unnamedMostly, it has to do with the examination of infants, so as to exclude developmental diseases of the hip and deformities of the ankle and foot. Developmental dysplasia of the hip is better diagnosed with an ultrasound. On early diagnosis, they can be treated conservatively or with surgical interventions. Wounds, fractures and developmental deformities and diseases can be assessed in our office.

unnamedThe knee joint is the largest on the human body. It connects the femur with the tibia and makes flexion and extension of the lower limb possible. Between the cartilaginous parts of the femur and tibia, lie the meniscus, which aim to depreciate the stresses during walking and sports activities. The articular capsule which surrounds the joint produces the articular fluid, responsible for the nutrition of the cartilage. A number of ligaments (cruciate and lateral) stabilize the knee joint. The patellae with its cartilage provides further stabilization and protection to the knee.


unnamed3Hip osteoarthritis is a degenerative disease of the hip joint, especially met in the elderly. It is the result of the wear of the cartilage of the acetabulum and the femoral head and it is the most common osteoarthritis in human beings.

The reconstruction surgery of the hip is mostly represented by total hip arthroplasty which is the election procedure for hip osteoarthritis. Other diseases of the hip which often demand total hip arthroplasty are rheumatoid arthritis, femoral head necrosis (due to interruption of blood supply), posttraumatic arthritis, secondary arthritis due to diseases in childhood, such as Perthes disease or degenerative dysplasia of the hip.

Nowadays, a great variety of implants supply the market. They differ depending on their design, their stabilization philosophy and the power distribution. The stabilization of the implants on the acetabulum and the femur can be achieved with or without cement or with the combination of both (hybrid stabilization with use of cement on the femur and without cement on the acetabulum). The use of cement is mostly preferred in older patients as it achieves better stabilization where the biological recreation of bone is weak. In younger patients the none cement technique is preferred, while there are several implants which achieve very good primary consolidation and integration to the bone.