JOINT REPLACEMENT: HIP-TEP
HIP OSTEOARTHRITIS
Within the therapy of hip joint osteoarthritis (HIP ARTHROSIS) additional to conservative measures also surgical interventions may become necessary:
- Joint-preserving surgeries on the hip joint (correction of deformities and anatomical variants mostly using minimally invasive arthroscopy (Arthroscopy), in part also using joint opening (MINI-OPEN).
- Endoprosthetic surgeries 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 stage of osteoarthritis.
- Minimally invasive surgical method (ALMIS approach) without muscle damage
- Cementless short-stem prostheses
- Cementless conventional straight stems
- Cemented Implants (for Osteoporosis)
- Bearing pair of ceramic / highly cross-linked polyethylene
Hip replacement: Artificial hip joint from a specialist in Mainz
When joint pain due to osteoarthritis severely limits quality of life, a artificial hip joint, medically referred to as hip-TEP (total endoprosthesis), is a proven solution for restoring pain‑free movement and mobility. At ENDOPROTHETICUM Rhein-Main, Prof. Dr. med. Karl Philipp Kutzner is your experienced specialist for artificial joint replacement. We offer you state‑of‑the‑art surgical procedures and individualized care to achieve the best possible result for you.
What is a hip replacement?
A Hip-TEP is a surgical procedure in which the worn hip joint is replaced by an artificial implant. This implant, which artificial hip joint, mimics the function of the natural joint and typically consists of a joint socket, a joint head, and a stem that is anchored in the femur. The aim 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 for a Hip-TEP is made when conservative treatment methods such as physiotherapy, pain medication or injections no longer provide sufficient relief. The main indication is an advanced hip joint osteoarthritis (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
As a certified hip specialist, Prof. Dr. Kutzner relies on minimally invasive surgical techniques. These gentle procedures enable a faster recovery and reduce surgical trauma. Special attention is given to modern implants, such as the short stem, which is bone-sparing and ideally suited for active patients. The procedure for implanting a Hüft-TEP is precisely planned and tailored to your individual anatomy.
Your benefits at ENDOPROTHETICUM Rhein-Main
- Highest expertise: Prof. Dr. Kutzner is a renowned specialist for the use of artificial joints.
- Modern procedures: Use of minimally invasive techniques and high-quality prostheses such as the short stem prosthesis.
- Individual counseling: We take the time to inform you comprehensively über the artificial hip joint and explain the entire treatment process.
- Holistic care: From diagnosis über the operation to aftercare, we are your verlässlicher Partner.
Contact your specialist for hip replacement
Are you suffering from Hüftschmerzen and considering a artificial hip joint? Schedule a consultation appointment at our practice in Mainz. Prof. Dr. med. Kutzner and his team analyze your situation and work together with you to develop the best Lösung für 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 ACCESS" AND A BOTH MODERN, AS WELL AS PROVEN CEMENT-FREE SHORTPROSTHESIS (DEVELOPED BY PROF. PFEIL) SHOWS EXCELLENT RESULTS AND IS WELL KNOWN BEYOND THE BORDERS OF 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 loaded joints in the human body. Diseases 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, an artificial joint replacement (hip THR) can restore mobility and enable pain-free movement. At ENDOPROTHETICUM Rhein-Main, Prof. Dr. med. Karl Philipp Kutzner is a renowned hip specialist by your side, who will comprehensively care for you.
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 distinguished hip specialist like Prof. Kutzner has extensive knowledge of the latest surgical techniques and prosthesis models. This ensures that for each patient the individually best solution is found, whether it is a standard prosthesis or a special short stem that can be implanted in a bone‑preserving manner.
The benefits of treatment with a hip specialist:
- Precise diagnostics: Exact analysis of the cause of your hip complaints as the basis for therapy planning.
- Individual counseling: Comprehensive information about all treatment options and selection of the appropriate prosthesis type.
- Modern surgical procedures: Use of minimally invasive, muscle-sparing surgical techniques für a faster rehabilitation.
- Expertise in short-stem prostheses: Prof. Kutzner is a recognized short-stem expert who safely applies this bone-saving method.
- Comprehensive aftercare: A structured follow-up 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 a treatment of your hip condition tailored to your Bedürfnisse. As your experienced Hüftspezialist Prof. Kutzner covers the entire spectrum of endoprosthetic joint replacement.
