{"translation_price":"50","translation_doc_price":"40","child_coefficient":"1.1","transfer_price":"2.00","transfer_price_vip":"5.00","constant_transfer_price_vip":350,"constant_transfer_price":150,"constant_transfer_distanse":60,"type":"treatment","program_full_story":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>Clinical history taking<\/li>\n\t<li>Physical examination<\/li>\n\t<li>Review of medical records<\/li>\n\t<li>Laboratory tests:\n\t<ul>\n\t\t<li>Complete blood count<\/li>\n\t\t<li>General urine analysis<\/li>\n\t\t<li>Biochemical analysis of blood<\/li>\n\t\t<li>Indicators of inflammation (CRP, ESR)<\/li>\n\t\t<li>Indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>X-ray examination of the hip joints<\/li>\n\t<li>MRI scan of the hip joints<\/li>\n\t<li>Preoperative care<\/li>\n\t<li>Bilateral hip replacement (hip endoprosthesis)<\/li>\n\t<li>Symptomatic treatment<\/li>\n\t<li>Control examinations<\/li>\n\t<li>Physiotherapeutic procedures<\/li>\n\t<li>Orthopedic auxiliary aids, including walking aids<\/li>\n\t<li><strong>Orthopedic rehabilitation<\/strong><\/li>\n\t<li>Cost of essential medicines and materials<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Full hospital accommodation<\/li>\n\t<li>Explanation of future recommendations<\/li>\n<\/ul>\n\n<p><strong>The program includes orthopedic rehabilitation:<\/strong><\/p>\n\n<ul>\n\t<li>Primary presentation in the clinic<\/li>\n\t<li>Medical history taking, including family history<\/li>\n\t<li>Neurological and orthopedic examinations<\/li>\n\t<li>X-ray examination<\/li>\n\t<li>Individual rehabilitation program, which includes:\n\t<ul>\n\t\t<li>Lymphatic drainage<\/li>\n\t\t<li>Restoring walking balance with Wii Fit video trainer<\/li>\n\t\t<li>Walking training<\/li>\n\t\t<li>Kinesiotherapy<\/li>\n\t\t<li>Therapeutic deep muscle massage<\/li>\n\t\t<li>Neuromuscular electrical stimulation (NMES)<\/li>\n\t\t<li>Acupuncture in pain and spastic syndromes<\/li>\n\t\t<li>Ergotherapy<\/li>\n\t\t<li>Physiotherapy, including microcurrent therapy<\/li>\n\t\t<li>Fangotherapy \/ cryotherapy<\/li>\n\t\t<li>Limb joint mobilization \/ splint therapy<\/li>\n\t\t<li>Reflexotherapy<\/li>\n\t\t<li>Training on rehabilitation exercise equipment<\/li>\n\t\t<li>Training in the swimming pool<\/li>\n\t\t<li>And other methods<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Full hospital accommodation<\/li>\n\t<li>Symptomatic drug therapy<\/li>\n<\/ul>\n<div class=\"program_indications_for_surgery\"><h4>Indications<\/h4><p>The hip osteoarthritis (coxarthrosis) treatment with bilateral hip replacement (hip endoprosthesis) is indicated in:<\/p>\n\n<ul>\n\t<li>Coxarthrosis of III-IV degree<\/li>\n\t<li>Aseptic necrosis of the femoral head<\/li>\n<\/ul>\n<\/div><div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>Standard program description<\/strong>:<\/p>\n\n<ol>\n\t<li style=\"text-align:justify\"><strong>Preliminary preparation for surgery<\/strong>: quitting smoking and drinking alcohol 2 weeks before surgery; cancelling non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen); cancelling&nbsp; anticoagulants (warfarin); normalization of body mass, if possible.<\/li>\n\t<li style=\"text-align:justify\"><strong>Preoperative examination<\/strong>, including consultation with an anesthesiologist and necessary related specialists. X-ray examination&nbsp;and MRI&nbsp;of the hip joints are performed.&nbsp;The examination takes 1-2 days.<\/li>\n\t<li style=\"text-align:justify\"><strong>Performing bilateral hip replacement<\/strong>.<\/li>\n\t<li style=\"text-align:justify\"><strong>Postoperative care<\/strong>. During the first day after the intervention the patient stays in the intensive care unit, under round-the-clock medical supervision. After that, with a smooth course of the postoperative period, the patient is transferred to a regular ward and the drains are removed. The range of motion expands gradually, from light toes movements to walking. Walking with the use of walking aids is allowed in 3-5 days after the operation. Normal walking without the use of walking aids (crutches, cane) will become possible in 6-12 weeks.<\/li>\n\t<li style=\"text-align:justify\"><strong>Rehabilitation<\/strong>. The rehabilitation program begins after the transfer of the patient from the intensive care unit to a regular ward. It includes physical activity (from exercises in bed in the early days to exercises in the gym), physiotherapy, massage (including lymphatic drainage).