ORTHOPEDIC AND MUSCOLOSKELETAL TRAUMATOLOGY CLINIC Our Services 1
Table of Contents Specializing in Orthopedics A definitive need 5 Impact on the Quality of Medical Treatment 6 Impact on the Quality of Advanced Education 7 Foot and Ankle 8 Interdisciplinary Fields 22 Interdisciplinary Emergency Station Musculoskeletal Infections Diabetic Foot Consulting Plastic Surgery, Tumors and Orthopedic Pediatrics Conservative Orthopedics and Physical Medicine Hip and Pelvis 10 Hand and Wrist 12 Shoulder and Elbow 14 Knee 16 Spine 18 Musculoskeletal Infections 20 2 3
SPECIALIZING IN ORTHOPEDICS A definitive need In recent years, the expert knowledge of the human musculoskeletal system has made substantial advancements with regard to its structure and functions. The insights into functional problems and the related diagnostic and therapeutic options have become more concise. It has become increasingly difficult for individual physicians to gain an overview across the entire field of expertise to provide optimum services to affected patients. Hence, the discipline of orthopedic surgery has also begun to follow the global trend of medical specialization. Over the past few years we have implemented a team structure at our clinic that accommodates these developments. Each team is under the direction of a special executive physician. Each team leader has acquired a well-founded advanced education in an orthopedic sub-discipline and also has completed a broad general education in orthopedics and traumatology. Hence, we are in a position to offer patients who are suffering from injuries or functional issues of the musculoskeletal system high quality services while we also cover the basic orthopedic needs of all patients. 4 5
Impact on the Quality of Medical Treatment It is logical and has also been scientifically proven in some cases that the result of medical treatment hinges largely on the competent analysis of the problem at hand and high quality initial treatment. Specialized physicians possess thorough knowledge of the pathologies in their fields of specialization and are familiar with the best diagnostic and therapeutic options that will ensure the success of the treatment. Experts also have the insights required to quickly recognize potential complications and to take competent action. The focus on only one area of the body increases the number of cases of this kind handled by each physician, which results in higher quality treatment. Our team structure simplifies the processes thanks to clear treatment paths and makes them more efficient. Impact on the Quality of Advanced Education Our clinic holds a fully FMH accredited continued education certification for the subject «Orthopedic Surgery and Musculoskeletal Traumatology.» Some of our team leaders are actively involved in the conduction of specialized orthopedic doctors exams and/or are members of expert commissions with the Swiss Orthopedics Association (SGO). Thanks to its academic involvement, our executive staff is not only making contributions to research, but also participates in the teaching process. Our respective teams are not only able to pass on treatment standards, but are also capable of systematically teaching additional expert knowledge to interns participating in advanced education programs. Our team organization has led to the creation of a contemporary continued education structure. As a result, the Kantonsspital Baselland has become a very attractive continued education facility for orthopedics, but is also held in high esteem by senior physicians aiming to advance their specialization. 6 7
Foot and Ankle Prof. Beat Hintermann, Medical Director PD Dr. Markus Knupp, Executive Physician, Team Leader Annette Moser, Senior Physician Dr. Joe Wagener, Senior Physician Dr. Raphael Kaelin, Senior Physician - Treatment of foot and ankle arthrosis: joint preserving therapy and prosthetics/arthroscopy - Tendon problems (specifically: Achilles tendon, peroneus tendon, tibias anterior and posterior tendon) - Reconstructive tendon surgery post injury - Open and arthroscopic cartilage surgery - Transplantation of vascularized bone chips in the foot and ankle - Traumatology of the foot and ankle - Foot and ankle sports injuries - Treatment of diabetic foot diseases - Conservative therapy: Shoe inserts, adjustment of orthopedic inserts. (Prof. Hintermann) T +41 (0)61 925 22 20 CARE MANAGEMENT T +41 (0)61 925 33 50 / 31 68 (PD Dr. Knupp) T +41 (0)61 436 27 32 F +41 (0)61 436 36 76 T +41 (0)61 436 51 67 F +41 (0)61 436 36 82 fuss@ksbl.ch fuss@ksbl.ch 8 9
