Knee Surgery

The knee joint - Complex and prone to injury

The knee joint is one of the body’s complex marvels. The interaction between the kneecap, meniscus, ligaments, muscles, articular capsules and tendons make this joint extremely stable and flexible. If this complex functional interplay is somehow impaired through degenerative disease, unusual strain, or trauma, expert advice is needed. The knee experts at the ECOM® Excellent Center of Medicine are specialized in the treatment of all forms of knee disorders and are recognized nationally and internationally as distinguished medical consultants.

Based on long-term experience, we know: a surgical procedure may not always be necessary. In many cases, problems and symptoms can be successfully treated and resolved using modern, more conservative methods. If an operation is necessary, the procedure is executed with the benefit of a wealth of experience, using precise and minimally-invasive arthroscopic methods. Always with the goal of ensuring the rapid reduction of pain and the restoration of mobility.

Knee treatments at ECOM® Excellent Center of Medicine

Knee problems which occur while participating in physical activity and during daily doing are multifaceted. They can be caused either through a traumatic accident or through degenerative disease with accompanying wear and tear and/or deterioration. The most common problems are created by damage to the meniscus, tendon and ligament injuries, injuries to the knee caps, varus deformities (“ bowed legs” and “knocked knees”), as well as cartilage damage and arthrosis.


The meniscus is a half-moon shaped elastic disk made of cartilage, which can be found between the surface areas of the femur (thigh bone) and the tibia (lower leg bone). Damage to the meniscus may be a result of sports, a traumatic accident, or degenerative disease. The most common injuries to the meniscus are tears, lesions, compression damage, and mechanical irritation.

Knee Ligaments

The stability of the knee joints is influenced in great measure by the so-called sidebands, also known as collateral ligaments and to the cross bands, also known as cruciate ligaments. The sidebands are located along the sides of the knee joint to the right and left, whereas the cross bands can be found within the joint itself. Commonly experienced injuries to the knee are cross band strain/overextension and ruptures as well as sideband overextension and ruptures.

Patella Tendon

The patella tendon is the largest tendon within this construction. It is responsible for the transmission of force from the thighs to the lower legs and is often exposed to severe stress during physical activity. For example, sudden changes in directional movement and so-called “Stop & Go” movement may cause the patella tendon to rupture: when this happens, it is no longer possible to stretch the leg against resistance and a surgical procedure becomes necessary.


The kneecap (patella) is a disk-shaped bone in the knee joint. Its function is the transmission of strength from the frontal thigh muscles to the calf muscles via the patella tendon, and it is highly susceptible to injuries resulting from physical activity or accidents. Commonly experienced injuries to the patella are sprains, fractures, and dislocation.

Varus deformities

Bowed legs and knocked knees are both forms of axis misalignment, a term used to describe deviations from the normal axle positioning. These forms of misalignment lead to permanent undue overburdening and dysfunctional movement patterns: this, in turn, causes pain and increased wear and tear on cartilage. Surgical procedures to correct these forms of misalignment (known as ostenmie) relieve stress on the damaged cartilage by changing the angle of the leg bones, thereby reducing undue stress to the knee joint.

Cartilage (knee joint)

Cartilage damage is a description for the pattern of symptoms related to the abrasion of cartilage tissue in a joint: the cartilage is macerated and softened, causing deterioration and tears and, as an end result, to a complete depletion of the cartilage coating. In its final stages, the clinical description for cartilage damage is arthrosis. One of the most common forms of arthrosis is that of the knee joint.

Knee arthrosis

Knee arthrosis is a degenerative disease of the knee joint. It describes the functional status after destruction of the cartilage coating and the resulting, extremely painful inflammatory process which leads to a reduction in mobility. Treatments for knee arthrosis range from conservative forms of therapy such as autohaematherapy (autologous blood therapy) and stem cell therapy to the implantation of an artificial knee joint.

Artificial knee joints

The ability to implant artificial knee joints is one of the most significant innovations in the field of modern medicine. This solution is taken into consideration when conservative and/or preservative therapeutic measures, medication to reduce pain and inflammatory processes, and the administration of substances to sustain cartilage have failed to show results. The primary goal is to replace only damaged parts of the joint and to conserve healthy tissue as far as possible.

Knee pain: the body’s alarm signal

Knee injuries are not uncommon, they are actually one of the awareness of the most common forms of orthopedic injuries. Physically active people in particular are at increased risk of suffering from knee injuries. During physical activity, the complex knee joint is subject to extreme strain during which it carries the body’s entire weight. Symptoms and discomfort may occur suddenly with a cute severity, caused by sports accidents or trauma. However, symptoms may increase gradually as a result of continual unusual or undue strain experienced during athletic activity.

But, problems with knee joints are not only the result of athletic activity. Pain and/or injuries to the knee can also occur during daily doing, resulting in a dramatic decline in mobility and quality of life. Root causes of knee injuries caused by daily doing activity could be, for example; lack of exercise, obesity, degenerative cartilage loss as well as other degenerative diseases.

Whatever the cause may be for knee pain, such pain is always a warning signal which should not be ignored. The knee specialists at ECOM® Excellent Center of Medicine can draw upon years of experience and competence in the treatment of any and all knee dysfunctions.

Treating knee problems with experience and competence

Injuries to the knee joint are often complex, and difficult to diagnose and treat. The experience and competence of the responsible physician is thus a deciding factor for successful treatment and rapid recovery. The experts at ECOM® Excellent Center of Medicine are specialists with extensive experience and know-how, making targeted diagnostics and the treatment of knee injuries with the most modern therapeutic methods possible.

The main focus of the treatment at the ECOM® Excellent Center of Medicine is the rapid restoration of functionality, activity, and mobility. Our guiding principle: in many cases knee problems can be successfully treated with the use of conservative methods such as the administration of cartilage- forming compounds, autologous blood therapy, biological regenerative and substitutive procedures, and medically executed training therapy.

If a surgical procedure should still be necessary, operations are executed drawing upon a wealth of experience and competence, according to the most modern methods of surgical standards, using minimally-invasive arthroscopic methods. With a combined total of more than 30,000 knee operations, we can deliver the expertise to ensure successful treatment for knee injuries experienced in physical activity as well as daily doing.

Consultation and contact information for questions regarding knee injuries

Do you have any questions regarding treatment and therapy for knee injuries resulting from physical activity or daily doing? Our knee specialists, Dr. Erich Rembeck and Dr. Alexander Rauch will be happy to give you more information and a comprehensive consultation during a personal appointment. Please make an appointment here. We are looking forward to seeing you.