Focus of our practice:
- Primärimplantation of Hüft-Endoprothesen (Hüft-TEP): The first use of an künstlichen Hüftgelenks in advanced Gelenkverschleiß.
- Short-stem endoprosthetics: Especially suitable for younger and active patients, as more of the patient's own bone is preserved.
- Revision surgeries (Revisions): Replacement of loose or worn prosthetic 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 dominates your daily life, do not 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 find the best solution to help you regain more mobility and joy of life.
MINIMAL-INVASIVE ALMIS-ACCESS (FRONT-SIDE)
The minimally invasive anterolateral approach (front-lateral) to the hip joint, also "Wiesbaden approach" called, comes without injury to the surrounding musculature.
The blunt preparation IS CARRIED OUT HERE WITH THE SO-CALLED "WIESBADENER FINGER".
ALL IMAGES Courtesy of MATHYS
ARTIFICIAL HIP JOINT:
HIGH-QUALITY MATERIALS
Cementless hip stems are generally made of Titanium manufactured. Allergies or intolerances are not known here. With the help of a titanium plasma spray coating as well as a calcium phosphate coating, the bone growth onto the stem is achieved in the first weeks after the operation.
The principle of Isoelasticity titanium‑coated trays made entirely of polyethylene provide optimal bone preservation in the long term. Wear resistance was further improved by the introduction of Vitamin E stabilized, highly cross‑linked polyethylene further improved. The material significantly reduces polymer oxidation and the likelihood of wear‑induced osteolysis in the long term can be virtually eliminated.
The quality of medical ceramics and the improved wettability reduce wear against conventional polyethylene to 1/10. With highly cross-linked polyethylene, wear is further minimized. The even greater advantage of ceramic-ceramic bearing pairs regarding wear is negatively affected by the need for a rigid cup implant. Rarely, ceramic fractures and squeaking are also 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 ENDOPROSTHESIS
ShortStemProstheses have become increasingly popular in recent years. The implantation of a short stem aims to preserve bone and create favorable conditions for a revision, without altering the fundamental concepts 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 to market.
The concept of modern calcar-guided short stems in hip endoprosthetics aims at the precise reconstruction of the individual, anatomical hip geometry. In doing so, a
bone- and soft tissue-sparing implantation technique is used in conjunction with a physiological load in the proximal part of the femur to preserve the bone long-term.
The short and round KURZSCHAFTPROTHESEN fit excellently to the
minimal-invasive ALMIS approach, a Schädigung of the muscle is not necessary. Unlike conventional Geradschäften, implantation succeeds in 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 YOU CAN WATCH OPERATION OF A SHORT‑STEM PROSTHESIS ABOUT THE SHOULDER:
BONE INTEGRATION AND POST‑TREATMENT
INFORMATION ABOUT THE INTEGRATION RESPECTIVELY THE INGROWTH OF THE CEMENT‑FREE OPTIMYS‑KURZSCHAFTPROSTHESIS, SEE THIS VIDEO.
RESULTS FROM THE PROSTHESISREGISTERS
With now almost two million documented knee and Hüft- implantations, whose results you can find in the current annual report, CONSISTS with the EPRD of one of the world’s größten registers for Hüft- and knee care.
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.
KURZSCHAFTPROTHESEN IN THE REGISTER
Currently, in 12% all primary implantations a short‑stem prosthesis is used. The proportion has been steadily increasing ÜBER the past years.
In the registry, a significantly lower complication rate compared with conventional implants is observed.
The OPTIMYS short‑stem
The results of the short‑stem prosthesis developed in Wiesbaden occupy the top position in the German endoprosthesis registry.
Source: www.eprd.de
Conventional HÜFTENDOPROTHETIK
Standard prostheses, also known as Straight‑stem prostheses, have been proven implants for decades. They can usually either cementless or cemented (Bone cement is a plastic that acts as a bonding mass between the bone and the implant) can be inserted. Often they are used when bone quality is reduced. In the case of an existing osteoporosis the operation is usually performed cemented.
HIP-SPECIALIST
AS HIP SPECIALIST I am happy to advise you thoroughly regarding the different therapy options!
THE ENDOPROSTHESIS CENTER OF ENDOPROTHETICUM RHINE-MAIN: VARIOUS TECHNIQUES AND PROSTHESES FOR YOUR INDIVIDUAL NEEDS!
PARTNER
