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Center for Orthopaedics in Munich Bogenhausen

Motion in life

In the dialogue for diagnosis.

Common cure.
The weighing of pros and cons at orthopraxx always takes place in the coexistence of two specialized perspectives: the endoscopic surgery and tissue-conserving, minimal-invasive joint replacement, by Dr. Alfred Eichbichler and Dr. Martin Nolde, your specialists with many years of surgical experience.

Diagnostic cure.
We consider the conversation with our patients as an important part before any clinical examination and as a condition for each correct diagnosis. The careful examination by experienced orthopaedic surgeons is the second step on the way to the correct diagnosis.

To practise the method
If we do know exactly where we have to look to, we then continue with the final module for the diagnosis backup. Thereby, we use modern diagnostic imaging and modern analysis instruments. Finally, our policy is to make absolutely sure if we still have to operate or maybe proceed non-surgically.

  • Ultrasound, we use predominantly by the shoulder to evaluate tendons.
  • Digital X-rays with reduced radiation exposure, ideal for complete evaluation of the spine.
  • 4 D optical measurement: the measurement of the spine and physiological statics . A dynamic method to visualize the spine.
  • Pedography: pedographic analysis for static and dynamic foot pressure-response analysis. Biometric muscle force analysis of functional units of the muscles (DIERS myoline).
  • Bone density measurement. ( DIERS myoline).
  • Ostodensitometry.
  • Computed tomography (CT): the most accurate method for the evaluation of bone structure.
  • Magnetic resonance (tomography), also called magnetic resonance imaging (MRI): particularly suitable for cartilage and ligament analysis. At about the assessment of capsule damage or abnormalities in the joint.

Conservative treatment has priority.

To mention only the most common methods:

  • Physiotherapy exercises:

    • To set up the muscles around the joint or for the stabilization of the spinal muscles. To dilate capsule and ligaments in agility restrictions.
    • To dilate capsule and ligaments in Agility restrictions.
    • Foot deformity, such as flatfoot or fallen arches: to enhance in tones of toning exercises the active muscles in the lower leg, so that the foot in the arch raises,again.
    • Use of of orthopaedic appliances such as: - orthopaedic shoe inserts
    • Stabilizing dressing in case of acute ligament injuries
    • Plaster for immobilization of fractures

Operative, minimally invasive.

Only when the limit is exceeded, and as the pain increases, then we operate - using the most modern technique of endoscopic and minimal-invasive surgery. We always prefer arthroscopy

  • Arthroscopy:
    Through arthroscopic procedure and the so-called „keyhole surgery“ we take care of the tissue: millimeter small sections / cuts provide a view into the joint and the interior work on the joint.
  • Hip arthroscopy:
    At the moment this is a new field of arthroscopic surgical techniques to correct deformities of the bone and to act contrary to further development of osteoarthritis.

Minimally invasive open surgery.
If the joint cannot be obtained by arthroscopic measures, we apply a so-called open surgical procedure. We always adhere to our supreme principle of minimal-invasive surgery, that is, if possible not to remove the muscle, but to suppress it.

AMIS: A form of conservation.
The AMIS technology represents a convincing development within the hip-endoprosthetik. (Anterior Minimal-Invasive Surgery). The insertion of implants takes place without cutting a muscle, a tendon and it draws a filigree methodology with access to the hip running obliquely from the front side of the groin. An anatomically logical, very gentle way that is suggested by the nature of this region.

AMIS: a form of recreation.
What happens during this surgery method? Only a careful displacement of muscle and tendon. The key-advantage for the patient: less pain, faster recovery. Often, even the stationary rehabilitation stay is unnecessary

AMIS: a form of minimum principle.
A major benefit for patients in revision surgery, where about only one component of the artificial hip joint is replaced. In former times – when the replacement of the acetabulum was needed - the associated surgical measure was considerably more extensive than the initial surgery. Accordingly to this, the burden was greater for the patient. Today, especially the patient with a loosening or damage in the acetabulum region benefits often from the application of the AMIS technology.

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Dr. med. Alfred Eichbichler · Dr. med. Martin Nolde & Dr. med Dominikus Hausmann · Richard-Strauss-Str. 82 · 81679 München · email: info [at] orthopraxx.de

Conservative therapy I endoscopy I arthroplasty I AMIS I cartilage therapy I measurement of the spine I body static analysis I pedography I physiotherapy I sonography, MRI