The total knee replacement surgery is clearly indicated when your knee has lost its normal joint function in consequence of cartilage and bone damage causing stiffness and persistent pain. In this operation the damaged parts of the knee joint will be removed and te bones will be covered whith artificial materials in order to recover and regain pain-free joint function.

The most common cause is arthrosis ( osteoarthritis ), which means the degenerative damage of the joint cartilage and the participating bones, in many cases related to malposition of the joint axis. Other concurrent causes are rheumatoid arthritis, former injuries, longlasting work- related overloading as well as overstressing sportive activities and several metabolic diseases.

The most common reason for hip replacement surgery is osteoarthritis, which describes a severe wear of cartilage covering the bones. Senior and middle age patients are most commonly affected, but there is also a fair number of younger patients with congenital hip dysplasia. This means an abnormal antomy of the hip joint and leads to precocious wear.

Previous injuries such as bone fractures and severe luxations can also result in deformation and thus degenerative wear of the joint.

Another reason for deformation and wear of the hip joint is avascular necrosis. In this disease a decreased blood circulation of the femoral head leads to central necrosis, with progressing desease the femoral head can collaps. In the end a very painful mechanical dysfunction of the joint becomes manifest. Long term cortisone use, bone fractures and malpositions of the hip and alcohol abuse are some of the causes for avascular necrosis. In many cases the origin is undetermined.

No matter what age and gender, back pain is one of the most common sufferings of our modern society. The whole spine from neck to the coccygeal bone ( tailbone ) can be affected. In younger, working patients the most frequent reason is physical inactivity and overloading of the spine and muscles by PC- based desk work, hours and hours of driving and heavy labour.

At this, acute and chronic blockage of the cervical, thoracal or lumbal spine and muscular dysbalances and stiffness occur, the chain of events can even result in spinal disc herniation. With advancing age deterioration and calcification additionally affect the spinal bones,which in turn lead to radiating pain to shoulders, hands and fingers, to legs, ancles and feet, often accompanied by numbness and paraesthesia.

Arthroscopy is most commonly applied in knee surgery, it´s a minimal invasive approach with very small incisions using special tools to repair articular damage under monitor control. With this technique your doctor can repair meniscal tears, ligament injuries, cartilage damage, patella injuries and damages and inflammatory disorders of the knee joint.