Clinic for Trauma Surgery and Orthopaedics

‘Drawing on the high-tech tools available to us, we systematically select solutions that present the greatest benefit and the least burden for the patient – always with the focus on professionalism and sustainability, respect and humanity.’
(Chief Physician Dr. med. Tobias Keßler)

The Clinic for Trauma Surgery and Orthopaedics treats all acute and chronic diseases and injuries to the supporting apparatus and musculoskeletal system, particularly of the spine, bones, muscles, tendons, ligaments and joints.

There are highly qualified experts available to perform these procedures, furnished with the very latest medical equipment. Their aim is to permit the patient to lead a life free from restrictions: the ‘patient as individual’ is at the heart of all of the medical and nursing services we provide.

In addition to scheduled procedures, the broad spectrum of conservative and surgical treatment methods practised covers the entire area of trauma care; this includes all patients who have suffered accidents at work. The clinic serves as the central collecting point for all patients of professional and trade associations for outpatient and inpatient treatment of work accidents. Utmost importance is attached to advanced training of our own specialists and training of third parties.

Innovative technologies such as computer navigation (Orthopilot for joint replacement), use of arthroscopy and minimally invasive procedures all form part of the established standard for optimal patient care.

As a specialist for the fitting of artificial hip and knee joints (short-shaft prostheses as well as cemented and cement-free prostheses), for purposes of sustained quality assurance purposes, the clinic is also a member of the German Endoprosthesis Registry [EPRD – Endoprothesenregister Deutschland] and was one of the first 25 pilot clinics.

In its capacity as a certified Regional Trauma Centre of the TraumaNetzwerk Saar-(Lor)-Lux-Westpfalz, severely injured patients from throughout the region receive interdisciplinary care at the Municipal Hospital of Pirmasens. A fixed standard of treatment in this context is a telecooperation effort for the digital exchange with participating institutions, particularly where radiological patient data are involved. A particularly close cooperation is maintained with the Universitätsklinik des Saarlandes, in Homburg.

The Municipal Hospital of Pirmasens is also certified in the TraumaNetzwerk DGU®.

The Clinic for Trauma Surgery treats patients with acute and chronic diseases of the supporting apparatus and musculoskeletal system.

As the term ‘Trauma Surgery’ suggests, the time-critical care of patients who have suffered serious or even life-threatening injuries is an important part of the work, an important prerequisite of which is to make an excellent set of skills available round the clock. These patients are cared for in close cooperation with the Clinics for General and Abdominal Surgery, Vascular Surgery and Vascular Medicine, Anaesthesia, Intensive Care Medicine and Pain Therapy, Plastic and Hand Surgery, and Radiology.

A major part of this effort is devoted to operative stabilisation of bone fractures. Only modern implants are used at the Municipal Hospital of Pirmasens. These consist of special screws, a variety of nailing systems and angularly stable plates.

Treatment of osteoporosis-related fractures among the elderly is a further treatment focus. We also ensure the highest-quality treatment of injuries in children – the patients at the other end of the age spectrum.

The overall treatment aim is rapid rehabilitation. Among our younger patients, the main focus is upon restoring the ability to work and play sports, while the maintenance of an independent lifestyle is the primary aim in treatment of the ever-growing segment of older patients.

Many of our patients come to us for treatment with persistent complaints after accidents, or with chronic/degenerative joint complaints. Following a preliminary diagnosis by (special) X-ray or ultrasound, arthroscopy (endoscopic examination of a joint) is an important area of activity. It is used for diagnosis, and in many cases for therapy, as a minimally invasive arthroscopic operation, for instance in meniscus surgery or replacement of the cruciate ligament of the knee, for removal of calcium deposits on the shoulder, or for cartilage smoothing in worn joints.

Treatment of advanced joint arthrosis is a main focus of the Clinic. Die Computernavigation mittels Orthopilot ermöglicht die exakte Implantation von Gelenkersatzen an Hüfte und Knie; zudem lässt sich die Spannung der Weichteile während der Operation messen und auch balancieren, was zu einer besseren Funktion und langen Haltbarkeit des Gelenks führt.

In addition to the usual cemented and cement-free prostheses, short-shaft hip prostheses are used for our younger patients. This special artificial joint ensures the preservation of as much natural bone as possible. Prostheses can become loosened after many years, and if replacement surgery is required, it is easier to perform and less stressful for the patients following a short-shaft prosthesis.

