Orthopaedics

Innovative orthopaedics -
personalised and human for all ages.

A holistic approach

In the Mühlematt practice in Oberwil ...

... we understand Orthopaedics as a medical speciality that goes far beyond mere treatment. We concentrate on the Holistic view of our young and old patients in order to promote not only physical but also psychosocial aspects of their development.

Our aim is to enable them to lead an active and pain-free life.

How can we help you?

Bei Fragen sind wir gerne für Sie da. Nehmen Sie Kontakt über Telefon oder über die Online Rezeption mit uns auf. 

Our range of treatments

Diagnosis and Treatment

Specialised therapies (scoliosis, hip dysplasia, flat feet, etc.)

comprehensive Patient care

Use more modern and gentle treatment methods

for Young and Old

The orthopaedic assessment of children requires a holistic approach, as the growth and development of the musculoskeletal system play a decisive role in this phase of life. Children are in a continuous growth process and orthopaedic complaints can often be linked to growth phases and changes in the body.
The assessment of a child therefore includes not only a thorough examination of the affected area, but also an assessment of muscular development, joint stability, posture and gait. In addition, the consideration of factors such as activity level, diet, postural habits and psychosocial aspects is of great importance, as they can influence a child's orthopaedic well-being. A holistic approach in paediatric orthopaedics makes it possible not only to identify the cause of the complaints, but also to recognise possible developmental disorders or problems in the growth process at an early stage. This enables the development of customised treatment plans to ensure the best possible development and quality of life for each child.

The treatment of hip dysplasia in infants begins with an ultrasound examination, which provides precise insights into the hip joint structure. It is not uncommon - in about 2-4% of newborns - for congenital or acquired hip dysplasia to develop. When hip dysplasia is diagnosed, treatment aims to position the hip joint correctly to promote normal development. Common treatment methods include the use of a straddle brace or a Tübingen hip splint, which stabilise the hip joint in an optimal position to support the natural growth and correct alignment of the joint. Early detection and treatment are crucial to avoid long-term complications and ensure healthy hip development.

Children who have a slight deviation in the alignment of their legs do not normally experience any pain or impairment of their quality of life. However, more pronounced deviations of the leg axes can lead to complaints such as knee pain, joint instability or abnormalities in the gait pattern. Without appropriate treatment, the misalignment can continuously worsen.

The uneven loading of the joint cartilage in the knee due to the misalignment can lead to a decrease in cartilage thickness over time and to joint wear and tear, known as knee osteoarthritis. In addition, the misalignment can affect the entire posture of the body. There is a risk that not only the knee, but also the hip or spine can be damaged by muscular imbalances or increased joint stress.

Furthermore, a misalignment of the leg axes can have an impact on the health of the feet. Conversely, misalignment of the feet can also have a negative impact on leg growth. Bowlegs are often observed together with a bowed flat foot, while bowlegs tend to be associated with hollow feet. Such correlations can usually only be clearly identified through a dynamic gait analysis. Early recognition of these dynamic effects of malalignment or incorrect muscle tension enables early conservative treatment to be started. The examination of the neighbouring joints is therefore an essential part of the diagnosis.

In small children, the arch of the foot is still in a developmental phase and undergoes a comprehensive maturation process in the first few years of life. The formation of the longitudinal arch of the foot depends on the child's activity and is decisive for the functionality of the foot skeleton and the strength of the tendon and muscle apparatus. The appearance of flat or depressed arches in young children is a normal part of development and does not usually require medical treatment. The characteristic fat pads under the soles of small children's feet are often the reason for a footprint without a recognisable arch. Recognising deviations from the norm at an early stage enables timely treatment to avoid long-term complications.

Perthes' disease goes through characteristic phases. The younger the child is when the orthopaedic disease is diagnosed, the better the prospects of a positive development. A critical factor for the long-term prognosis is the condition of the individual components of the hip joint after completion of the regeneration phase. An already advanced deformation of the femoral head worsens the prognosis.

The disease can extend to the end of the growth period. Regular checks of the functionality of the hip joint and radiological findings are therefore essential. Sports that do not strain the joint, such as swimming and horse riding, can be practised without restriction.

Diagnostics for Perthes' disease
An X-ray of the hip joint in two different views is essential to confirm the diagnosis and to monitor the progression of the disease on an ongoing basis. In certain cases, additional instrumental examinations may be useful. Ultrasound and MRI examinations may also be necessary. A dynamic gait analysis can provide valuable insights into the progression of Perthes' disease.

Phases of Perthes' disease
The stage of the disease is decisive for the diagnosis and treatment of Perthes' disease. The classification according to Catterall distinguishes four main stages:

Stage 1: The circulatory disorder is limited and only affects a small area of the femoral head.

