低侵襲の日帰り診療は、DUS – 整形外科・外傷外科の手外科専門ユニットで受けられます。整形外科医26名からなるチームが、デュッセルドルフとラーティンゲンの5か所で診療を行っています。手術の前に、手首用装具、注射、理学療法を検討する場合があります。診断から創部の確認まで一貫したサポートを提供しており、海外からの患者さんは遠隔でのセカンドオピニオンや英語での診療報告書を依頼できます。
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"手根管症候群に対する低侵襲の正中神経除圧術に加え、非手術療法としてスプリント、注射、理学療法も提供しています。院内に3D骨画像診断設備を備えた、手外科専門の診療サービスです。"},"reviews":[],"clinic":{"id":9973,"alias":"dus-orthopaedics-trauma-surgery","name":"Orthopaedics & Trauma Surgery","short_description":"DUS – 整形外科・外傷外科は、ドイツのデュッセルドルフとラーティンゲンにある専門クリニックです。脊椎治療、人工関節置換術、関節鏡手術を専門としています。26名の医師が、保存療法と外科的治療の両方を提供しています。2016年の開設以来、複数の地域拠点へと展開してきました。主な専門分野は、成人の股関節、膝、肩の治療です。
医師は、軟骨や半月板の移植など、関節を温存する治療を専門としています。高解像度超音波検査、デジタルX線検査、注射時の移動式X線透視装置を活用しています。再生医療の選択肢として、自己血療法や多血小板血漿（PRP）療法を提供しています。脊椎治療では、画像誘導下の疼痛治療や内視鏡下椎間板摘出術を行っています。海外からの患者様は、遠隔でのセカンドオピニオンや、英語での診療報告書を依頼できます。
","images":[{"base_url":"clinic/6aec7b64b0003","title":"Orthopaedics & Trauma Surgery clinic exterior with modern brick facade in greenery"},{"base_url":"clinic/6aec7b6683df8","title":"Reception area at Orthopaedics & Trauma Surgery clinic with modern interior"},{"base_url":"clinic/6aec7b681906a","title":"Orthopaedics & Trauma Surgery clinic exterior in Germany with modern brick facade"},{"base_url":"clinic/6aec7b696f90a","title":"Reception area at Orthopaedics & Trauma Surgery clinic with modern wood flooring"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_parsed_from_docs","value":true},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"ドイツ","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"デュッセルドルフ","id":78,"alias":"dusseldorf"},"address":"Amsterdamer Straße 36, 40474 Düsseldorf, Germany"},"rating":{"rating":0,"google":4.5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":26,"year_foundation":2016},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725522d15.jpeg","name":"TÜV NORD CERTによるDIN EN ISO 9001認証","country_code":"DE"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":93},"doctors":{"doctors":[{"doctor":{"id":25245,"alias":"leonid-bluem","name":"Leonid Bluem","clinic_id":9973,"photo":"doctor/6aec80b97a309","first_year_working":2005,"created_at":"2026-11-05T12:51:17.169+00:00","description":"ドイツの整形外科・外傷外科専門医であり、救急医療、整形外科手術、整形リウマチ学の分野で豊富な病院勤務経験を有しています。デュッセルドルフのDUS整形外科・外傷外科で診療を行い、特に肩、膝、股関節、足関節、足の疾患を専門としています。dus-orthopaedie-unfallchirurgie+1
ブリュム医師はドイツで医学教育および専門医資格取得のための研修を修了し、2009年に医学博士号を取得、2011年に整形外科・外傷外科専門医となりました。2014年には整形リウマチ学の追加資格を取得しました。
DUS整形外科・外傷外科にパートナーとして加わる前は、ノルトライン＝ヴェストファーレン州の複数の主要病院で研修医、コンサルタント、上級医として勤務しました。勤務先には、カトリック病院デュースブルク、ヘリオス・クリニクム・デュースブルク、マルテーザー病院聖アンナ・デュースブルクなどがあります。
ブリュム医師は、筋骨格系の外傷や変性関節疾患に対して、保存療法と外科的治療の両方を提供しています。診療の重点分野は、スポーツ外傷、関節温存、関節鏡手術、人工関節置換術、外傷治療、足の手術です。
肩、膝、足関節の関節鏡手術
股関節、膝関節、肩関節の人工関節置換術（人工関節）
スポーツ外傷および競技復帰に向けたリハビリテーション計画
急性外傷、骨折、靱帯損傷、腱断裂
外反母趾を含む足および足趾の変形
整形リウマチ学および炎症性関節疾患の管理dus-orthopaedie-unfallchirurgie+1
| 年 | 資格 |
|---|---|
| 2009 | 医学博士号（Dr. med.） |
| 2011 | 整形外科・外傷外科専門医 |
| 2014 | 整形リウマチ学の追加資格 |
また、救急医（Notarzt）、足部外科認定医（GFFC）、AeKNo認定医療鑑定人の追加資格も有しています。
2005～2007年：研修医、内臓外科・外傷外科、エヴァンゲリッシェス・クランケンハウス・オーバーハウゼン
2007年：研修医、集中治療室、麻酔科、エヴァンゲリッシェス・クランケンハウス・オーバーハウゼン
2007～2008年：研修医、整形外科・外傷外科、エヴァンゲリッシェス・クランケンハウス・オーバーハウゼン
2008～2011年：研修医、整形外科・外傷外科、カトリック・クリニクム・デュースブルク
2011年：コンサルタント、整形外科・外傷外科、カトリック・クリニクム・デュースブルク
