Knee replacement. Treatment abroad
Knee replacement is a surgery to replace person’s own knee joint with an artificial one.
This surgical procedure allows to achieve a number of medical purposes, namely:
- To eliminate a chronic pain syndrome
- To restore function of the limb with the affected knee joint
- To restore full range of motion and performance
- To restore a normal axis of the limb and stability of the knee joint
Indications of Knee replacement
The indications for total knee replacement include all diseases that disrupt its function and cause chronic pain syndrome. These include:
- Rheumatoid arthritis
- Bekhterev’s disease
- Impact of injuries and surgery (osteosynthesis of the proximal end of the tibia)
- Knee infections
- Tumors of the appropriate localization
What implants are used?
There were developed different types of implants that varies in a number of parameters. According to the type of liner implants are divided into fixed- and mobile-bearing.
According to the number of articulation surfaces, which are substituted during the knee replacement, implants can be:
There can be cemented or cementless anchorages of the knee implants. The cemented anchorage is very common, as it is more reliable.
Different implants provide different range of motion. Following types of artificial joints can be used:
- Hinge joints (can move in only one plane)
- Bound joints (have a limited valgus deviation that enables the joint to rotate while bent)
- Partially bound joint (there is performed an anteroposterior joint stabilization, a posterior cruciate ligament is replaced)
- Unbound joints (the posterior cruciate ligament is preserved and the device has no limiters)
The prosthesis type is selected individually according to a clinical situation, patient’s needs and lifestyle, his/her financial possibilities, and expectations from the surgery.
Knee replacement - Preparation for surgery
It is necessary to start the preparation for hip replacement in advance. Patient is required:
- To get all necessary tests and to undergo instrumental examinations. The doctor will provide a list including these procedures.
- To treat all acute diseases. To achieve a sustained remission upon chronic aggravated pathology.
- In case of decompensated diseases of the internal organs, the illness has to reach the stage of compensation.
- To normalize blood pressure (BP). It is necessary to find optimal dosing schedules for BP to be maintained within normal limits.
- To normalize blood sugar level. This recommendation is relevant for patients with diabetes or metabolic syndrome.
- To start working out the muscles in the arms and abs. In future, muscle strengthening in these areas can help to be better with crutches in the postoperative period.
- To lose weight, if patient is overweight, to reduce the load on the knee joint implant.
- To get a blood test. Blood transfusion may be required during surgery in case of large loss of blood.
- To obtain doctor’s approval for all medications, since some drugs can increase intraoperative bleeding, as well as the risk of thrombosis or other complications.
- To stop smoking. It slows down the regeneration of tissues, increases the risk of infection, complicates the postoperative period.
On the day of surgery, it is forbidden to either eat or drink. If the doctor has recommended to shave a leg, it should be done very carefully to avoid scratching, since this can result in postponing surgery.
Knee replacement - Surgery
Knee replacement is performed under general or spinal anesthesia. The general anesthesia involves patient’s deep sleep, while the spinal one requires an injection into the lumbar region. The drugs are administered into the subarachnoid space and thus patient becomes completely insensitive to pain,
although heshe remains conscious.
Knee replacement usually takes no more than 2 hours. Twenty-four hours after the surgery the patient can sit up in bed. A day later he/she can walk with crutches or a walker. The drainage is removed within 1-2 days. On the 5 th day patient can walk with one crutch or a cane. On the 5 th -10 th day patient is discharged from the hospital and on the 10 th -14 th day doctor removes stitches.
Knee replacement - Postoperative period
After knee replacement patient needs rehabilitation, which involves moderate physical activity. The physical therapy is carried out under the supervision of an appropriate specialist.
To keep the prosthesis in a good condition for a long time, do not overload it. Sports that involve running or jumping is contraindicated. Patient can do swimming, cycling or walking. Any kick or other mechanical impacts on the knee joint should be avoided. Patient should not lift weights and gain weight.
You should be diagnosed annually in order to assess the condition of the joint implant. If you notice some warning signs (deformity, noise, change in the range of motion in the joint), you should immediately consult with your physician.
Find the best knee replacement hospital
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