Treatment spectrum

  • Operative treatment of bone fractures with special nails, (angularly stable) plates and special screws based on the guidelines published by the Working Group for Questions in Osteosynthesis [AO – Arbeitsgemeinschaft für Osteosynthesefragen]
  • Conservative treatment measures for acute injuries and chronic ailments (such as the spine)
  • Arthroscopy for minimally invasive diagnostics and therapy of joint diseases of the knee, shoulder and ankle joint (meniscus operations, cruciate ligament surgery, operative treatment of shoulder tightness)
  • Care for the severely injured as TraumaNetzwerk Saar-(Lor)-Lux-Westpfalz-certified trauma centre, in close cooperation with General and Abdominal Surgery, Vascular Surgery, Plastic and Hand Surgery as well as Anaesthesia
  • Treatment of fractures of the spine (operative and conservative) including kyphoplasty, i.e. stabilisation of osteoporosis-related vertebral fractures with bone cementation
  • Corrective procedures in case of deformities (corrective osteotomy) of large and small bones
  • Correction of foot deformities (for example, hammer toes, hallux valgus operations)
  • Treatment of all professional- and trade-association-covered work accidents, including inpatients based on the procedures for the treatment of severe injuries issued by the professional and trade associations (accident-insurance specialist procedures and injury-type procedures)
  • Artificial joint replacement of the large joints (hip, knee, shoulder) – all knee-replacement surgery performed using computer navigation
  • Treatment of sports injuries (medical supervisor of the local football club, FK 03 Pirmasens)
  • Shoulder surgery for the treatment of diseased and injured shoulder and elbow joints and the consequential damage

We request telephone appointments under the central telephone number 06331/714-1901.

Emergencies are treated at any time (24 hours/7 days a week/365 days a year).

Trauma surgery-orthopaedic private consultation hours and endoprosthesis consultation hours

Tuesday9:00 a.m.-12:00 a.m.
Thursday9:00 a.m.-12:00 a.m.
Friday12:00 a.m.-1:30 p.m.

Professional- and trade-association (BG)-covered work accidents

Tuesday11:00 a.m.-3:00 p.m.Chief Physician Dr. Keßler
Thursday11:00 a.m.-2:00 p.m.Chief Physician Dr. Keßler

Special consultation hours by appointment

ShoulderManaging Senior Physician Dr. med. Patrick Lutz
SportsSenior Physician Dejan Ramusovic
SpineSenior Physician Dr. med. Birgit Reischmann
FootSenior Physician Dr. med. Karl Eisenacht




The Clinic Team

Chefarzt Dr. med. Tobias Keßler

Chief Physician Dr. med. Tobias Keßler
Specialist for Surgery, Trauma Surgery, Emergency Medicine
Specialist for Trauma Surgery and Orthopaedics; Special Trauma Surgery ATLS

Study of Medicine at Heidelberg University 1978–1985

  • License to practice medicine 1985
  • “Thromboemboliequote und Ileushäufigkeit bei alloarthroplastischem Hüftgelenkersatz unter spezifischer Medikation” 1987
  • Specialist for Surgery 1993
  • Additional qualification in Trauma Surgery 1995
  • Additional qualification in Emergency Medicine 2000
  • Advanced Trauma Life Support (ATLS) 2004
  • Specialist for Trauma Surgery and Orthopaedics 2007
  • Additional qualification in Special Trauma Surgery 2008
  • Qualification ‘Geriatrics’ 2015
  • Foot surgery pursuant to GFFC 2015
  • Authorisations to provide advanced training:   
    • B 7. Chirurgie - Basis-WB (WBO 2006) 12 Monate, nicht anrechenbar für FA-Komp. Allgemeinchir, ohne Intensivmedizin
    • B 7.5 Orthopädie und Unfallchirurgie (WBO 2006) 36 Monate, ohne Intensivmedizin
    • C 49. Spezielle Unfallchirurgie (WBO 2006) 24 Monate
    • B 7.5 Orthopädie und Unfallchirurgie (WBO 2022) 48 Monate, davon 6 Mon. Notfallaufnahme, ohne Intensivmedizin

Leitender Oberarzt Dr. med. Patrick LutzManaging Senior Physician Dr. med. Patrick Lutz
Specialist for Surgery
Additional qualifications:
Trauma Surgery, Hand Surgery, Emergency Medicine; Sports Medicine
Specialist for Trauma Surgery and Orthopaedics
Additional qualification: Special Trauma Surgery, Foot Surgery pursuant to D.A.F.
Additional qualification: Certified knee surgeon Deutsche Kniegesellschaft e. V. 

