JOINT REPLACEMENT: HIP REPLACEMENT
Osteoarthritis of the hip
, surgical interventions may also be necessary as part of the treatment of hip osteoarthritis (OSTEOARTHRITIS HIP):
- Joint-preserving operations on the hip joint (correction of malpositions and anatomical variants mostly by means of minimally invasive joint endoscopy (arthroscopy), partly also by means of joint opening (mini-open).
- Endoprosthetic operations on the hip joint (replacement of the 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 stages of osteoarthritis.
- Minimally invasive surgical method (ALMIS approach) without injury to the muscles
- Cementless short stem dentures
- Cement-free conventional straight shafts
- Cemented implants (for osteoporosis)
- Sliding pair made of ceramic / highly cross-linked polyethylene
Hip replacement: Artificial hip joint from a specialist in Mainz
When joint pain due to osteoarthritis severely restricts quality of life, an artificial hip joint , medically known as a total hip replacement (THR), offers a proven solution for restoring pain-free mobility. At the ENDOPROTHETICUM Rhein-Main, Prof. Dr. med. Karl Philipp Kutzner is your experienced specialist for artificial joint replacement. We offer state-of-the-art surgical procedures and individualized care to achieve the best possible outcome for you.
What is a hip replacement?
A total hip replacement (THR) 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 a socket, a femoral head, and a stem that is anchored in the femur. The goal of the procedure is to eliminate the pain caused by advanced osteoarthritis and to restore mobility.
When is an artificial hip joint the right choice?
The decision to perform a total hip replacement (THR) is made when conservative treatment methods such as physiotherapy, pain medication, or injections no longer provide sufficient relief. The main indication is advanced osteoarthritis of the hip (coxarthrosis), which leads to the following symptoms:
- Severe, persistent pain in the hip, groin or thigh
- Significant restriction of mobility and walking ability
- Nighttime pain that disrupts sleep
- Significant reduction in quality of life and ability to perform everyday activities
The procedure: Implantation of an artificial hip joint
As a renowned hip specialist, Prof. Dr. Kutzner relies on minimally invasive surgical techniques. These gentle procedures allow for faster recovery and reduce surgical trauma. Particular emphasis is placed on modern implants, such as the short stem, which conserves bone and is ideally suited for active patients. The hip is precisely planned and tailored to your individual anatomy.
Your advantages at the ENDOPROTHETICUM Rhein-Main
- Highest expertise: Prof. Dr. Kutzner is a renowned specialist in the use of artificial joints.
- Modern procedures: Use of minimally invasive techniques and high-quality prostheses such as the short stem prosthesis.
- Individual consultation: We take the time to fully 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 surgery
Are you suffering from hip pain and considering a hip replacement ? Schedule a consultation at our practice in Mainz. Prof. Dr. med. Kutzner and his team will analyze your situation and work with you to develop the best solution for a pain-free and active life. We look forward to helping you.
THE ORIGINAL: THE WIESBADEN HIP
The " Wiesbaden Hip " consisting of the minimally invasive " Wiesbaden Approach " and a modern yet proven cement-free short stem prosthesis (developed by Prof. Pfeil) shows excellent results and is well known far beyond the borders of the Rhine-Main region.
As a hip specialist, I have extensive experience in this technique since 2010 and have performed several thousand implantations with continuous development.
PROF. KUTZNER: YOUR HIP SPECIALIST IN MAINZ AND WIESBADEN
IN THE ENDOPROTHETICUM (SPECIALIST PRACTICE JOINT REPLACEMENT)
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, avascular necrosis of the femoral head, or rheumatoid arthritis can lead to severe pain and a significant reduction in quality of life. When conservative therapies reach their limits, total hip replacement (THR) can restore mobility and provide pain relief. At the ENDOPROTHETICUM Rhein-Main, you will have access to the expertise of renowned hip specialist , who will provide you with comprehensive care.
Why a hip specialist is crucial for success
Hip replacement surgery is a highly specialized procedure requiring extensive experience and precision. A renowned hip specialist like Prof. Kutzner possesses in-depth knowledge of the latest surgical techniques and prosthesis models. This ensures that the best possible solution is found for each patient, whether a standard prosthesis or a special short-stem prosthesis that can be implanted in a bone-sparing manner.
The advantages of treatment by a hip specialist:
- Precise diagnostics: Accurate analysis of the cause of your hip problems as a basis for therapy planning.
- Individual consultation: Detailed information about all treatment options and selection of the appropriate type of prosthesis.
- Modern surgical procedures: Application of minimally invasive, muscle-sparing surgical techniques for faster rehabilitation.
- Expertise in short-stem prostheses: Prof. Kutzner is a recognized short-stem expert who confidently applies this bone-saving method.
- Comprehensive aftercare: Structured aftercare ensures the long-term success of the operation.
