The ARCUS Clinics – a Portrait The ARCUS Clinics comprise ... · 6 Rastatter Str. 17-19 • 75179...

6 Rastatter Str. 17-19 • 75179 Pforzheim • Germany • Phone 07231- 60556- 0 • www.sportklinik.de • [email protected]

The ARCUS Clinics – a Portrait

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The ARCUS Clinics comprise a private clinic with 60 beds which was opened in 1995, and a clinic also approved by the statutory health insurance system with 30 beds. The new clinic complex was opened up in 2006. Here, 6 operating theatres equipped with state-of-the-art technology, and 22 beds in the ward station and the intensive care unit are available.The privately insured patient which can chose individual surgical treatment within the private clinic is offered a specialized unit with first class hotel comfort – an excellent overall service.The statutorily insured patient is, although statutory health insurance companies do only pay for “basic primary health care”, still provided a high-level clinic standard i.e. a standard on far above-average level compared to most other clinics.

Competence Center

In the ARCUS Clinics up to 7.500 patients are operated each year – with increasing tendency. Main focuses are on sports traumatology, knee-, hip-, shoulder-, elbow-, orthopedic-, and accident surgery, endoprosthetics and in the private clinic also on spinal surgery. External cooperating surgeons additionally cover vascular- and neu-rosurgery and an experienced team of anesthetists offers besides intra-operative control also post-operative pain therapy for in-patients. In cases of cardiologic problems during and after surgery we can refer to our cardiology section and state-of-the-art technical equipment.In the adjoining orthopedic joint practice patients can get out-patient treatment. This enables us to constantly control and optimize our own operation- and aftercare results what already proved successful e.g. rehabilitation periods of our patients could demonstrably be shortened.Special importance since many years has treatment of top athletes in the conservative and surgical area. As medical partner of the “Deutsche Sporthilfe” we offer a 24-hour acute service for sponsored top athletes. This comprises best diagnostics, operative treatment if necessary and a comprehensive rehabilitation program to accelerate recovery and support the athlete to regain physical fitness as soon as possible.Our medical range of services is completed by cooperating partners in therapy, rehabilitation, prevention and orthopedic technology.Perfect interdisciplinary collaboration of surgeons of different areas, physiotherapists and orthopedic technicians form the basis for an optimal and focused patient care both in the in- and the out-patient sector.

Science

The leading physicians of the ARCUS Clinics are members of all important national and international professional associations and regularly work for them as referees. Moreover, the ARCUS Sports Clinic cooperates with the association for science and further education in orthopedics. Together they regularly organize training pro-grams for physicians and physiotherapists which are acknowledged as such by the Ärztekammer Nordbaden.

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Rastatter Str. 17-19 • 75179 Pforzheim • Germany • Phone 07231- 60556- 0 • www.sportklinik.de • [email protected] 7

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Basic Values of the ARCUS Clinics Pforzheim

Our Mission

Our Medical Demand

In the ARCUS Clinics Pforzheim, long-term experience and specialization in different medical areas as well as use and development of medical state-of-the-art technology is the key to success. Scientific exchange of experiences and know-how is part of our daily work life. Our international appreciation is our continuous commitment.

Patient Focus

Orientation towards the patient – our customer – is the basis of our activities. We make highest demands on the quality of patient care and offer dedicated medical attendance from prevention and therapy until rehabilitation. Competent care and service improve healing results.

The architecture of the ARCUS Clinics creates an environment where efficiency and the patients’ individual needs are optimally harmonized.

Employee Focus

The dedication of our qualified employees ensures the success of our clinic. Therefore we expect above-average performances and support professional development by providing further education measures. Professional and socially competent com-munication between the employees is the most important condition for a good working team.

Managers are role models and support the employees’ dedication through a coope-rative management style.

Economy

Since many years now, the ARCUS Clinics Pforzheim have been successful private facilities on the health sector.

Optimal treatment concepts and results as well as economic success are inseparably linked with each other and one area strengthens the other.


