Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis) in Assuta Hospital Tel Aviv
Assuta Hospital Tel Aviv
Tel Aviv, Israel
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According to its results, the most suitable endoprosthesis is selected.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Hip replacement<\/strong>. The operation is performed under general anesthesia. The patient lies on his side, the affected leg is bent and fixed in this position. The surgeon makes an incision 15-20 cm long, minimally traumatizing the muscles and nerve endings. Through this incision, miniature instruments are inserted to remove the damaged joint structures. Healthy bone is adjusted for further reliable implant fixation.<\/p>\n\n<p style=\"text-align: justify;\">The surgeon installs a femoral stem in the center of the upper part of the femur. Ball-shaped head of the joint is fixed on it. The surgeon also implants a special liner that facilitates movement of the leg and protects the structures of the prosthesis. After the primary fixation of the prosthesis components, the doctor assesses the joint range of motion, as well as the length and symmetry of the lower limb.<\/p>\n\n<p style=\"text-align: justify;\">The implant is fixed with cement or cementless method. The doctor treats the operating field with antiseptics, conducts its final revision and sutures the wound layer by layer. A temporary drainage is installed in the joint, and a bandage is applied on top.<\/p>\n\n<p 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.<\/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, if available<\/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<\/li>\n\t<li>MRI scan of the hip<\/li>\n\t<li>preoperative care<\/li>\n\t<li>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 appliances<\/li>\n\t<li>the 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<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>Preliminary preparation for hip replacement<\/strong> includes quitting smoking and drinking alcohol; cancelling non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen); cancelling anticoagulants (warfarin); normalization of body mass, if possible.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Preoperative examination<\/strong>, including consultation with an anesthesiologist and necessary related specialists, takes 1-2 days. According to its results, the most suitable endoprosthesis is selected.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Hip replacement<\/strong>. The operation is performed under general anesthesia. The patient lies on his side, the affected leg is bent and fixed in this position. The surgeon makes an incision 15-20 cm long, minimally traumatizing the muscles and nerve endings. Through this incision, miniature instruments are inserted to remove the damaged joint structures. Healthy bone is adjusted for further reliable implant fixation.<\/p>\n\n<p style=\"text-align: justify;\">The surgeon installs a femoral stem in the center of the upper part of the femur. Ball-shaped head of the joint is fixed on it. The surgeon also implants a special liner that facilitates movement of the leg and protects the structures of the prosthesis. After the primary fixation of the prosthesis components, the doctor assesses the joint range of motion, as well as the length and symmetry of the lower limb.<\/p>\n\n<p style=\"text-align: justify;\">The implant is fixed with cement or cementless method. The doctor treats the operating field with antiseptics, conducts its final revision and sutures the wound layer by layer. A temporary drainage is installed in the joint, and a bandage is applied on top.<\/p>\n\n<p 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.<\/p>\n<\/div>","is_ambulant":"0","bh_fee":"0","only_for_children":"2","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"2","clinic_icon":"5ffc21759472e.jpg","city":"Tel Aviv","clinic_site":"https:\/\/www.assuta.co.il\/en\/","department_recommend":"0","country":"Israel","country_id":"11","clinic_name":"Assuta Hospital Tel Aviv","cinic_name":"Assuta Hospital Tel Aviv","department_id":"3105","duration":"8","direction":"Hip Surgery","min_duration":0,"clinic_id":"2187","paketPrice":0,"paket":"<ul>\n <li>Interpreter up to 15 hours<\/li>\n <li>Translation up to 10 pages<\/li>\n <li>Visa support<\/li>\n\n\n<\/ul>","title":"Hip osteoarthritis (coxarthrosis) treatment with hip replacement (hip endoprosthesis)","price":{"val":27644.08,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":null,"distance":"0","airport_title":null},{"id":"16","distance":"95","airport_title":"Haifa"},{"id":"46","distance":"348","airport_title":"Eilat"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}
Program id #
667390
Dr. med. Ilya Pekarsky
Department of Adult and Pediatric Orthopedics, Orthopedic Surgery
Specialized in: adult and pediatric orthopedics, orthopedic surgery The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- review of medical records
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- indicators of inflammation (CRP, ESR)
- indicators of blood coagulation
- X-ray examination of the hip
- MRI scan of the hip
- preoperative care
- hip replacement (hip endoprosthesis)
- symptomatic treatment
- control examinations
- physiotherapeutic procedures
- orthopedic appliances
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- explanation of future recommendations
How program is carried out
Preliminary preparation for hip replacement includes quitting smoking and drinking alcohol; cancelling non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen); cancelling anticoagulants (warfarin); normalization of body mass, if possible.
Preoperative examination, including consultation with an anesthesiologist and necessary related specialists, takes 1-2 days. According to its results, the most suitable endoprosthesis is selected.
Hip replacement. The operation is performed under general anesthesia. The patient lies on his side, the affected leg is bent and fixed in this position. The surgeon makes an incision 15-20 cm long, minimally traumatizing the muscles and nerve endings. Through this incision, miniature instruments are inserted to remove the damaged joint structures. Healthy bone is adjusted for further reliable implant fixation.
The surgeon installs a femoral stem in the center of the upper part of the femur. Ball-shaped head of the joint is fixed on it. The surgeon also implants a special liner that facilitates movement of the leg and protects the structures of the prosthesis. After the primary fixation of the prosthesis components, the doctor assesses the joint range of motion, as well as the length and symmetry of the lower limb.
