP

THE " WIESBADEN HIP " CONSISTING OF THE MINIMAL-INVASIVE " WIESBADEN APPROACH " AND A BOTH MODERN AND PROVEN CEMENTLESS SHORT STEM PROSTHESIS (DEVELOPED BY PROF. PFEIL) SHOWS EXCELLENT RESULTS AND IS USED WIDE BEYOND THE BORDERS OF THE RHINE-MAIN AREA AS THE MOST SUCESSFUL SHORT STEM WORLDWIDE.

AS A HIP SPECIALIST, I HAVE A GREAT EXPERIENCE IN THIS TECHNOLOGY SINCE 2010 AND HAVE PERFORMED SOME THOUSANDS OF IMPLANTATIONS WITH CONTINUOUS FURTHER DEVELOPMENT.

PROF. KUTZNER: YOUR HIP SPECIALIST IN MAINZ AND WIESBADEN

AT ENDOPROTHETICUM (SPECIAL PRACTICE JOINT REPLACEMENT)

TOTAL HIP ARTHROPLASTY IN MAINZ? MORE INFORMATION CAN BE FOUND HERE: PLEASE CLICK!

MINIMAL-INVASIVE ALMIS APPROACH (ANTERIOR)

The minimally invasive antero-lateral access (on the front) to the hip joint, also "Wiesbadener access" , does not require the surrounding muscles.

The blunt preparation is carried out with the so-called “ WIESBADEN FINGER ”.

ALL IMAGES Courtesy of MATHYS

ARTIFICIAL HIP JOINT:

HIGH-QUALITY MATERIALS

CEMENTLESS hip stems are usually made of titanium . There are no known allergies or intolerances here. With the help of a titanium plasma spray coating and a calcium phosphate coating, the bone grows onto the stem in the first few weeks after the operation.

The principle of isoelasticity of titanium-coated cups made entirely of polyethylene ensures the best possible bone preservation over the long term. Abrasion resistance has been further improved with the introduction of vitamin E stabilized, highly cross-linked polyethylene . The material significantly reduces the oxidation of the plastic and the likelihood of abrasion-related osteolysis over the long term can almost be ruled out.

The quality of medical ceramics and better wear characteristics reduce abrasion to 1/10 compared to conventional polyethylene. With highly cross-linked polyethylene, abrasion is minimized even further. The even greater advantage of ceramic-ceramic sliding pairs in terms of abrasion is negatively influenced by the need for a rigid socket implant. Ceramic breaks and squeaking are also rarely 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 THE FA. MATHYS

SHORT SHAFT PROSTHESIS

EXPERT INTERVIEW ABOUT SHORT STEM PROSTHESIS click here

ENDOPROTHETICUM: SHORT SHAFT SPECIALIST

SHORT STEM PROSTHESIS IN HIP ARTHROPLASTY

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ROUND THE CORNER" TECHNIQUE USING A SHORT SHAFT PROSTHESIS

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THE MUSCLES CAN BE BETTER PROTECTED

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THE RESULT OFTEN IS EXCELLENT FUNCTIONALITY

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Brief prostheses have become increasingly popular in recent years. The implantation of a short company aims to maintain the bone and create favorable conditions for a revision without changing the basic concepts of conventional hip endhetics.

Short stems were developed decades ago to ensure an implantation approach that was gentle on bone and soft tissue; 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. An implantation technique that is gentle on the bones and soft tissue used in conjunction with physiological loading in the part of the femur near the joint in order to preserve the bone in the long term.

The short and round SHORT SHAFT PROSTHESIS fit perfectly with the minimally invasive ALMIS ACCESS ; damage to the muscles is not necessary.
Unlike conventional straight shafts, implantation is achieved using the “round the corner” technique.

ALL IMAGES Courtesy of MATHYS

INDIVIDUAL

IMPLANTATION

A BIG DIFFERENCE FROM CONVENTIONAL HIP ARTHROPLASTY IS THE POSSIBILITY OF INDIVIDUAL IMPLANTATION OF A CALCAR-GUIDED SHORT STEM.

YOU CAN UNDERSTAND THIS WELL IN THIS VIDEO.

PROCESS WITH A SHORT STEM PROSTHESIS

HOW IS THE PROCESS OF A THA IMPLANTATION?

HERE YOU LOOK OVER MY SHOULDER DURING THE OPERATION OF A SHORT STEM PROSTHESIS:

BONE INTEGRATION AND POST-TREATMENT

INFORMATION ABOUT INTEGRATION OR THE GROWTH OF THE CEMENTLESS OPTIMYS SHORT STEM PROSTHESIS CAN BE FOUND IN THIS VIDEO.

RESULTS FROM THE PROSTHESIS REGISTERS

With almost two million documented knee and hip implantations , the results of which you can find in the current annual report, the EPRD is one of the world's largest registers for hip and knee care.

In particular, the possibility created in the ERPD to receive current information from the participating health insurance companies about the further development of the knee and hip implants of all consenting patients is what makes THE register so unique and so meaningful.

SHORT STEM PROSTHESIS IN THE REGISTRIES

NOW A SHORT STEM PROSTHESIS IS USED IN 12% OF ALL INITIAL IMPLANTATIONS. THE SHARE HAS BEEN CONTINUOUSLY INCREASE OVER THE RECENT YEARS.

THE REGISTER SHOWS A SIGNIFICANTLY LOWER COMPLICATION RATE COMPARED TO CONVENTIONAL IMPLANTS.

THE OPTIMYS SHORT SLEEVE

THE RESULTS OF THE SHORT STEM PROSTHESIS DEVELOPED IN WIESBADEN REACH THE TOP PLACE IN THE GERMAN ENDOPROSTHESIS REGISTRY.

SOURCE: www.eprd.de

CONVENTIONAL HIP ARTHROPLASTY

Standard prostheses, or so-called straight stem prostheses , have been tried and tested implants for decades. They can usually be inserted either cement-free or cemented (bone cement is a plastic that acts as a bonding material between the bone and the implant). They are often used when bone quality is reduced. If you have existing osteoporosis , the operation is usually cemented.