Spectrum of Surgery / Facts & Figures

Figures

2009 1.Quarter 2010

Anterior Cruciate Ligament Surgery 1222 335

Meniscus Surgery 1632 394

Cartilage Surgery 175 41

Hip Arthroscopy 172 60

Shoulder Surgery 1101 348(except prostheses)

Elbow Surgery 179 68

Total 7671 2210(except prostheses)

Endoprosthetics (artificial joints)

2009 1.Quarter 2010

Knee 662 210

Hip 327 109

Shoulder 101 36

Total 1105 361

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Medical Management

Prof. univ. cath. Cuenca ECBernhard RieserMedical DirectorPartner of the ARCUS Sports ClinicMedical Specialist for Orthopedic Surgery

Dr. med. Wolfgang MiehlkeLeading PhysicianMedical Specialist for Ortho-pedic Surgery, Trauma Surgery and Sports Medicine

Prof. Dr. med. Christian HeiselLeading PhysicianMedical Specialist for Orthopedic Surgery, Special Orthopedic Surgery and Trauma Surgery

Dr. med. Ludwig BösLeading PhysicianPartner of the ARCUS Sports ClinicMedical Specialist for Orthopedic Surgery and Sports Medicine

Dr. med. Thomas AmbacherLeading PhysicianMedical Specialist for Orthopedic Surgery, Trauma Surgery and Sports Medicine

Prof. Dr. med. Uwe SpetzgerLeading PhysicianMedical Specialist for Neurosurgery

Dr. med. Andree EllermannLeading PhysicianPartner of the ARCUS Sports ClinicMedical Specialist for Orthopedic Surgery, Trauma Surgery, Sports Medicine and Chirotherapy

Prof. Dr. med. Rüdiger Schmidt-WiethoffRüdiger Schmidt-WiethoffLeading PhysicianMedical Specialist for Orthopedic Surgery, Special Orthopedic Surgery, Trauma Surgery and Sports Medicine

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ORTEMA GmbH Filiale Pforzheim · Rastatter Straße 17-19 · 75179 Pforzheim · Tel. +49(0)72 31-139 66 67 · Fax +49(0)72 31-1 39 66 84 · [email protected] GmbH Filiale Waiblingen · Alter Postplatz 13 · 71332 Waiblingen · Tel. +49(0)7151-985994-0 · Fax +49(0)7151-985994-94 · [email protected]

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www.ortema.de

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Rastatter Str. 17-19 • 75179 Pforzheim • Germany • Phone 07231- 60556- 0 • www.sportklinik.de • [email protected]

Specialist Areas

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We cover the whole spectrum of orthopedic surgery. Therefore, in order to ensure our high quality standard, eight leading physicians manage the area of their spe-cialization.

Our Focus Areas:

• Sports Traumatology

• Knee Surgery

• Shoulder- and Elbow Surgery

• Hip Surgery

• Foot- and Ankle Joint Surgery

• Endoprosthetics

• Trauma Surgery

• Neuro- and Spinal Surgery (for privately insured patients and self-payers)

• Blood Vessel Surgery

• Cardiology

Specialist Practices within the ARCUS Clinics

Besides the orthopedic clinics, there are also different specialist practices integra-ted into the ARCUS Clinics complex to extend the spectrum.

• Orthopedic joint practice Rieser / Bös / Ellermann / Miehlke / Ambacher / Schmidt-Wiethoff / Heisel / Sobau

• Private practice for neuro- and spinal surgery Prof. Dr. med. Uwe Spetzger

• Practice for radiology and nuclear medicine Dr. med. Berthold Winter

• Private practice for cardiology Dr. med. W.O. Schüler & Colleagues

• Specialist practice for anesthesia and pain therapy Dr. med. Carla Weber

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Diagnostics

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Thanks to state-of-the-art technical equipment of the latest generation, the ARCUS Clinics can always refer to the best method to provide optimal diagnostics and therapy planning.

Cross-Sectional Diagnostic Imaging and Digital X-Ray

In the adjoining practices there exist two 1.5 Tesla MRI scanners (nuclear spin) with the latest equipment, technology for digital X-ray, a Dual Source CT, a nuclear medi-cine section as well as a cardiac catheter laboratory for comprehensive diagnostics.

All digital images taken with CT, MRI and digital X-ray as well as the arthroscopic images generated during surgery are stored in a central PACS-system and can be retrieved at any time in the treatment rooms of the orthopedic joint practice, the wards and in the operating theatres. There are certified monitors available for reporting in all sections.