The range of services offered by our hip specialist
At ENDOPROTHETICUM Rhein-Main in Mainz, we offer you treatment for your hip condition tailored to your individual needs. As your experienced hip specialist, Prof. Kutzner covers the entire spectrum of endoprosthetic joint replacement.
Our practice focuses on:
- Primary hip replacement (THR): The first-time use of an artificial hip joint in cases of advanced joint wear.
- Short-stem endoprosthetics: Particularly suitable for younger and active patients, as more of the patient's own bone is preserved.
- Revision surgeries: Replacement of loosened or worn prosthesis components.
- Minimally invasive surgical techniques: Preservation of muscles and soft tissues to accelerate the healing process.
Your path to a new hip joint
If hip pain is affecting your daily life, don't hesitate to schedule an appointment with our hip specialist in Mainz. Prof. Dr. med. Kutzner and his team will take the time for a thorough examination and a personal consultation. Together, we will find the best solution to help you regain mobility and quality of life.
MINIMALLY INVASIVE ALMIS ACCESS (FRONT-SIDE)
The minimally invasive anterolateral (front-side) approach to the hip joint, also the "Wiesbaden approach" , does not injure the surrounding muscles.
Blunt preparation is performed using the so-called " Wiesbaden finger ".
ALL IMAGES Courtesy of MATHYS
ARTIFICIAL HIP JOINT:
HIGH-QUALITY MATERIALS
Cement-free hip stems are generally made of titanium . Allergies or intolerances to this material are not known. A titanium plasma spray coating and a calcium phosphate coating promote bone ingrowth to the stem in the first few weeks after surgery.
The principle of isoelasticity in titanium-coated pans made purely of polyethylene ensures optimal bone preservation in the long term. Abrasion resistance has been further improved by the introduction of vitamin E -stabilized, highly cross-linked polyethylene . This material significantly reduces oxidation of the plastic, virtually eliminating the likelihood of abrasion-related osteolysis in the long run.
The quality of medical-grade ceramics and their superior wettability reduce wear to one-tenth compared to conventional polyethylene. With highly cross-linked polyethylene, wear is minimized even further. The even greater advantage of ceramic-on-ceramic bearing surfaces in terms of wear is negatively impacted by the need for a rigid acetabular implant. Ceramic fractures and squeaking are also rare occurrences.
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 MATHYS FA
Short stem prostheses
ENDOPROTHETICUM: SHORT SHAFT 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 bone and create favorable conditions for revision surgery without altering the fundamental principles of conventional hip arthroplasty.
Short stems were developed decades ago to ensure a bone- and soft tissue-sparing implantation approach; in recent years, numerous innovations and modifications have come onto the market.
The concept of modern calcific short stems in hip arthroplasty aims at the precise reconstruction of the individual, anatomical hip geometry. This involves using a
bone- and soft-tissue-sparing implantation technique in conjunction with physiological loading in the periarticular part of the femur to preserve the bone in the long term.
The short and round short stem prostheses are ideally suited to the
minimally invasive ALMIS approach ; muscle damage 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 compared to conventional hip replacement lies in the possibility of individual implantation of a Kalkar-guided short stem.
YOU CAN CLEARLY UNDERSTAND THIS IN THIS VIDEO.
PROCEDURE WITH A SHORT SHAFT PROSTHESIS
WHAT IS THE PROCESS OF A HIP REPLACEMENT IMPLANT?
HERE YOU CAN LOOK AT ME DURING SHOULDER SURGERY:
BONE INTEGRATION AND AFTERCARE
INFORMATION ABOUT THE INTEGRATION OR GROWTH THE CEMENT-FREE OPTIMYS SHORT SHAFT 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 can be found in the current annual report, the EPRD is one of the world's largest registries for hip and knee surgeries.
In particular, the possibility created in the ERPD to obtain up-to-date information on the further progress of the knee and hip implants of all consenting patients through the participating health insurance funds makes the register so unique and so meaningful.
SHORT SHAFT PROSTHESES IN THE REGISTER
Currently, short-stem dentures are used in 12% of all primary implant procedures. This 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 SHAFT
The results of the short-stem prosthesis developed in Wiesbaden secure its top position in the German endoprosthesis register.
SOURCE: www.eprd.de
CONVENTIONAL HIP PROSTHETICS
Standard prostheses, or so-called straight-stem prostheses , have been tried and tested implants for decades. They can usually be inserted either cementless or cemented (bone cement is a plastic material that acts as a bonding agent between the bone and the implant). They are frequently used when bone quality is reduced. In cases of existing osteoporosis, the surgery is generally performed with cement.
HIP SPECIALIST
As a hip specialist , I would be happy to provide you with sound advice regarding the different therapy options!
THE ENDOPROSTHESIS CENTER OF THE ENDOPROSTHETICUM RHINE-MAIN : VARIOUS TECHNIQUES AND PROSTHESES FOR YOUR INDIVIDUAL NEEDS!
PARTNER
