„primum nil nocere“

Hamburg Hip & Knee Manufactury

Dr. Christian Gatzka is specialized in the treatment of hip and knee joint diseases in adolescents and adults after many years of thorough orthopedic and trauma surgery training. As one of the few hip and knee surgeons in Germany, he has many years of experience in both joint-preserving and joint-replacing therapies.

For him the first goal of treatment is to identify the cause of illness or pain as precisely as possible. The diagnosis is based on a detailed survey and clinical examination, which is specially offered in a hip and knee consultation. Together with the patient it is carefully considered whether conservative or surgical measures are necessary to ensure successful treatment.

If surgery is necessary, Dr. Gatzka specializes in the use of minimally invasive, or 'soft tissue-sparing,' techniques. This applies to both joint-preserving measures for the hip and knee joints (hip and knee arthroscopy) as well as joint replacement (hip: minimally invasive anterolateral hip approach, upon request and if possible DAA approach - minimally invasive medial parapatellar approach, upon request and if possible sub-vastus approach).

Dr. Gatzka is a regular organizer and instructor at national and international congresses.

Focus of Work in the Field of Hip Surgery

Diagnosis
Treatment
Early Osteoarthritis
non-operative (i.e., conservative) 'cartilage-protective' or stabilizing measures (including injection of hyaluronic acid products, PRP Analogs)
nutritional and lifestyle counseling
with cartilage damages
    cartilage surgical measures
    one-stage: e.g., microfracture, OATS, minced cartilage
    two-stage: e.g., cartilage cell transplantation (ACT)
femoroacetabular impingements (FAI)
CAM type
PINCER type
arthroscopically (joint arthroscopy) as well as open (surgical hip joint dislocation)
disruptive foreign bodies in the joint (e.g., chondromatosis)
arthroscopic or open removal
periprosthetic fracture (near the prosthesis)
Osteosynthesis, prosthesis replacement, or a combination of both
impaired blood supply to the hip joint (temporary osteopenia, hip osteonecrosis)
conservative: intravenous bisphosphonates and other mechanical and pharmacological therapies
surgical: Drilling, underpinning, BISS screw, "trap door" technique (open)
joint labrum tear or lesion
Anatomical restoration/stabilization of the joint labrum (labrum acetabulare) to maintain or restore biomechanics (the so-called 'suction-sealing' effect).
hip dysplasia
reorienting pelvic osteotomies ("Triple" / PAO)
femoral rotation and/or shape abnormalities
open (plate) or semi-open (nail) bony correction procedures
mishealed fractures
surgical corrections
advanced (conservatively 'worn-out') Osteoarthritis of the hip joint
patient-individualized hip prosthesis implantations using tissue-sparing ('minimally invasive') techniques, when feasible and appropriate
  1. short stem
  2. uncemented or cemented long stem
  3. custom made prostheses (on request)
  4. revision prostheses
  5. ceramic-plastic articulation
  6. ceramic-ceramic articulation (on request)
prosthesis loosening
component replacement (e.g., head and inlay) or full prosthesis replacement

Focus of Work in the Field of Knee Surgery:

Diagnosis
Treatment
early Osteoarthritis
non-operative (i.e., conservative) 'cartilage-protective' or stabilizing measures (including injection of hyaluronic acid products, PRP Analogs)
nutritional and lifestyle counseling
with cartilage damages
    cartilage surgical measures
    One-stage: e.g., microfracture, OATS, minced cartilage
    Two-stage: e.g., cartilage cell transplantation (ACT)
meniscus injuries
mensical wrapping, meniscal gluing, meniscal suture, meniscal replacement, partial meniscectomy
recent, older cruciate ligament tear (anterior / posterior / partial bundle tear) and history of cruciate ligament surgery or tear of a cruciate ligament graft
anterior and posterior cruciate ligament graft, reconstruction of the cruciate ligament while preserving the cruciate ligament structures, partial bundle replacement, reconstruction of the "posterolateral corner"
alignment (bowleg, knock-knees) and rotational problems
axis correction (femoral, tibial, combined osteotomy)
unstable kneecap (PFI - PatelloFemoral Instability) - congenital or due to injury
MPFL reconstruction, trochleaplasty, ACT (anterior cruciate ligament transplantation), tibial tubercle transfer, LPFL (lateral patellofemoral ligament) elongation, realignment osteotomies
disruptive foreign bodies in the joint (e.g., chondromatosis)
arthroscopic or open removal
mishealed fractures
surgical corrections
advanced (conservatively 'worn-out') Osteoarthritis of the hip joint
Patient-individualized hip prosthesis implantations using tissue-sparing ('minimally invasive') techniques, when feasible and appropriate
  1. only for patients up to 65 years old: distractive treatment with an external frame holder
  2. partial knee replacements (medial, lateral, Patellar facet joint)
  3. uncemented or cemented surface replacement
  4. custom made prostheses (on request)
  5. revision prostheses
  6. ceramic-plastic articulation
  7. ceramic-ceramic articulation (on request)
prosthesis loosening
component replacement (e.g., head and inlay) or full prosthesis replacement
Refugees welcome! »

News

Congresses

09. - 10.05.2025
2nd PRÄHAB Congress Hamburg

2. PRÄHAB Kongress 2025 Hamburg

FlyerProgram

04.05.2024
KICK OFF Hamburg

KICK OFF Meeting Hamburg 04.05.2024

22. - 25.10.2024
DKOU Berlin

DKOU 2024

08. - 09.11.2024
DKG Hamburg

DKG Deutsche Kniegesellschaft

05. - 06.12.2024
26. AE-Congress Dresden

ARBEITSGEMEINSCHAFT ENDOPROTHETIK

12.12.2024
ICRS Focus Meeting Munich

ICRS Focus Meeting

Publications

Co-Author
BVOU Infobrief 03/2024

Titel des BVOU Infobrief Ausgaben 03/2024

Dr. Christian Gatzka

Dr. med. Christian Gatzka

Specialist in orthopedics and trauma surgery
special orthopedic surgery / special trauma surgery

Hip and Knee Surgeon

Hamburg / Deutschland / Europa

Email: kontakt@dr-gatzka.de

  • Member of DHG - German Hip Society (Board Member until 2021)
  • Member of Hip Committee* AGA - Society for Arthroscopy and Joint Surgery (until 2022)
  • Head of Hip Unit of BVOU - Professional Association of Orthopaedics and Traumatology
  • Member of EHS - European Hip Society
  • Member of ISHA - the HIP PRESERVATION SOCIETY
  • Member of IRCS - International Cartlage Research Society
  • Member of DKG - German Knee Society and knee surgeon"

* Awarded as BEST AGA KOMITEE 2022 / 2021 / 2020

Refugees welcome!

We understand that refugees may face special challenges in accessing medical care. That's why you are warmly welcome in our office, regardless of your origin or status. Please don't hesitate to contact us to schedule an appointment or if you have any questions about payment. We will find a solution: kontakt@dr-gatzka.de