2012～2014年：上級医、整形外科・外傷外科および整形リウマチ学、ヘリオス・クリニクム・デュースブルク
2014～2016年：上級医、整形外科・外傷外科、マルテーザー病院聖アンナ・デュースブルク
","specialities":[{"id":"ort.001","name":"Orthopedist","illness_kind_id":3}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":15000,"awards_count":0}},"clinic":{"id":9973,"alias":"dus-orthopaedics-trauma-surgery","name":"Orthopaedics & Trauma Surgery","short_description":"DUS – 整形外科・外傷外科は、ドイツのデュッセルドルフとラーティンゲンにある専門クリニックです。脊椎治療、人工関節置換術、関節鏡手術を専門としています。26名の医師が、保存療法と外科的治療の両方を提供しています。2016年の開設以来、複数の地域拠点へと展開してきました。主な専門分野は、成人の股関節、膝、肩の治療です。
医師は、軟骨や半月板の移植など、関節を温存する治療を専門としています。高解像度超音波検査、デジタルX線検査、注射時の移動式X線透視装置を活用しています。再生医療の選択肢として、自己血療法や多血小板血漿（PRP）療法を提供しています。脊椎治療では、画像誘導下の疼痛治療や内視鏡下椎間板摘出術を行っています。海外からの患者様は、遠隔でのセカンドオピニオンや、英語での診療報告書を依頼できます。
","images":[{"base_url":"clinic/6aec7b64b0003","title":"Orthopaedics & Trauma Surgery clinic exterior with modern brick facade in greenery"},{"base_url":"clinic/6aec7b6683df8","title":"Reception area at Orthopaedics & Trauma Surgery clinic with modern interior"},{"base_url":"clinic/6aec7b681906a","title":"Orthopaedics & Trauma Surgery clinic exterior in Germany with modern brick facade"},{"base_url":"clinic/6aec7b696f90a","title":"Reception area at Orthopaedics & Trauma Surgery clinic with modern wood flooring"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_parsed_from_docs","value":true},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"ドイツ","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"デュッセルドルフ","id":78,"alias":"dusseldorf"},"address":"Amsterdamer Straße 36, 40474 Düsseldorf, 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surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":3,"max":14,"unit":"days","qualifier":"Light or desk work often within days; manual or heavy gripping work may take 4-6 weeks or longer."},"complication_rate_pct":{"min":0.2,"max":1,"unit":"percent","qualifier":"Serious events such as nerve injury or deep infection; minor events excluded."},"contraindications":["Active local infection at the surgical site","Uncontrolled bleeding disorder or unmanaged anticoagulation (relative)","Medical unfitness for even minor procedure","Symptoms not caused by median nerve compression","Mild, intermittent symptoms responsive to conservative care (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Standard carpal tunnel release for one hand is performed as an outpatient procedure with same-day discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Gradual return to strenuous hand-loading activity and sports after wound healing, guided by comfort and surgeon advice."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Numbness and pain improve early; grip strength and scar tenderness may take months; severe long-standing compression recovers slower or incompletely."},"fly_home_after_days":{"min":1,"max":7,"unit":"days","qualifier":"Flying is fine from the next day if comfortable; about 1 week is more cautious. Avoid carrying luggage."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"conditional","after":{"min":10,"max":14,"unit":"days","qualifier":"When non-absorbable sutures are used; wound check at the same visit."}},{"purpose":"assessment","requirement":"conditional","after":{"min":42,"max":90,"unit":"days","qualifier":"Review of symptom relief, grip strength and scar."