Nowadays almost all joints can be “repaired” arthroscopically (minimally invasive).
Our practice has specialized especially in arthroscopic therapy in the area of the shoulder, knee joint and ankle joint.
Nowadays the arthroscopic procedures are extremely fast developing, we have consciously committed ourselves to these 3 joints and specialized and constantly use the latest arthroscopic techniques. In scientific exchange with the University Hospital Freiburg, the German-speaking Working Group for Arthroscopy (AGA) and American arthroscopy specialists, we develop our own arthroscopic operation methods (quadrant technique by Ogon, patellar release by Ogon) and operate according to the latest arthroscopic techniques.
“Arthros” literally means joints and “skopein” means looking inside. Literally translated it means to look into the joint. Nowadays, however, there is hardly any diagnostic arthroscopy where only the joint is looked into, almost all diseases of the joints can nowadays be “repaired” arthroscopically.
In arthroscopic procedures, two or three small holes about 3 mm in size are usually drilled into the joint. These small accesses are used to insert an optical system with a tiny camera, which can be used to assess the entire structure of the joint. The joint is flushed with liquid for a better view and the image is projected onto a large screen via the camera. This allows easy orientation even in the smallest joints. Mechanical instruments, electrically operated milling machines and electrothermal instruments can be inserted via the other small access points.. By using this technique almost all damages in the joint can be treated arthroscopically.
During arthroscopic surgery, the experienced surgeon can precisely assess all damages with the mini camera and repair them gently on site. By magnifying the image on a screen, the operation can be performed with the highest precision even in small joints. In contrast to earlier operations, the joint no longer has to be opened with a large incision, so healthy structures that protect the joint are not injured.
The affected joint recovers more quickly and the operation is almost always relatively pain-free in post-treatment. Minor arthroscopic operations can also be performed on an outpatient basis. Larger reconstructive surgeries are usually associated with a short hospital stay. Operation risks such as nerve injuries, joint stiffness, infections etc. are considerably lower compared to open operations. Of course, an exact diagnosis for certain joints should be made by a specialist before each operation and the corresponding operation as well ass the post operation treatment should be discussed with the patient.
For the arthroscopic operation an anaesthesia in the form of general or partial anaesthesia is necessary. In individual cases this is assessed and carried out by a very experienced senior physician of the anaesthesiological department of the University Hospital Freiburg.
We work together with specialised physiotherapists who, like us, are trained in special joints. A special follow-up treatment scheme for all surgical procedures guarantees close coordination between doctor, patient and physiotherapist.
Before the operation frequently asked questions are always discussed with the patient.
Arthroscopic surgery should only be performed by an experienced surgeon for specific joints. A qualification confirms the German-language working group for arthroscopy with the recognition Arthroscopeur (AGA) as well as the further recognition as AGA instructor, which obliges the physician to be helpful in the training of other physicians in arthroscopy with advice and action.
Dr. Ogon is both an AGA arthroscopist and AGA instructor and has been active at home and abroad in arthroscopy courses as an instructor and speaker.