Hip and Pelvis - Muscle preserving, minimally invasive primary wear and tear related hip joint replacement (cemented and not cemented) - Artificial hip joint replacement surgery due to wear and tear, recurring luxations, infections or chronic pain - Hip joint preserving surgery (arthroscopy, surgical hip joint luxation) for the treatment of damages caused by excessive stress as well as cartilage and labrum injuries (femoroacetabular impingement, etc.) - Medical care for pelvis, hip and upper thigh bone fractures (provided to older patients in partnership with geriatric physicians), including periprosthetic fractures Prof. Dr. Karl Stoffel, Co-Medical Director, - Treatment of malformations/badly healed fractures of the hip and the upper thigh Team Leader Dr. Christian Graf, Executive Physician Dr. Martin Clauss, Executive Physician Dr. Wolf Siepen, Senior Physician Dr. Bertram Rieger, Senior Physician - Treatment of chronic soft tissue diseases in the hip joint region (bursitis, tendinitis, snapping tendons, etc.) - All possible hip surgery related complications - Second opinions and evaluations CARE MANAGEMENT T +41 (0)61 925 22 23 T +41 (0)61 925 33 55 F +41 (0)61 925 28 79 T +41 (0)61 436 27 31 T +41 (0)61 436 51 57 F +41 (0)61 436 36 76 F +41 (0)61 436 36 82 huefte@ksbl.ch huefte@ksbl.ch 10 11
Hand and Wrist - Treatment of acute and past hand injuries (fractures, vascular/ tendon/nerve damages, soft tissue defects, complex wrist injuries) - Surgery of peripheral nerves, especially nerve decompression (in some cases by endoscopic means), nerve relocations, peripheral nerve transfers on the upper and lower extremities - Surgery to repair soft tissue problems, such as snapping fingers, inflammation, ganglion cysts - Hand infections - Treatment of Dupuytren contractions (collagenase, surgery) - Treatment of inflammatory diseases (rheumatoid diseases) and degenerative joint problems (arthrosis) incl. arthroscopies, partial arthrodesis, prosthetic joint replacements - Correction of post accident issues (improperly healed fractures, tendon transfer, reconstructive hand surgery) Dr. Lukas Mathys, Executive Physician, Team Leader Dr. Regula Steiger, Executive Physician Dr. Philipp Honigmann, Executive Physician Dr. Charlotte Kurz, Senior Physician Dr. Nadja Müller, Senior Physician Sabine Kohl, Senior Physician Dr. Noémie Devaux Voumard, Senior Physician T +41 (0)61 925 39 34 F +41 (0)61 925 28 24 hand@ksbl.ch T +41 (0)61 436 21 99 F +41 (0)61 436 36 76 hand@ksbl.ch 12 13
Shoulder and Elbow PD Dr. Ariane Gerber Popp, Executive Physician, Team Leader Dr. Thomas Suter, Senior Physician Dr. Anne Mertens, Senior Physician - Treatment of acute injuries and consequences of injuries (including sports injuries) in the shoulder and elbow region - Treatment of sub-acromial conflict situations and lesions of the rotator sleeve using modern arthroscopic and open options (incl. tendon transfer surgery, shoulder prostheses) - Addressing of shoulder and elbow instabilities, incl. through arthroscopic and open treatment options (as well as bone transplants, tendon reconstruction and special solutions for scapula instability) - Treatment of inflammatory and degenerative joint diseases in the elbow and shoulder areas with joint preserving methods and prosthetic joint replacements - Treatment of tendon connection problems on the elbow - Treatment of nerve compression syndromes on the shoulder girdle T +41 (0)61 925 22 24 T +41 (0)61 436 27 60 F +41 (0)61 436 36 76 CARE MANAGEMENT T +41 (0)61 925 37 27 F +41 (0)61 925 28 79 schulter@ksbl.ch schulter@ksbl.ch 14 15
Knee Joint PD Dr. Michael Hirschmann, Executive Physician, Team Leader Dr. Andreas Beck, Executive Physician Dr. Michael Uhlmann, Senior Physician - Arthroscopic, minimally invasive knee joint surgery - Meniscus re-fixation, partial meniscus removal, partial meniscus replacement - Addressing of cartilage and cartilage-bone damages using the latest ortho-biological regenerative processes injuries (MaioRegen, Cares1S, ACT) - Reconstruction of the frontal and rear cruciate ligament - Suturing of the frontal cruciate ligament - Correction of the leg axis to address improper axis positions and arthrosis in the early stages - Treatment of knee pad instabilities through reconstruction of the medial patella femoral ligament (MPFL) or deepening of the upper thigh pit (trochlea plastic) - Services related to knee joint area fractures - Primary knee prosthesis care for patients suffering from advanced arthrosis (partial and full prostheses) - Pain treatment and addressing of post knee prosthesis surgery problems - Replacement of knee prostheses (prosthetic revisions) - Consulting sessions: Painful knee prostheses T +41 (0)61 925 33 58 T +41 (0)61 436 26 97 F +41 (0)61 436 36 76 CARE MANAGEMENT T +41 (0)61 925 37 27 F +41 (0)61 925 28 79 T +41 (0)61 436 51 68 F +41 (0)61 436 36 82 knie@ksbl.ch knie@ksbl.ch 16 17
Spine PD Dr. Hans-Heinrich Trouillier, Executive Physician, Team Leader Dr. Harry Gebhard, Senior Physician Dr. Ursula Heim, Senior Physician - Clinical/diagnostic evaluation of patients suffering from back pain in our spine consultation sessions - Spine specific physical/rehabilitative treatment - Conservative und interventional pain therapy for chronic back pain (CT-controlled infiltration, facet denervation, intra-disc thermo denervation) - Surgical treatment of acute spinal injuries - Surgical treatment of degenerative back problems, minimally invasive spinal disc surgery, disc replacement, stabilizing and dynamic surgical processes - Spinal column surgery based on reconstructive processes to address post traumatic deformations and deformations patients were born with - Surgical tumor removal and treatment of spinal column infections T +41 (0)61 925 37 18 T +41 (0)61 436 27 35 F +41 (0)61 436 36 76 CARE MANAGEMENT T +41 (0)61 925 31 67 F +41 (0)61 925 28 79 wirbelsaeule@ksbl.ch wirbelsaeule@ksbl.ch 18 19
