Joint Surgeons in Germany

Gelenk Klinik Orthopaedic Clinic
Alte Bundesstrasse 58
D-79194 Gundelfingen
fon: +49-761-79117-228
fax: +49-761-79117-999

Specialised anaesthesiology is a key to patients safety in orthopaedic clinic in Germany Germany

Partial Anaesthesia risk reduction and postsurgical pain suppression

Most parts of the body can be anaesthetised individually

Local anaesthesia or partial anaesthesia plays an ever-increasing role in orthopaedic surgery. Partial anaesthesia can be used as a supplement to general anaesthesia. Partial anaesthesia can even completely replace general anaesthesia in many cases. Patients can stay awake with partial anaesthesia. They may also fall into a shallow sleep during surgery if only a mild sedative is used. The level and type of anaesthesia chosen depend on the desire of the individual patient to observe arthroscopic surgery on a screen.

Regional anaesthesia and modern pain management
Ultrasound-guided anaesthesia can block the specific pain sensation in one arm
Under Ultrasound guidance the pain sensation in the leg can be specifically blocked
The high resolution Ultrasound displays the exact location of the needle.
Specific block of pain sensation in the lower leg
Ultrasound-guided anaesthesia can block the specific pain sensation in a single arm
Ultrasound-guided anaesthesia can block the specific pain sensation in one arm
ULTRASOUND GUIDED REGIONAL ANAESTHESIA can specifically block the pain sensation in a defined anatomic area, minimising the quantity of analgetic or sedative substance required. Regional anaesthesia is an indispensable tool in post-surgical pain management and patient rehabilitation. Our anesthesiologist uses special high-quality anaesthetic needles with good ultrasound contrast. They are also chosen as they are sharp enough to penetrate the skin easily, and do not cut into muscle tissue, nerves or blood vessels. ©

How is partial anaesthesia performed?

The inevitable increase in stress hormones during surgery can be a threat, especially for patients with an underlying heart or circulatory system problem. Sedation or general anaesthesia is a safer option for these patients.

During partial anaesthesia individual parts or regions of the body are made free of pain and sensitivity.

One common use of regional anaesthesia is familiar to everyone who has ever had anaesthesia during a dental procedure.

Regional anaesthesia can be combined with either a light sleep medication (sedative) or deep general anaesthesia according to individual patient preference. This additional anaesthesia is optional, as the patient is already completely pain-free. It might however be beneficial to sedate a patient in some cases, in order to lower the general stress levels in the body.

Types of Partial anaesthesia

Types of Local Anaesthesia

  • Neuraxial anaesthesia
  • Peripheral regional anaesthesia
Both types of regional anaesthesia rely on high resolution ultrasound guidance during the process of administrating the anaesthetic.

There are two types of partial anaesthesia. One type of partial anaesthesia neuraxial anaesthesia is well known from spinal anaesthesia. Spinal and epidural anaesthesia are the most well-known types of neuraxial anaesthesia. This type of anaesthesia can block pain and sensitivity in large areas of the body such as the chest, abdomen, pelvis, or both legs for example.

Another major type of partial anaesthesia peripheral regional anaesthesia gives the possibility of blocking individual nerves in order to anaesthetise a very specific part of the body only such as a single finger, arm, leg, or foot for example.

Modern devices guided by ultrasound, bring precision to partial anaesthesia.

Partial anaesthesia has many advantages:

  • smaller drug dose
  • significant reduction of complications
  • patient is awake to watch the surgical procedure on a screen if desired

These forms of partial anaesthesia have been used for some time by modern centres such as the orthopaedic Gelenk Klinik. As they require very precise high resolution ultrasound guided equipment which is expensive, these techniques are not yet widely available elsewhere.

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Orthopaedic Clinic Germany

orthopedic clinic and surgeon in Germany

MVZ Gelenk-Klinik
Orthopaedic Clinic

ISO 9001:2015 certified quality

Alte Bundesstrasse 58

D-79194 Gundelfingen



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Location of Gelenk-Klinik Gundelfingen
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  • Distance to EURO-Airport Basel: 80 km (45 mins)
  • Distance to Zurich: 161 km (1h 40)
  • Distance to Frankfurt: 259 km (2h 20)

Centre for Arthroplasty

Center of Excellence in Arthroplasty

Certified Centre for Arthroplasty (Centre for Endoprosthesis)