}}],"indications":["Persistent numbness, tingling or pain despite conservative treatment","Electrodiagnostically or clinically confirmed median nerve compression at the wrist","Thenar muscle weakness or atrophy","Constant numbness or severe symptoms","Recurrent night symptoms disturbing sleep"],"main_risks":["Scar tenderness or pillar pain","Infection or wound problems","Incomplete symptom relief or recurrence","Stiffness or reduced grip strength temporarily","Injury to median nerve or its branches (rare)","Complex regional pain syndrome (rare)","Bleeding or hematoma","Persistent or worsening numbness/paresthesia"],"pain":"Procedure is done with local anesthesia and is little felt beyond injection. Mild to moderate wound and palm soreness for several days, usually controlled with simple analgesics; scar/pillar tenderness may persist for weeks.","preparation":["Confirmation of diagnosis by clinical exam and nerve conduction testing","Review of medical history and current medicines with surgeon","Review anticoagulant or antiplatelet use with your clinicians","Arrange transport home and help for the first days","Remove rings and jewelry from the operated hand","Follow surgeon's instructions on eating and skin care","Tell surgeon about allergies and hand skin infection"],"recovery_timeline":[{"phase":"Day 0-3","description":"Bulky dressing, hand elevation, finger movement encouraged; night numbness often improves quickly.","restrictions":["Keep dressing clean and dry","Avoid heavy lifting"]},{"phase":"Days 3-14","description":"Light dressing, wound healing, sutures removed around 10-14 days if non-absorbable; light daily use.","restrictions":["Avoid forceful gripping and heavy loading","Avoid soaking the wound"]},{"phase":"Weeks 2-6","description":"Gradual return to normal hand use; scar massage; palm tenderness and grip strength improve.","restrictions":["Limit heavy manual work and repetitive strong gripping"]},{"phase":"Weeks 6-12 and beyond","description":"Return to full strength and activity; continued gradual nerve recovery.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":28,"unit":"days","qualifier":"Light daily activities possible within days to 2 weeks; comfortable everyday use takes 2-4 weeks. Heavy gripping takes longer."},"result_longevity":"Symptom relief is usually long-lasting in most patients; recurrence is uncommon but possible, especially if the original release was incomplete or with ongoing risk factors.","revision_rate_pct":{"min":0.2,"max":3,"unit":"percent","qualifier":"Repeat surgery after primary release: about 0.2% within 1-5 years; higher with longer follow-up or dialysis."},"scars":"Small palmar scar (open release about 2-4 cm) or one/two small incisions (endoscopic); usually fades well, though it can be tender early.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation on one hand; the opposite hand is operated separately if needed."},"stages":[{"code":"carpal_tunnel_release","label":"Division of transverse carpal ligament to decompress median nerve","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"One treatment session per hand; follow-up checks are not 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