Stage  2: Up to 50% of the femoral head is affected by the circulatory disorder.

Stage 3: Up to 75 % of the femoral head is affected by the circulatory disorder.

Stage 4: The circulatory disorder extends over the entire femoral head, leading to complete destruction.

Osgood-Schlatter disease is a painful knee disorder that occurs in children and adolescents as they grow. It is caused by repetitive strain on the patellar tendon and manifests as pain, swelling and irritation below the kneecap. The good news is that it usually heals on its own once growth is complete. Painkillers, physiotherapy and supports can help to alleviate the pain, while surgery is possible in severe cases. Early medical attention and rest are important for recovery.

Anterior knee pain in children, also known as patellofemoral pain syndrome, is a common problem. Children experience pain in the front of the knee, especially when climbing stairs, running or sitting with bent knees. This pain can occur due to growth spurts or muscular imbalances. Fortunately, this type of knee pain is usually temporary and can often be relieved with physiotherapy, exercises to strengthen the thigh muscles and rest. However, it is advisable to rule out more serious problems and determine the best treatment strategy.

Scoliosis is an orthopaedic condition in which the spine deviates sideways and has an S-shaped or C-shaped curvature. This curvature can occur in children and adolescents as they grow and slowly worsen. Scoliosis can lead to back pain, deformities and, in severe cases, even breathing difficulties. Diagnosis is often made through physical examinations and imaging such as x-rays. The treatment of scoliosis depends on the severity of the curvature. In mild cases, regular observation may be sufficient, while in more severe cases, braces or even surgery may be required to correct the curvature.

Early diagnosis and appropriate treatment are crucial to prevent the progression of scoliosis and minimise long-term problems.

Growing pains in children are temporary and often occur in the legs, especially the shins. They are harmless, are associated with growth spurts and can be aching or throbbing. Parents can relieve them with massages, warm baths and painkillers. However, prolonged pain should be checked out by a doctor to rule out other illnesses and ensure the best treatment.

Cruciate ligament injuries are common orthopaedic injuries that affect the anterior or posterior cruciate ligament in the knee. These injuries can be caused by sudden movements, overstretching or trauma and often occur in athletes. They manifest as pain, swelling and instability in the knee joint. Diagnosis is usually made by physical examination and imaging such as MRI scans. Treatment of ACL injuries can be conservative through physiotherapy and rehabilitation or surgical through ACL reconstruction, depending on the severity of the injury and the patient's goals. Early diagnosis and appropriate treatment are crucial to avoid long-term complications such as knee instability and arthritis. Recovery from ACL injuries often requires patience and commitment to rehabilitation in order to restore full knee functionality.

Ultrasound diagnostics has proven to be an extremely valuable tool in orthopaedics. This imaging technique makes it possible to visualise the condition of muscles, tendons, ligaments and joints in real time, without the need for radiation exposure or invasive procedures. The advantage lies in its precision and versatility, as ultrasound images offer the ability to accurately localise and assess various orthopaedic conditions such as tendonitis, bursitis, injuries and even fractures. This non-invasive and painless method enables quick and accurate diagnoses to be made and suitable treatment plans to be developed.

Hyaluronic acid can be helpful in the treatment of osteoarthritis as it occurs naturally as a component of synovial fluid, where it plays an important role. It acts as a lubricant and shock absorber in the joints, which is particularly important for osteoarthritis patients, as their synovial fluid often has a lower viscosity and is therefore less protective and lubricating.

Injecting hyaluronic acid into the affected joint can help to improve the lubricity of the synovial fluid, increase mobility and reduce pain. In addition, hyaluronic acid has anti-inflammatory properties that can help to alleviate symptoms. By improving joint function and reducing pain, hyaluronic acid can significantly improve the quality of life of osteoarthritis patients. However, it is important to note that the effect of treatment with hyaluronic acid varies from person to person.

Autologous blood therapy, also known as PRP (platelet-rich plasma) therapy, is increasingly being used as a complementary measure in the treatment of osteoarthritis. This form of therapy utilises the healing and regenerative properties of the patient's blood plasma to alleviate the symptoms of osteoarthritis and support the healing process in the affected joint.

PRP contains a high concentration of growth factors that support the regeneration of damaged cartilage and contribute to the repair of joint tissue.

The growth factors in PRP can reduce the inflammatory reaction in the joint, which in turn alleviates pain and improves mobility.

As autologous blood therapy uses the patient's own blood plasma, there is a lower risk of allergic reactions or infections compared to treatments using foreign materials.