CT (computed tomography)

The Siemens Dual Source SOMATOM Definition CT (2 x 64 rows) is by using a second x-ray tube and a second detector much more efficient than devices of the “simple” construction. Its excellent image quality and high resolution at the lowest possible radiation exposure for the patient enables fast and precise diagnosis and increases its reliability. It also enables us to examine coronary heart vessels without cardiac catheter. Temporal resolution of the SOMATOM Definition is with 83 ms not depen-dant on the patients’ heart rate. This makes it possible to examine every heart at every heart rate e.g. diagnosis of acute chest pain, visualization of coronary arteries and function analysis of the heart. Combined with the currently highest possible resolution of less than 0.4 mm, the SOMATOM Definition can display smallest anato-mic structures, whether complex osseous structures or finest details of the coronary tree. Thanks to the large gantry aperture, the scan length of 200 cm and the highest possible x-ray generator performance almost all acute in-patients regardless of their physical constitution and size can be examined and valuable time gained between scan and diagnosis.

MRI (magnetic resonance imaging = nuclear spin tomography)

The ARCUS Clinics have two 1.5 Tesla MRIs of the latest generation at their disposal. Equipped with AudioComfort, a combination of several innovative technical mea-sures for noise reduction, the former usual noise level reached during MRI can be reduced by up to 97%. The ability to scan the patient in the feet first position as well as total-body examinations in the time of only 12 minutes make the Magnetom Avanto the most efficient and patient-friendliest system of its class and is decisive for pre-operative diagnostics of poly-traumatized patients.

The Magnetom Avanto is furthermore equipped with the new and innovative Tim-technology. Heart is the revolutionary matrix coil concept where 76 coil elements can be combined with up to 32 high-frequency channels [76x32]. This visibly improves recording speed and picture quality. The Magnetom Avanto also stands out through

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especially powerful gradient systems (comparable with “motors” for MR), what facilitates fast examinations of the heart or detailed analyses of brain functions.

Cardio MRI is thanks to modern software a simple and fast examination of heart function, myocardial morphology, extension of infarction and 3D-coronary anatomy. In most cases the examination is completed in less than 30 minutes. This method is of particular importance for sports medicine. The decided diagnostic of heart muscle inflammation is not comparable with any other method.

Digigal X-Ray

The orthopedic joint practice has a dose-reduced direct-digital x-ray apparatus at its disposal. With only 40% of usual radiation exposure it enables images with higher resolution and therefore better basis for diagnostics.

Mobile CT and Navigation Device

With the CT, complex surgery procedures can also be carried out with navigation. This enables better results when being confronted with complicated anatomic con-ditions or complex fractures.

Operating Theatres

All nine operating theatres are connected to the digital clinic network. This ensures internal as well as external data transfer. All images taken during surgery are recor-ded and stored in the patient’s file. By means of an external surrounding camera system also transfer of external footage is possible (besides arthroscopic images). When conducting live-surgery, this enables transfer of e.g. positioning of the pati-ent or preparation of transplants/implants to national and international congresses and other events.

On two screen walls, surgery can be followed from the outside. The operation ma-nager is responsible for occupancy and optimal allocation of the operating theatre.

Sterilization Zone

Our operating theatres are provided with sterile material via nonintersecting corri-dors. Sterilization is equipped with top quality devices only. Each instrument used can be referred to the respective patient via a bar code. With this, absolute traceability, the so-called sterile-chain can be documented.

A modern system documents all working steps and provides insight into availability of the OP sets. Moreover it automatically controls withholding periods.

Diagnostik


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Die präzise Identifizierung und Repositionierung dislozierter Knochenfragmente, das Setzen von Pedikelschrauben in die Wirbelsäule und die Lagekontrolle von Osteosyn-thesematerial zählen zu den größten Herausforderungen in der Unfallchirurgie und Neurochirurgie. In vielen Fällen liefert die konventionelle 2D-Projektionsbildgebung nicht genügend Informationen, um solche Eingriffe präzise zu kontrollieren. Für die exakte Versorgung von Knochen- und Gelenkfrakturen steht mit dem mobilen C-Bogen ARCADIS® Orbic 3D von Siemens ein hervorragendes System zur Verfügung, das mittels der interaoperativen 3D-Bildgebung deutliche Informationsvorteile über die jeweilige Fraktur der Knochen und Gelenke im Vergleich zu herkömmlicher 2D-Bilddarstellung bietet. Hauptanwendungen sind Versorgungen der oberen und unteren Extremität, der gesamte Wirbelsäule, Hüfte/Becken sowie des Gesichtsschä-dels. Die intraoperative 3D-Bildgebung ermöglicht dem Chirurgien die sofortige Beurteilung der Ergebnisse, wie z.B. der Lagekontrolle von Schrauben. Notwendige Korrekturen können direkt während der OP erfolgen, das postoperative CT wird in den meisten Fällen nicht mehr benötigt und eine nochmalige Operation kann vermieden werden. Dies bedeutet eine entscheidende Verbesserung sowohl für die körperliche Belastung des Patienten, als auch für den klinischen Arbeitsablauf und die notwendigen Kosten.

