Your contact partners
in this area:
Prof. <br /> Dr. med. habil.<br /> Georg Matziolis
Dr. med. habil.
Georg Matziolis

Senior Consultant of the Clinic for Orthopaedics and Accident Surgery

Acting holder of the Chair for Orthopaedics of the FSU Jena at the Waldkrankenhaus Eisenberg

036691 8-1002

Specialist Registrar Dr. med. Andreas Wagner
Specialist Registrar Dr. med. Andreas Wagner

Head of department hand and foot surgery

Specialist for Orthopaedics and Accident Surgery, Rheumatology, Hand Surgery, Special Orthopaedic Surgery, Physical Therapy and Chirotherapy.

Rheumatic foot

Generally, with rheumatic disorders, all joints may be affected: Very frequently, however, patients suffer from rheumatic forefoot deformity, which painfully restricts walking and standing. Painful calluses form under the metatarsal heads, the small toes are no longer in contact with the floor (claw toes) and the big toe often shows advanced hallux valgus malpositioning.

Conservative treatment consists of a specially produced inlay support, which provides a cushion and soft bed for the painful areas. Orthopaedic footwear is often indispensable. If alleviation of the complaint cannot be achieved with these measures or open wounds are formed, operative therapy should be considered. Due to the particular effect on patients with rheumatic disease, this can also be carried out on both sides.

The operative therapy consists in the early stages of removal of the rheumatic tissue from the joints (synovectomy) and an axial correction of the big toe and small toes.

At advanced stages, the metatarsal heads are removed from access on the sole side and at the same time the calluses are removed. With additional measures on the soft tissue, it is possible to straighten the small toes again. On the big toe, a stiffening of the metatarsophalangeal joint of the big toe is carried out.

If the upper ankle joint is affected by rheumatic disease, at an early stage removal of the mucous membrane of the joint (arthroscopic synovectomy) can be carried out with subsequent radiosynoviorthesis. In later stages, either a stiffening of the upper ankle joint or the implantation of an artificial joint is required.

Before and after the operation, we cooperate closely with specialist doctors from the Clinic for Internal Medicine, physiotherapists and ergotherapists as well as orthopaedic technicians. We thus achieve a high level of care and patient safety.

Hallux valgus

The hallux valgus (bunion) is the most frequent large toe malpositioning: The big toe turns to varying degrees towards the small toe side and the ball of the big toe protrudes to the side. On the inside of the ball, increased friction and additional pressure on the soft tissue is caused when wearing shoes.

More information.

Small toe deformities

Small toe deformities can occur in all joints. This may be caused by a muscle imbalance, a hereditary overlength of the small toe, an accompanying hallux valgus malpositioning and unsuitable shoes.

More information.

Wear symptoms (arthrosis) on the upper ankle joint

The upper ankle joint is a joint which is subject to heavy loads and has to bear many times the weight of the body when walking and taking part in sports. Injuries of the joint, for example frequent spraining, later result in changes in cartilage due to wear.

More information.

Clinic for Internal Medicine
Internistic-rheumatic ambulance

Rheumatism is a widespread disease: About a Million people in Germany suffer from joint pain and restrictions of the locomotor system.

More information.

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