Stem cells from adipose tissue, known as adult mesenchymal stem cells, represent an innovative therapeutic option for the treatment of osteoarthritis. These cells are characterised by their regenerative abilities, as they have the potential to differentiate into various cell types. Of particular relevance is their ability to differentiate into cells required for the repair and regeneration of cartilage tissue. This process can contribute to the restoration of damaged cartilage in arthritic joints and thus improve joint function and relieve pain. The use of stem cells from the patient's own adipose tissue also minimises the risk of rejection reactions and other immunological complications, making this form of therapy a safe and patient-friendly option.

The treatment of benign bone tumours is an important area of orthopaedics and oncology, as although these tumours are more common than malignant variants, they still require careful diagnosis and treatment. Benign bone tumours can cause a variety of symptoms, including pain, swelling or even fractures, depending on their size, location and growth behaviour. Although they do not metastasise, they can still affect the surrounding tissue and disrupt the function of the affected bone.

The treatment of benign bone tumours varies depending on their type, size, location and the symptoms they cause. In many cases, a wait-and-see approach with regular check-ups may be appropriate, especially if the tumour is small and causes no symptoms. In other cases, surgical removal of the tumour may be necessary to relieve pain, improve function or prevent possible malignant transformation.

It is extremely important to differentiate between benign and malignant bone tumours, as treatment strategies and prognoses vary considerably.

Through my previous work at the UKBB, I have direct contact with the Tumour Centre. This close connection to the Tumour Centre allows me to draw on a network of highly qualified specialists and ensure that each patient's treatment is based on the latest medical research and practice. This close collaboration ensures a quality of treatment based on comprehensive expertise, interdisciplinary co-operation and access to advanced therapeutic procedures.

The consultation to obtain a second opinion in orthopaedics is a valuable step in ensuring patient safety and satisfaction in the treatment of musculoskeletal conditions. This process offers patients the opportunity to discuss their diagnosis, proposed treatment options and potential outcomes with another independent professional. A second opinion can be particularly important in complex cases where the proposed treatment carries significant risks, involves invasive surgical procedures or where the patient has uncertainties or concerns about the recommended course of action. As decisions in orthopaedics often have a long-term impact on the patient's quality of life, the option of a second opinion is an essential part of comprehensive and patient-centred care.

The orthopaedic assessment of adults requires a holistic approach that goes beyond the immediate analysis of the painful joint. In orthopaedics, it is crucial to look at the whole person, as the structure and function of the musculoskeletal system is complex and interactive. Pain in a joint can often be influenced or even caused by other areas of the body. For example, back problems can lead to pain in the legs, or poor posture can contribute to shoulder and neck pain.

Robotics has made significant progress in orthopaedics in recent years, particularly in relation to the implantation of knee and hip prostheses. Robot-assisted surgery enables more precise and individualised placement of prostheses, which can lead to better results for patients.

In robot-assisted knee and hip prosthesis procedures, three-dimensional images of the affected joint are created prior to surgery. This allows the surgeon to adjust the position, angle and depth of prosthesis placement with exceptional accuracy, and the benefits of robot-assisted knee and hip prosthesis surgery include a better fit and alignment of the prosthesis, less tissue trauma, faster recovery times and potentially improved long-term function of the joint. In addition, precise placement of the prosthesis can reduce the risk of complications and extend the life of the prosthesis. These operations are performed in cooperation with Dr David Brauers.

www.dr-brauers.com

Advice on preventive measures and the recommendation of nutritional supplements are important components of holistic healthcare. As an expert in this field, I follow an integrative approach based on scientific evidence. Vitamin D plays a crucial role in strengthening immune defences, reducing inflammatory responses in the body and supporting the health of the intestinal epithelium, which is essential for the absorption of nutrients and the prevention of leakage. Thanks to my many years of scientific work, I can quickly understand the latest findings and integrate them into my counselling. This enables me to support my patients with sound recommendations based on the latest research findings. My approach takes into account individual needs and aims to promote long-term health and well-being.

Hypnosis can be used in orthopaedics as a complementary treatment method to alleviate pain and support the healing process. Although hypnosis is traditionally associated with psychological therapies, it has also found its place in somatic medicine, particularly in pain therapy. In orthopaedic practice, hypnosis is used to reduce the patient's perception of pain and promote deeper relaxation, which can have a positive effect on recovery. Since 2019, I have also been working in my hypnosis practice, where I specialise in treating patients with various psychological diagnoses. I offer hypnotherapy tailored to the needs of people with post-traumatic stress disorder, anxiety disorders, burnout and similar psychological challenges.

Hypnotherapy is carried out in a safe and supportive environment, and I respond to each patient individually in order to achieve the best possible results. Through the use of hypnosis, the patient's inner resources are activated, negative thought patterns are broken and new, positive ways of coping are found. The aim is not only to offer short-term relief, but also to provide patients with long-term strategies to better deal with their challenges and sustainably improve their quality of life.

www.gehmert-hypnose.com

Paediatric orthopaedics

Setting the course for the future

Paediatric orthopaedics is essential for recognising and treating deformities and growth problems at an early stage. It helps to prevent long-term impairments and enables children to develop their maximum movement potential. Specialised therapies support not only the physical but also the psychosocial development of children in the long term.