Digitales RöntgenDigitaler OP

Das digitale Röntgen.

STARC medical GmbH · Jathostraße 9 · 30916 Isernhagen · Tel. 0511 260962-00 · Fax 0511 260962-90 · [email protected] · www.starc-medical.de

Dr. med. Michael Müller-Autz – STARC PACS-Anwender

„Mehr Zeit für Medizin.“

Digitales Röntgen & Digitaler OP

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Quality Management

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In 2005, already before moving into our new buildings, the ARCUS Clinics imple-mented a comprehensive quality management system in which all employees were gradually included.

Thanks to the great acceptance and the dedication of our staff we were able to form working groups which from then on continuously have been analyzing, adapting and optimizing our internal working procedures and structures.

On this basis we decided to choose CTQ (Cooperation for Transparency and Quality in the Healthcare Sector) as quality management system.

The aim of this system is to motivate directors and employees of the respective faci-lity to implement an internal quality management system with patient orientation and continuously improve it on a self-managing basis (source: http://www.ktq.de/..).

The first certification was successfully completed in November 2006 by the company NIS Zert. Recertification was passed in 2009.

Responsible for quality management are:

Quality Manager: Quality Representative:Sigrun Goos Dr. med. Wolfgang MiehlkeHead of Nursing Services Leading Physician ARCUS [email protected] [email protected]

Qualitätsphilosophie & QualitätspolitikThe ARCUS Clinics management has committed to integrate quality management in any operating structure. Orientation towards the patient is the focus of our activities and patient satisfaction is our continuous aim.

Our employees are the main driving force for the success of our clinic.

Therefore employee oriented management, a broad offer of further education programs and professional cooperation are being paid special attention.

In all areas and professional groups quality is a major aim and all our employees are bound to active contribution. Volunteer working groups help improving the quality. This continuous process of improvement includes all structures, processes and results of our clinic.

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Interesting Facts & Organization

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Day of Surgery

You are planning to undergo surgery at our clinic. We would like to provide you with some information.

On the day of surgery

• do not eat for 6 hours before the operation

• do not drink for 2 hours before the operation (exception: some mineral water or normal water in combination with medication, see chapter „Anaesthesia“ from page 18).

• do not chew gums or suck on sweets

• do not smoke

• do not use make-up or cream on your face

Furter information regarding anaesthesia please find in chapter “Anaesthesia” from page 18.

Appointment and length of stay:

Please note that the time of your appointment and the actual start of the opera-tion may vary; amongst other things because of the time needed for preparation procedures.

This does also apply for the time needed in the recovery room before you are moved to your room or can leave the hospital (if treated out-patiently). Length of your stay depends on many different factors and therefore cannot be definitely planned. It is only an estimated time slot.

Leaving the Recovery Room:

• the most important criteria is the physical condition of the patient. Whether being in the condition to leave the hospital is exclusively subject to the decision of the anesthesiologist and surgeon

• also important is the completeness of the medical documents needed for further treatment

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Average Recovery Time after Surgery:

• 2 hours for minor surgeries

• at least 4 hours for larger surgeries, for major surgeries also over night if need be

We hope you understand that there might be longer waiting times. Please apologize for any inconvenience.

Accompanying Person:

• your accompanying person can leave the house in the meantime. Please leave a contact phone number with the recovery room staff and you will be informed as soon as the patient is able to leave the hospital

• out of hygienic reasons, access to the recovery room is not allowed (special ex-ceptions: e.g. operations of children)

• to facilitate transport of the patient to the car, a wheel chair is at your disposable. Please leave it in front of the recovery room afterwards.

Pharmacy:

Please note that the pharmacy is only open until 7.00 pm. You should hand in the prescription for the thrombosis prophylaxis in time.

For out-patient operations:

You will get the first anti-thrombosis injection before leaving the recovery room out of our stock. Thus it is important that you take one anti-thrombosis injection out of the package you received and leave it with the operation theatre staff at the reception desk.

Please do not underestimate the importance of a consequently carried out thrombosis prophylaxis. Even young patients are in the potential risk of thrombosis.

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The ARCUS Clinics – a Portrait The ARCUS Clinics comprise ... · 6 Rastatter Str. 17-19 • 75179...

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