Pediatric Orthopedics

University Hospital Cologne's Department for Orthopedics and Trauma Surgery diagnoses and treats congenital and acquired deformities, tumors, diseases and injuries to the musculoskeletal system in children and adolescents.

Our strengths

Comprehensive treatment and care

Our close collaboration with the pediatric department and pediatric intensive care unit allows us to provide comprehensive medical treatment and care to children and adolescents with complex and challenging conditions.

Multidisciplinary care

Depending on the relevant condition, the pediatric orthopedics team always cooperates with other Hospital departments and interdisciplinary teams such as: Pediatric surgery, Neurology and neurosurgery, Nephrology (metabolic bone diseases caused by kidney diseases), Infectiology clinic (e.g., osteomyelitis, septic arthritis), Orthopedic workshop, Physiotherapy and occupational therapy. Working in close partnership with other specialists significantly improves the treatment outcomes of these complex and extensive treatment approaches.

Specialist clinics

We offer a range of special consultation hours which are held by experienced specialists in pediatrics, ultrasound, scoliosis, osteology (e.g., for osteogenesis imperfecta, skeletal dysplasia and other congenital and acquired bone diseases or metabolic bone disorders), Orthopedic Oncology.

Our diagnostic procedures at a glance

  • Magnetic Resonance Imaging (MRI scans) with field strengths of 1.5 and 3.0 Tesla
  • Special diagnostic procedures for infants: MRI scans under general anesthetic
  • CT scans
  • PET/CT scans (Positron Emission Tomography) 
  • Scintigraphy 
  • Conventional x-ray diagnostics
  • Full body x-rays
  • Functional x-rays 
  • Ultrasound
  • Special scoliosis center diagnostics
  • Infant hip sonography according to Graf
  • Special diagnostics for extremity deformities (e.g., tibial/fibular hemimelia, PFFD)

Our treatment procedures

  • Surgery performed using Brainlab (Curve) navigation systems in conjunction with Siemens 3D image converters (Arcadis Orbic)
  • Complex deformity corrections
  • Scoliosis and other spinal deformity correction surgery including dorsal and ventral surgery
  • VEPTR surgery 
  • Spondylolisthesis surgery
  • Corrective osteotomies near joints (congenital and acquired hip diseases, malpositioned extremities) 
  • Corrective surgery for lower extremity deformities using Guided-Growth-System  (eight-plate guided growth system for hemiepiphysiodesis)
  • Computer-assisted corrective surgery for extremity deformities using ring fixators (Taylor Spatial Frame)
  • Limb length discrepancy surgery using temporary and permanent epiphysiodesis, external fixators or intramedullary nailing 
  • Corrective surgery for extremity deformities and fracture fixation in osteogenesis imperfecta using the Fassier-Duval Telescopic Intramedullary System
  • Osteosynthesis procedures using TEN (Titanium Elastic Nails)
  • Club foot treatment using the Ponseti method
  • Wertical talus treatment using the Dobbs method
  • Corrective surgery for congenital, acquired and neurological deformities of the foot using tendon surgery, osteotomy and ring fixators
  • Resorbable osteosyntheses procedures
  • Arthroscopic surgery for various joints (e.g., knee, ankle, hip)
  • Tumor surgery for benign and malignant bone and soft tissue tumors including biopsies, evacuations, plate osteosynthesis and MUTARS® prostheses

Pediatric orthopedics specializations

This section contains information on some of the conditions that are most frequently treated at our department. However, this information is not exhaustive and we also provide treatment for other pediatric orthopedic conditions.

Congenital orthopedic abnormalities

Congenital orthopedic abnormalities include misaligned feet such as club foot, flatfoot deformities, talipes varus, pigeon toes, flat feet and serpentine foot, arm and leg deformities such as tibial and fibular hemimelia, proximal femoral bone defects and axial misalignments of the leg as well as joint deformities. 

Spinal deformities include scoliosis, vertebral anomalies and spina bifida.

In order to prevent secondary damage, it is important that congenital deformities are diagnosed and treated as early as possible in children. In newborns, the bones of the acetabulum can be checked during a routine examination using ultrasound in order to detect a congenital dislocation of the hip early and prevent secondary damage such as repeated dislocation and arthritis of the hip. It is also possible to identify deformities of the foot using special examination methods (Ponseti and Dobbs method) as early as during the first days of life. Our department's spectrum of surgical services also include corrective surgery for complex deformities. Our patients benefit from interdisciplinary specialist clinics such as, for example, our scoliosis consultation hours.

Pediatric orthopedic conditions

The Department of Pediatric Orthopedics specializes in reliably diagnosing and carefully treating diseases of the musculoskeletal system. This includes general diseases such as torticollis, hip conditions such as hip luxation, necrosis of the femoral head, growth plate fractures, sports injuries such as knee problems and bone lesions (osteochondritis dissecans), spinal conditions such as slipped vertebra (spondylolisthesis) and Scheuermann's disease, as well as non-organ related diseases such as spasticity, muscle dystrophies, rheumatic conditions, metabolic disorders and benign and malignant bone and soft tissue tumors.

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