Conservative orthopaedics

Pain relief without surgery

In conservative orthopaedics, I offer non-surgical treatment approaches to alleviate pain and improve patients' mobility. These include physiotherapeutic measures, injections and customised
Exercise programmes. The aim is to achieve the best possible results without surgical intervention and to support the patient on the road to recovery.

Orthobiology

Healing through the body's own resources such as growth factors and stem cells

Orthobiological treatment uses the body's own substances, such as growth factors from blood plasma and stem cells from fatty tissue, to treat inflammatory conditions and joint wear and tear (osteoarthritis). This method stimulates and promotes the body's natural healing processes. These therapies are carried out on an outpatient basis in the practice.

Surgical orthopaedics

Innovative interventions for more mobility

In surgical orthopaedics, I offer state-of-the-art procedures, including robot-assisted knee and hip prostheses in close cooperation with Dr. Brauers a renowned specialist. We also carry out arthroscopic procedures on the musculoskeletal system. I use these techniques to solve specific problems and improve our patients' mobility so that they can lead an active, pain-free life.

Zusammenarbeit und direkter Austausch mit:

Kinderärzten in BS und BL
Kinderphysiotherapeuten
Therapeuten der Komplementärmedizin
Universitätskinderspital beider Basel (UKBB)
IMAMED
In der Kinderorthopädie ist es besonders wichtig, eng mit anderen Ärzten und Therapeuten zusammenzuarbeiten, weil dies direkt dem Wohl Ihres Kindes zugutekommt. Durch unsere enge Kooperationen können wir sicherstellen, dass die Behandlung individuell und genau auf die Bedürfnisse Ihres Kindes abgestimmt wird. Wenn es schnell gehen muss, können wir dank unseres Netzwerks schneller Termine vereinbaren und bei dringenden Fragen direkt miteinander sprechen. So können wir gemeinsam dafür sorgen, dass Ihr Kind jederzeit die bestmögliche Betreuung erhält und wir bei Veränderungen oder neuen Herausforderungen sofort reagieren können.

Eine zügige und effektive Versorgung zum Wohl Ihres Kindes.

Long-term support and advice

We accompany our young patients on their journey into adulthood. With regular follow-up examinations and close collaboration with parents, we ensure that every child receives the best possible support.

Contact us for personalised advice

Visit us at the Mühlematt practice in Oberwil and find out more about our orthopaedic services for children and adults. We look forward to accompanying you on your path to health and well-being.

Prof. Dr. med.
Sebastian Gehmert

Over the last 20 years, I have built up my professional expertise in the fields of basic research, translational medicine, surgical and conservative orthopaedics. Thanks to my clinical training and further training, I can treat children and adults.

Additional training as a hypnotherapist gives me the opportunity to offer holistic medicine with a focus on the musculoskeletal system. I also offer medical hypnosis to patients before and during operations. This can have a positive effect on the course of pain and wounds. 

Prof. Dr. med.
Sebastian Gehmert

Over the last 20 years, I have built up my professional expertise in the fields of basic research, translational medicine, surgical and conservative orthopaedics. Thanks to my clinical training and further training, I can treat children and adults.

Additional training as a hypnotherapist gives me the opportunity to offer holistic medicine with a focus on the musculoskeletal system. I also offer medical hypnosis to patients before and during operations. This can have a positive effect on the course of pain and wounds. 

Further offers

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Your gynecologist in Oberwil, where care and expertise go hand in hand. We not only offer gynecological examinations but also accompany you sensitively through every phase of your life. From fertility diagnostics to obstetric care, we stand for comprehensive care.

Mühlematt practice Oberwil
Mühlemattstrasse 22
Corridor B, 1st floor,
4104 Oberwil

mpo@hin.ch

Opening hours

Mo:
Tue:
Wed:
Thu:
Fr:

08.00-12.00 / 14.00-18.00
08.00-12.00 / 14.00-18.00
08.00-12.00 / 14.00-18.30
08.00-12.00 / 14.00-18.00
nur nach Veinbarung

Team Contact

Mühlematt practice Oberwil
Mühlemattstrasse 22
Corridor B, 1st floor,
4104 Oberwil

Opening hours

Mo:
Tue:
Wed:
Thu:
Fr:

08.00-12.00 / 14.00-18.00
08.00-12.00 / 14.00-18.00
08.00-12.00 / 14.00-18.30
08.00-12.00 / 14.00-18.00
nur nach Veinbarung

Team Contact
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