&nbsp;After discharge from the hospital, the patient is transferred to a specialized rehabilitation clinic for 2 weeks, where he undergoes an advanced rehabilitation course.<\/li>\n<\/ol>\n\n<p style=\"text-align:justify\"><strong>Advantages of simultaneous bilateral endoprosthetics<\/strong>:<\/p>\n\n<ul>\n\t<li style=\"text-align:justify\">Reduced blood loss during surgery<\/li>\n\t<li style=\"text-align:justify\">Performing only one general anesthesia<\/li>\n\t<li style=\"text-align:justify\">Even load on both joints during rehabilitation, the patient does not spare the operated joint<\/li>\n\t<li style=\"text-align:justify\">Saving time and money (hospitalization period for bilateral endoprosthetics is on average 17-20 days, for unilateral it is 15 days for each surgery)<\/li>\n\t<li style=\"text-align:justify\">Reduced psychological stress<\/li>\n\t<li style=\"text-align:justify\">Higher quality of life (with unilateral prosthetics, the quality of life is reduced due to the second affected joint)<\/li>\n<\/ul>\n\n<p style=\"text-align:justify\"><strong>The possibility of simultaneous joint replacement is assessed by the doctor during the initial presentation in the clinic. In some cases, the doctor may give preference to two-stage joint replacement, with an interval of 1 week.<\/strong><\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li>X-ray examination of the hip joints<\/li>\n\t<li>MRI scan of the hip joints<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>Clinical history taking<\/li>\n\t<li>Physical examination<\/li>\n\t<li>Review of medical records<\/li>\n\t<li>Laboratory tests:\n\t<ul>\n\t\t<li>Complete blood count<\/li>\n\t\t<li>General urine analysis<\/li>\n\t\t<li>Biochemical analysis of blood<\/li>\n\t\t<li>Indicators of inflammation (CRP, ESR)<\/li>\n\t\t<li>Indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>X-ray examination of the hip joints<\/li>\n\t<li>MRI scan of the hip joints<\/li>\n\t<li>Preoperative care<\/li>\n\t<li>Bilateral hip replacement (hip endoprosthesis)<\/li>\n\t<li>Symptomatic treatment<\/li>\n\t<li>Control examinations<\/li>\n\t<li>Physiotherapeutic procedures<\/li>\n\t<li>Orthopedic auxiliary aids, including walking aids<\/li>\n\t<li><strong>Orthopedic rehabilitation<\/strong><\/li>\n\t<li>Cost of essential medicines and materials<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Full hospital accommodation<\/li>\n\t<li>Explanation of future recommendations<\/li>\n<\/ul>\n\n<p><strong>The program includes orthopedic rehabilitation:<\/strong><\/p>\n\n<ul>\n\t<li>Primary presentation in the clinic<\/li>\n\t<li>Medical history taking, including family history<\/li>\n\t<li>Neurological and orthopedic examinations<\/li>\n\t<li>X-ray examination<\/li>\n\t<li>Individual rehabilitation program, which includes:\n\t<ul>\n\t\t<li>Lymphatic drainage<\/li>\n\t\t<li>Restoring walking balance with Wii Fit video trainer<\/li>\n\t\t<li>Walking training<\/li>\n\t\t<li>Kinesiotherapy<\/li>\n\t\t<li>Therapeutic deep muscle massage<\/li>\n\t\t<li>Neuromuscular electrical stimulation (NMES)<\/li>\n\t\t<li>Acupuncture in pain and spastic syndromes<\/li>\n\t\t<li>Ergotherapy<\/li>\n\t\t<li>Physiotherapy, including microcurrent therapy<\/li>\n\t\t<li>Fangotherapy \/ cryotherapy<\/li>\n\t\t<li>Limb joint mobilization \/ splint therapy<\/li>\n\t\t<li>Reflexotherapy<\/li>\n\t\t<li>Training on rehabilitation exercise equipment<\/li>\n\t\t<li>Training in the swimming pool<\/li>\n\t\t<li>And other methods<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Full hospital accommodation<\/li>\n\t<li>Symptomatic drug therapy<\/li>\n<\/ul>\n<div class=\"program_indications_for_surgery\"><h4>Indications<\/h4><p>The hip osteoarthritis (coxarthrosis) treatment with bilateral hip replacement (hip endoprosthesis) is indicated in:<\/p>\n\n<ul>\n\t<li>Coxarthrosis of III-IV degree<\/li>\n\t<li>Aseptic necrosis of the femoral head<\/li>\n<\/ul>\n<\/div><div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>Standard program description<\/strong>:<\/p>\n\n<ol>\n\t<li style=\"text-align:justify\"><strong>Preliminary preparation for surgery<\/strong>: quitting smoking and drinking alcohol 2 weeks before surgery; cancelling non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen); cancelling&nbsp; anticoagulants (warfarin); normalization of body mass, if possible.