Oberarzt Dejan RamusovicSenior Physician Dejan Ramusovic
Specialist for Orthopaedics and Trauma Surgery
Additional qualifications:  Emergency Medicine, Sports Medicine




Senior Physician Mohamed Altannari
Specialist for Trauma Surgery and Orthopaedics

HERE you will find the website of the Endoprosthetics Centre in the Municipal Hospital of Pirmasens with extensive patient information around the topic of joint replacement.

The Endoprosthetics Centre Pirmasens relies on certified quality.

Some 390,000 patients receive a new hip or knee joint each year in Germany. Against this backdrop, in January 2015, the Endoprosthetics Centre of the Municipal Hospital was presented with the EndoCert-Label; the Department for Trauma Surgery and Orthopaedics had provided evidence of the requisite criteria in the course of an extensive audit.

EndoCert is the world’s first seal of quality for medical facilities that perform joint-replacement surgery of high quality. At the moment, some 400 of the roughly 2,000 hospitals in Germany have this certification.


The Clinic for Trauma Surgery and Orthopaedics also participates in the German Endoprosthesis Registry (EPRD). This quality-assurance measure compiles the results of placement of artificial hip and knee joints nationwide – comprising data ranging from prosthesis type through surgical technique to patient experiences and replacement operations.

The EPRD has set itself the mission of constantly improving the quality of the supply of artificial hip and knee joints. Its aim is to keep the need for replacement operations as low as possible.

The structure of the register is based on an initiative by the German Society for Orthopaedics and Orthopaedic Surgery  German Society for Orthopaedics and Orthopaedic Surgery  (DGOOC), sponsored by the German Federal Ministry of Health.

Furthermore, EPRD is supported by AOK-Bundesverband, Verband der Ersatzkassen e.V. (vdek), Bundesverband Medizintechnologie e.V. (BVMed) and BQS Institut für Qualität und Patientensicherheit.

The clinic, headed by Chief Physician Dr. Tobias Keßler had already participated as a pilot clinic in 2012; EPRD then officially began in 2014.

The EPRD is used to build a database containing information on prosthesis types and their frequency of administration to which patient types; it also contains information on trends in replacement operations and the reasons for revisions. The underlying idea benefits patients: the more is known about the quality of artificial hip and knee joints as well as the surgical techniques employed, the more systematic the selection of joint replacements and care strategies.

Both the Endoprosthetics Centre Certificate and the membership in the German Endoprosthesis Registry attest to the highest quality of work performed by the Clinic for Trauma Surgery and Orthopaedics of the Municipal Hospital of Pirmasens.

Regional trauma centre of TraumaNetzwerk Saar-(Lor)-Lux-Westpfalz

Regional trauma centre of TraumaNetzwerk Saar-(Lor)-Lux-Westpfalz

For patients with serious injuries, e.g. following a traffic accident, every second counts. Often, effective communication between emergency first responders on the scene and the receiving hospital is vital to patients’ survival. There are currently nearly 50 certified trauma networks of the German Association for Trauma Surgery DGU (Deutsche Gesellschaft für Unfallchirurgie), spanning around 580 certified clinics throughout Germany. The aim of these networks is to ensure seamless standardised, quality-optimised treatment of severely injured patients nationwide.

Bescheinigung TraumaNetzwerk DGUAs a certified ‘regional trauma centre’, the Clinic for Trauma Surgery and Orthopaedics at the Municipal Hospital of Pirmasens is a founding member of the TraumaNetzwerk Saar-(Lor)-Lux-Westpfalz and is certified in the TraumaNetzwerk DGU®.

Visit the website:





The DRF Luftrettung Air Rescue Service flies to the Municipal Hospital of Pirmasens.

Telekooperation Making all relevant patient data available as quickly as possible is of utmost importance to the multi-locational care of trauma patients.