The implant is fixed with cement or cementless method. The doctor treats the operating field with antiseptics, conducts its final revision and sutures the wound layer by layer. A temporary drainage is installed in the joint, and a bandage is applied on top.
Postoperative care. 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.
Required documents
- X-ray examination of the hip joints
- MRI scan of the hip joints, if available
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About the department
The Department of Adult and Pediatric Orthopedics, Orthopedic Surgery at the Assuta Hospital Tel Aviv offers the full range of diagnostics and treatment of the diseases of musculoskeletal system, including sports injuries. One of the most important focuses of the department is joint replacement surgery. Thanks to the state-of-the-art medical equipment and competence of doctors, the department has gained an excellent reputation not only in Israel, but throughout the world.
The department is headed by the world-famous doctor Ilya Pekarsky. He is the Leading Spinal Surgeon and Orthopedic Surgeon in Israel, one of the most sought-after spinal surgeons in the world. Every year, he performs about 500 operations, thereby saving many human lives.
The department has successfully applied an innovative tendon fusion technique, which was developed in the USA. Such an procedure has several advantages over the traditional treatment method: it is less traumatic, the recovery period is shorter, and the cost of treatment is lower. In addition, thanks to the introduction of the Hydrocision technology, the department can offer spinal disc minimally invasive mechanical aspiration, which helps avoid damage to the surrounding tissues.
Special attention should be given to the treatment success of sports injuries. For example, the orthopedic surgeons of the department are world-famous for their success in the field of ligament rehabilitation surgeries. Depending on the indications, such operations are open or minimally invasive. Only two small incisions are made during the intervention, which contributes to the most rapid recovery of the patient.
The main clinical focuses of the department include:
- Diagnostics and treatment of spinal diseases
- Percutaneous vertebroplasty (in osteoporosis, compression fractures, hemangiomas, oncological lesions of the spine)
- Treatment of the spinal disc herniation
- Conservative therapy (painkillers and anti-inflammatory drugs, physiotherapy, chiropractic, acupuncture, Feldenkrais method, epidural injections)
- Minimally invasive surgical treatment
- Treatment of osteochondrosis
- Conservative therapy (drug treatment with nonsteroidal and analgesic drugs, physiotherapy, manual therapy, acupuncture, laser therapy, ultrasound therapy, hirudotherapy, exercise therapy)
- Minimally invasive surgical treatment
- Treatment of scoliosis in adults and children
- Conservative therapy (selection of an individual corset and its wearing mode, manual therapy, physiotherapy, massage, specialized therapeutic exercise)
- Surgical straightening of the spine (with the help of screw implantation into the vertebrae, which completely corrects the curvature)
- Diagnostics and treatment of shoulder diseases
- Innovative InSpace™ Balloon technique in chronic or severe rotator cuff injuries
- Shoulder tendons fusion
- Surgical treatment of shoulder fractures
- Joint replacement surgery (the department's innovation is the implantation of an individually selected joint according to the Signature Knee computer imaging technology)
- Simultaneous replacement of two joints (the only department in Israel specializing in such operations)
- Hip, ankle, elbow, shoulder and wrist joint replacement (implantation of the endoprosthesis produced by the leading manufacturers in the USA and Switzerland according to the latest medical technologies)
- Surgical treatment of tennis elbow
- Surgical correction of axial disorders
- Other medical services
Curriculum vitae
Education
- Second Moscow Medical Institute.
- Tel Aviv University.
- Internship in the hospitals of USA, Germany, Japan, England, France, Holland, Spain, Switzerland.
Clinical practice
- Department of Orthopedics and Pediatric Surgery at the Meir Hospital, Kfar Saba, Israel.
- Department of Spinal Surgery, Assuta Hospital, Israel.
Awards and Achievements
- Best Spinal Surgeon in Israel (2008 - 2012).
Membership in Professional Societies
- Israeli Orthopedic Association.
- Israel Spine Society.
- European Spinal Surgery Society.
Photo of the doctor: (c) Assuta Medical Centers
About hospital
The Assuta Hospital Tel Aviv was opened in 2009 and today it is one of the largest, modern hospitals with the highest treatment success rates in Israel. The сlinical practice is based on the use of the state-of-art technologies in the world of medicine. The compliance with the high level of medical care and cooperation with the best doctors in Israel is the cornerstone of the hospital’s work and a long tradition of Assuta.
The main clinical focuses of the medical facility include cardiology, neurosurgery, orthopedics, surgery, oncology, gynecology, urology, gastroenterology, reproductive medicine, bariatrics, rehabilitation, etc.
The hospital has 16 state-of-the-art operating rooms, more than 200 beds, resuscitation units, and 2 monitoring laboratories, as well as one of the largest Imaging Diagnostic Centers and the ultramodern Cancer Center.
The hospital was awarded the prestigious certificate of the Joint Commission on Accreditation of Healthcare Organizations for its compliance with high standards of quality and safety of medical care.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Assuta Hospital Tel Aviv live in comfortable spacious rooms of a five-star hotel level. The patient rooms are designed in bright colors and equipped with air conditioning, cable TV and other amenities. The rooms have a computer connected to the Internet. In addition to hospital wards, there are also hotel rooms for friends and relatives accompanying the patient, a library, a lecture hall, a recreation room, a prayer house for patients of all religions. On the territory of the hospital there are shops and cafes, where one can drink a cup of aromatic coffee or tea and have a snack.
Meals and Menus
The patients of the hospital are offered a balanced delicious three meals a day: breakfast, lunch and dinner. There are several menus to choose from, including a dietary one.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV
