The treatment of fractures (bone fractures) and luxations (dislocations) is completed by gentle techniques and modern materials.
Arthroscopic surgery is indicated for cartilage damage, e.g., after ankle joint trauma (mosaicplasty, autologous chondrocyte transplantation, retrograde drilling, micro-fracturing Removal of loose bodies Removal of painful plica of the synovial membrane
In case of a failed conservative treatment (heel cushion with hole deposits/gel inlays, injections, ESWT (shock wave), and/or radiotherapy) we recommend surgical therapy. Dr. R. Krebs uses endoscopic treatment for Haglund’s syndrome.
Hallux Rigidus describes the osteoarthritis of the big toe joint combined with pain and restricted movement in this joint. These are commonly perceived in sports men and women, particularly in runners as well as contact sports. The neutral rolling movement is no longer possible and causes pain, which will cause the patient to involuntarily change their walk or run to avoid pain in the feet. Subsequently this may lead to knee, hip or back pain. In mild cases of Hallux Rigidus custom-made insoles are recommended. In more advanced stages of Hallux Rigidus various surgical treatment options may be considered. The most common option is the fusion of the metatarsophalangeal joint. With this operation, the arthritic pain is eliminated, but it leaves the joint with no mobility at all. The fusion of the metatarsophalangeal joint should only be undertaken as a last resort. Another option is arthroplastic. After removing the corresponding articular joint surfaces, these will then be replaced with metal endoprostheses. The most modern and in our opinion best option is the relief of arthritic joint surfaces with an implant (made out of Polyvinyl, Alcohol, Hydrogel and Hemirathroplasty) that acts as joint-preserving surgery and achieves very good results. The implant has a life span of 10 years or more which still leaves the patient with the other two options should there be a need for a further operation in the future. This method was first introduced in the UK in 2008 and in Germany in 2007. Since then it has been used with great success and the European Foot Institute has helped in getting this recognised as a successful procedure to treat the Hallux Rigidus. Most private insurance companies cover the costs of this procedure.
As well as causing pain and discomfort, Hallux Valgus ( bunions ), can be very unsightly and prevent sufferers from wearing open sandals due to feeling self conscious. Horror stories about operations followed by long months of healing, including non-weight-bearing periods, joint loss, cartilage wear and terrible pain also put patients off seeking treatment, but this is no longer the case. Internationally renowned Orthopaedic Surgeon and owner of the European Foot Institute as well as the Orthopädie Bavaria, Mr. Dirk Nowak MD has specialised in foot and ankle surgery, and his techniques obtain a functional and aesthetically perfect result. Mr. Nowak uses an exciting new method, which treats patients very carefully and restores the aesthetic appearance of the foot by handling this bilateral operation through virtually unnoticeable micro-incisions. The micro-invasive operation requires no wide incision, and reconstructs the beauty of a normal foot by making a sculptural 3-D shift of the deviated metatarsal bone and big toe. At the same time this “rebuilding” improves the function dramatically. The operation is performed as an outpatient procedure under surgical conditions. It allows immediate full weight-bearing with the operated feet protected by wearing special support sandals. Assuming an optimal healing process, it is possible to slip back into one’s desired shoes, even high heels, after just two months.
Hammertoe is a contracture – or bending – of one or both joints of the second, third, fourth, or fifth (little) toes in combination with/without corns and calluses. The most common surgical procedure performed to correct a hammertoe is an operation technique created by Hohmann or Weil.
Partial or complete mal-position at the PIP and DIP joints (middle and end joints in the toe), which can lead to severe pressure and pain. When the toe deformity is painful or permanent, surgical repair is performed to relieve pain, correct the problem, and provide a stable, functional toe. The type of surgery depends on whether the deformity is fixed or flexible. Our doctors at the ORTHOPÄDIE BAVARIA will discuss the options and select a plan tailored to your needs.
Hind-foot deformities most commonly occur in patients who suffer from chronic poly-arthritis (rheumatism), diabetes mellitus (diabetes), and/or after accidents. However, when the non-operative therapy methods are not indicated, a multiple number of surgical approaches can be employed as treatment, e.g. fusion/ arthrodesis.
If conservative treatment has failed the following pathologies can be treated with only minor surgical approach: Nerve compression syndromes, e.g. tarsal tunnel syndrome, Morton Neuroma, ganglion, tendinitis (aponeuritis of plantar fascia) with/without bone involvement (calcaneal formation, Haglund deformity) and nail in growth.