The German Association for Trauma Surgery [DGU] is committed to the task of optimising care networks for severely injured patients in the field of medical communications: the aim is to simplify and accelerate communication of requisite radiological data among the diagnostic and therapeutic units of clinics within the network, and to make these data available at multiple sites simultaneously.

The result is TKmed, the tele-radiology network that can be used to automatically transmit records from one networked clinic to another. The records transmitted may be image data (X-ray, ultrasound or CT) as well as laboratory values or descriptions of a patient’s clinical condition. This simplifies precise and quick decisions concerning transfer to other trauma centres, consultations e.g. in neurosurgery, or even joint treatment plans.

The Chief Physician of Trauma Surgery and Orthopaedics, Dr. med. Tobias Keßler, is a member of the Telecooperation Working Group of the German Association for Trauma Surgery. The Clinic for Trauma Surgery and Orthopaedics of the Municipal Hospital of Pirmasens has been organised as a pilot clinic within the telecooperation network since 2012. The transmission of image data for emergency patients – often to the Universitätsklinik des Saarlandes in Homburg – has since gone into use by other clinics within our hospital as well.

Visit the website:

The Clinic for Trauma Surgery and Orthopaedics attaches great importance to education and advanced training and presents a wide range of offerings, both for its own specialists and for third parties.

Physicians have the following options:

  • Structured advanced training (‘logbook’ and advanced-training curriculum)
  • Authorisations to provide advanced training as specialist:
    • 24 months Basic Surgery (18 months in Trauma Surgery and Orthopaedics and 6 months Anaesthesia/(intensive training periods)
    • 36 months ‘Trauma Surgery and Orthopaedics’
    • 24 months ‘Special Trauma Surgery’
    • 24 months ‘Trauma Surgery (formerly WBO)’
  • Paid in-service and advanced training (emergency physician, radiation protection and X-ray, sonography, special surgical procedures, etc.)
  • Work model compliant with the German Working Hours Act

Additional training activity

As an international reference centre of B. Braun Aesculap, physicians from many countries visit the Clinic for training, particularly in the use of computer-navigated surgery on the joints.

Visit the website:

Memberships in professional societies and organisations

Chief Physician Dr. med. Tobias Keßler:

  • Deutsche Gesellschaft für Orthopädie und Unfallchirurgie (DGOU)
  • Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie (DGOOC)
  • Arbeitsgemeinschaft für Osteosynthese (AO)
  • Arbeitsgemeinschaft für Endoprothetik (AE)
  • Generalisten der Chirurgie
  • Saarländische Chirurgenvereinigung
  • Berufsverband der Deutschen Chirurgen (BDC)
  • Deutsche Gesellschaft für Unfallchirurgie (DGU)
  • Verband Leitender Orthopäden und Unfallchirurgen (VLOU)
  • Bundesverband der Durchgangsärzte e.V.


Managing Senior Physician Dr. med. Patrick Lutz:

  • Deutsche Gesellschaft für Unfallchirurgie (DGU)
  • Gesellschaft für Arthroskopie und Gelenkchirurgie (AGA)
  • Deutsche Assoziation für Fuß und Sprunggelenk e.V. (DAF)
  • Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie (DGOOC)
  • Berufsverband der Deutschen Chirurgen (BDC)


Senior Physician Dr. med. Karl Eisenacht

  • Gesellschaft für Fuß- und Sprunggelenkchirurgie e.V. (GFFC)
  • Berufsverband der Deutschen Chirurgen (BDC)


Senior Physician Dejan Ramusovic

  • Arbeitsgemeinschaft für Osteosynthese (AO)
  • Arbeitsgemeinschaft Südwestdeutscher Notärzte e.V. (AGSWN)
  • Deutsche Gesellschaft für Ultraschall in der Medizin (DEGUM)
  • Deutsche Gesellschaft für Manuelle Medizin (DGMM)
  • Berufsverband der deutschen Chirurgen (BDC)

Contact the doctors

Chief Physician:Chefarzt Dr. med. Tobias Keßler
Dr. med. Tobias Keßler


Leitender Oberarzt Dr. med. Patrick LutzManaging Senior Physician:
Dr. med. Patrick Lutz


Senior Physician Dejan Ramusovic

Contact the clinic

Katharina MüllerKatharina Müller




Ria EwaldRia Ewald


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