Knee replacement in Germany
Knee replacement is a surgery for implantation of an artificial joint instead of the own one. Indications for endoprosthetics are all diseases that disrupt the function of the knee joint and cause chronic pain syndrome. Rheumatoid arthritis, Bekhterev's disease, injuries and tumors are among the indications. European countries are leading in the field of endoprosthetics. Thus, more than 100.000 such operations per year are conducted in Germany.
Knee replacement – Diagnostics
In the case of knee joint diseases, the patient visits a doctor with complaints of gait disturbance, knee pain, or joint deformity. After a clinical examination, the doctor proceeds to the laboratory and instrumental diagnostics, such as:
- Complete blood count, blood glucose level
- Rheumatoid factor blood level (depending on preliminary diagnosis)
- Ultrasound examination
- Two-dimensional radiography
Imaging methods allow the doctor to accurately assess the degree of joint damage and, if necessary, decide on endoprosthetics performing.
Best clinics for the diagnostics of the knee joint diseases in Germany:
Orthopedic Center Munich East Munich
Academic Hospital DRK Berlin Westend
Hannover Medical School (MHH)
Knee replacement – Performance
The primary task of the doctor is to select the most suitable endoprosthesis. The type of prosthesis is chosen individually, based on the clinical situation, the needs and lifestyle of the patient, his financial capabilities, and expectations from the surgery. Only hypoallergenic prostheses with a service life of more than 20 years are used in Germany.
So, depending on the type of liner, prostheses are divided into fixed and mobile ones. According to the number of joint surfaces that are replaced during the endoprosthesis of the knee joint, they can be unicondylar, bipolar and tripolar. There is a cement or cementless fixation of the knee endoprosthesis (cement fixation is used much more often because it is more reliable).
Different endoprostheses provide different volume of movements. The following types of artificial joints are used:
- Hinged. It moves only in one plane.
- Constrained. It has a limited valgus deviation. It allows the rotation of the joint in the plane of flexion.
- Semi-constrained. The anterior-posterior stabilization of the joint is performed. The posterior cruciate ligament is replaced.
- Non-constrained. The posterior cruciate ligament is retained. The device has no limiters.
Surgery – Performance
During the preparation for the surgery, it is recommended to:
- Train the muscles of arms and torso. Further, strengthening of muscles in these zones will help the patient to cope better with crutches in the postoperative period.
- Normalize weight. It will reduce the load on the knee joint prosthesis.
- Discuss with the doctor administration of all medications. Some drugs can increase bleeding, risk of thrombosis or other complications.
Endoprosthetics of the knee joint is performed under general or spinal anesthesia. General anesthesia implies a deep sleep. An injection in the lumbar region is performed for spinal anesthesia, then a complete loss of sensitivity occurs. The patient is conscious during this procedure.
Usually endoprosthetics of the knee joint takes no more than 1-2 hours. On the next day after surgery, the patient can sit on a bed. He can move with crutches or walkers in two days. Drainage is removed in 1-2 days. The patient can walk with one crutch or cane on the fifth day. The patient is discharged on the 5-10th day. Stitches are removed on the 10-14th day.
The replacement of the knee joint allows to achieve many medical purposes, namely:
- To eliminate chronic pain syndrome
- To restore limb functionality
- To completely restore the movement amplitude and working capacity
- To restore the normal limb axis and knee joint stability
Best clinics for the knee replacement in Germany:
Orthopedic Center Munich East Munich
Hospital Neuwerk Maria von den Aposteln Moenchengladbach
Hannover Medical School (MHH)
Knee replacement – Rehabilitation
The patient needs a rehabilitation after the knee replacement. Doctors of different specializations take part in the rehabilitation process. The restoration is based on the physical therapy, physiotherapy, special training on simulators and in the pool. Massage, reflexotherapy, and other procedures are performed. The rehabilitation program is selected individually for each patient.
The patient should avoid increased loads on the endoprosthesis in order to maintain it in a good condition for a long time. Such kinds of sport as running and jumping are contraindicated for the patients. He can swim, ride a bicycle, walk, etc. The patient should avoid hits or any other mechanical influence on the knee joint. It is also not allowed to lift heaviness and gain excessive body weight.
The patient should undergo annual diagnostics to assess the condition of the endoprosthesis. If there are any alarming symptoms (deformation, noise, changes in the amplitude of movements in the joint), it is better to visit a doctor as quickly as possible.
Rehabilitation programs in Germany are designed for 2 weeks. If necessary, they can last much longer. In this country, the patient is provided with qualitative care, accommodation in comfortable rooms and individually selected meals.
Rehabilitation programs in Germany show one of the best results in the world. Most patients successfully restore their employability and excellent health there. They remain physically active, return to the full social and family life.
Best clinics for orthopedic rehabilitation in Germany:
Max Grundig Clinic Buehl
762.57Per daySee More
Author: Dr. Nadezhda Ivanisova
Here you can find the cost of treatment for this disease at the German University Hospitals. Leave a request and we will provide a free consultation with a doctor and will start organizing the whole treatment process.
The program includes the following:
- Issuing of an invitation for getting a visa for treatment as quick as possible
- Fixing an appointment at a time convenient for you
- Preliminary organization of a comprehensive examination and discussion of the forthcoming treatment plan
- Arranging transfer from the airport to the hospital and back to the airport
- Provision of interpreting services and services of a personal medical coordinator
- If necessary, assistance in the organization of further surgical treatment
- Provision of a medical insurance against treatment complications covering up to 200,000 euro
- Preparation and translation of medical records and recommendations from the hospital
- Assistance in the subsequent communication with your attending physician, including consultations on repeated X-ray images through the unique medical document management system E-doc