Musculoskeletal Infections Prof. Dr. Karl Stoffel, Co-Medical Director, Team Leader Dr. Martin Clauss, Executive Physician Dr. Peter Graber, Executive Physician Dr. Bernhard Kessler, Senior Physician Prof. Werner Zimmerli, Consultant - Treatment of musculoskeletal infections (joint and bone infections, prosthesis related infections) - Interdisciplinary counseling sessions with infectologists, plastic surgeons and radiologists - State-of-the-art laboratory and imaging diagnostics (sonication, PCR, SPECT-CT, FDG-PET) - Revision prosthetics incl. complex reconstruction (bone bank) - Surgical treatment and reconstruction working in partnership with organ experts - Osteomyelitis treatment (incl. segment transport und vascularized bone chip plastics) - Interdisciplinary cooperation with plastic surgeons in the reconstruction of complex soft tissue injuries As the Swiss representative and in partnership with the CHUV Lausanne, the interdisciplinary unit of the Kantonsspital Baselland is the European Reference Center for implant-related infections. T +41 (0)61 925 22 23 huefte@ksbl.ch 20 21
Interdisciplinary Fields Interdisciplinary Emergency Station At its interdisciplinary emergency station, the Kantonsspital Baselland offers injured or acutely ill patients efficient first aid and treatment services around the clock. The team of emergency room physicians seeks the assistance of experts whenever necessary for the initial diagnosis and treatment. The orthopedic emergency physician and an executive team physician treat primarily patients who have sustained relevant injuries or are suffering from acute musculoskeletal diseases. Severely injured patients and those who have sustained unstable spinal column injuries are treated in cooperation with the Musculoskeletal Treatment Center of the Basel University Hospital. Plastic Surgery, Tumors and Pediatric Orthopedics If bone and joint surgeries require complex soft tissue coverage, the team in charge involves Prof. Dirk J. Schäfer, MD, the Head of Plastic, Reconstructive and Esthetic Surgery at the USB. Musculoskeletal tumors and special pediatric orthopedics cases are treated in cooperation with the Musculoskeletal Treatment Center at the Basel University Hospital and the Pediatric Orthopedic University Clinic. Injured children who do not have to spend extended periods of time in the hospital, are treated by our orthopedic team. Musculoskeletal Infections The successful treatment of musculoskeletal infections especially infections that arise post artificial joint implant surgery hinges on special diagnostic resources and the optimum balancing of surgical and antibiotic treatments. Our orthopedic-infectology unit works in close cooperation with experts to integrate clinical, microbiological and scientific competencies for the benefit of the affected patients. Diabetic Foot Syndrome Consultations The diabetic foot syndrome is the root cause of two thirds of all lower extremity amputations. The syndrome is the result of circulatory problems, neuropathy or diabetic-neuropathic osteoarthropathy («Charcot foot»). Given that these complex illnesses are on the rise, a need for an interdisciplinary patient consultation option arose. Our clinic offers this service in partnership with angiologists and endocrinologists. Conservative Orthopedics and Physical Medicine The focus of conservative orthopedics and physical medicine in on the provision of services to patients suffering from musculoskeletal problems that do not require surgical intervention. The required examinations and the initiation of treatments are provided as periodic consulting services at our emergency station and in all of our clinics. Conservative treatment is offered in cooperation with the hospital s therapeutic center, which comprises physiotherapy, ergotherapy and speech therapy. Patients suffering from neurological diseases are treated in accordance with a special interdisciplinary concept offered by the Kantonsspital Baselland ( Neurokonzept ) in partnership with the Medical University Clinic, the neurological counseling service and the therapeutic center. 22 23
Kantonsspital Baselland Rheinstrasse 26 CH-4410 T +41 (0)61 925 25 25 F +41 (0)61 925 20 90 orthopaedie@ksbl.ch liestal@ksbl.ch CH-4101 T +41 (0)61 436 36 36 F +41 (0)61 436 36 50 orthopaedie@ksbl.ch bruderholz@ksbl.ch Lochbruggstrasse 39 CH-4242 Laufen T +41 (0)61 400 80 80 F +41 (0)61 400 83 65 laufen@ksbl.ch www.ksbl.ch WE PROVIDE CARE THAT IS KSBL-Li KSBL-Bh M01013 V 11/2015 100 Ex. 02/2016 compassionate We work hard to help every patient. We are here for everyone who needs us. responsible We offer highest quality paired with patient safety. We strive to be exemplary as individuals and as an institution. entrepreneurially sound We seize and utilize opportunities to move our enterprise forward creatively and courageously. We foster both - self-drive and team spirit. 24