ORTHOLILL >> operations >> Knee Joint
The treatment of fractures (bone fractures) and luxations (dislocations) is completed by gentle techniques and modern materials.
Osteotomy
Axis misalignment in the knee (bow leg/knock knee) often results in unicompartmental knee osteoarthritis. Correction of the knee axis can often prevent
total joint replacement.
Arthroscopic Surgery
Once diagnosed with a meniscus tear different measures of treatment could be employed. If possible, we perform meniscus
repair by placing the edges together with sutures; most commonly, the gentle removal of torn meniscus parts (a
so-called partial meniscectomy) is necessary.
If cartilage is severely damaged our doctors at the ORTHOPAEDIE BAVARIAPARK will discuss the options you have and
select a plan tailored to your needs; possible surgical procedure:
Microfracturing
Smoothing of cartilage
Autologous cell transplantation (ACT)
Mosaicplasty/OATS (osteochondral autograft transfer system)
Removal of painful loose bodies
In cases of a “mild” malposition of the knee cap we would perform minimally-invasive surgery. If your ACL is torn it
can be reconstructed by utilizing either the patellar tendon, which connects the patella to the tibia or the
semitendinosus-gracilis (hamstring) tendon, which connects muscles in the back of the thigh to the lower leg. In both
cases your own tissue is used (also called autograft or autotransplant).
ACL Plasty
Both the ACL tear and the PCL tear are a serious mechanical problem for the knee joint and will most likely require
surgical reconstruction.
Dr. R. Krebs has developed a new patent-registered method for ACL/PCL reconstruction by utilizing autogenous
semitendinosus and gracilis tendon graft. This new fixation device allows early weight-bearing and faster recovery
time.
Both surgeries are performed arthroscopically.
Mosaicplasty (OATS)
If cartilage defects are only small to medium-sized they can be treated by mosaicplasty technique (OATS-plasty). The
cartilage plugs (osteochondral cylinders) are taken from areas of the knee that are non-weight-bearing areas.
Open Knee Surgery
When cartilage damage or knee misalignment is too severe we recommend open knee surgery. In a great many cases total
joint replacement can be avoided, or at least postponed for years by osteotomy. Knee osteotomy surgery changes the
alignment of the knee so that the weight-bearing part of the knee is shifted off diseased or deformed cartilage to
healthier tissue in order to relieve pain and increase knee stability. In certain cases the implantation of a so-called
unicompartmental knee arthroplasty is indicated.