<\/li>\n\t<li style=\"text-align:justify\"><strong>Preoperative examination<\/strong>, including consultation with an anesthesiologist and necessary related specialists. X-ray examination&nbsp;and MRI&nbsp;of the hip joints are performed.&nbsp;The examination takes 1-2 days.<\/li>\n\t<li style=\"text-align:justify\"><strong>Performing bilateral hip replacement<\/strong>.<\/li>\n\t<li style=\"text-align:justify\"><strong>Postoperative care<\/strong>. During the first day after the intervention the patient stays in the intensive care unit, under round-the-clock medical supervision. After that, with a smooth course of the postoperative period, the patient is transferred to a regular ward and the drains are removed. The range of motion expands gradually, from light toes movements to walking. Walking with the use of walking aids is allowed in 3-5 days after the operation. Normal walking without the use of walking aids (crutches, cane) will become possible in 6-12 weeks.<\/li>\n\t<li style=\"text-align:justify\"><strong>Rehabilitation<\/strong>. The rehabilitation program begins after the transfer of the patient from the intensive care unit to a regular ward. It includes physical activity (from exercises in bed in the early days to exercises in the gym), physiotherapy, massage (including lymphatic drainage).&nbsp;After discharge from the hospital, the patient is transferred to a specialized rehabilitation clinic for 2 weeks, where he undergoes an advanced rehabilitation course.<\/li>\n<\/ol>\n\n<p style=\"text-align:justify\"><strong>Advantages of simultaneous bilateral endoprosthetics<\/strong>:<\/p>\n\n<ul>\n\t<li style=\"text-align:justify\">Reduced blood loss during surgery<\/li>\n\t<li style=\"text-align:justify\">Performing only one general anesthesia<\/li>\n\t<li style=\"text-align:justify\">Even load on both joints during rehabilitation, the patient does not spare the operated joint<\/li>\n\t<li style=\"text-align:justify\">Saving time and money (hospitalization period for bilateral endoprosthetics is on average 17-20 days, for unilateral it is 15 days for each surgery)<\/li>\n\t<li style=\"text-align:justify\">Reduced psychological stress<\/li>\n\t<li style=\"text-align:justify\">Higher quality of life (with unilateral prosthetics, the quality of life is reduced due to the second affected joint)<\/li>\n<\/ul>\n\n<p style=\"text-align:justify\"><strong>The possibility of simultaneous joint replacement is assessed by the doctor during the initial presentation in the clinic. In some cases, the doctor may give preference to two-stage joint replacement, with an interval of 1 week.<\/strong><\/p>\n<\/div>","is_ambulant":"0","bh_fee":"0","only_for_children":"0","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"2","clinic_icon":"5ffc50bf0ce8b.jpg","city":"Berlin","clinic_site":"http:\/\/www.drk-kliniken-berlin.de\/westend\/krankenhaus-westend\/","department_recommend":"0","country":"Germany","country_id":"1","clinic_name":"DRK Hospital Berlin Westend","cinic_name":"DRK Hospital Berlin Westend","department_id":"2231","duration":"35","direction":"Hip Surgery","min_duration":0,"clinic_id":"1660","paketPrice":8900,"paket":"<ul>\n <li>Interpreter up to 20 hours<\/li>\n <li>Translation up to 10 pages<\/li>\n <li>Visa support<\/li>\n\n\n<\/ul>","title":"Bilateral hip replacement and rehabilitation","price":{"val":33447.57,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[{"id":"need_to_use_head_doctor","title":"Treatment by leading experts","type":"val","val":"5790.53","req":0},{"id":"1_person_room","title":" Single room (whole period)","parent":"duration","type":"count_val","val":"95.00"},{"id":"2_person_room","title":" double room (whole period)","parent":"duration","type":"count_val","val":"60.00"},{"id":"attendant_place","title":"Accommodation for the accompanying person ","parent":"duration","type":"count_val","val":"50.00"}],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"8","distance":"30","airport_title":"Berlin"},{"id":"22","distance":"35","airport_title":"Berlin-Tegel"},{"id":"20","distance":"174","airport_title":"Leipzig"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}