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Femoral neck fracture treatment with hip replacement (hip endoprosthesis) (399632) | JSC Medicina Clinic Moscow - BookingHealth
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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. 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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. 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Femoral neck fracture treatment with hip replacement (hip endoprosthesis)

JSC Medicina Clinic Moscow

Moscow, Russia
Program id # 399632
Doctor photo
Dr. med. Kalganov Alexey
Department of Orthopedics and Endoprosthetics
Specialized in: orthopedics, endoprosthetics

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 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

  • Medical records
  • X-ray examination (if available)
  • MRI/CT scan (if available)

Service

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About the department

The Department of Orthopedics and Endoprosthetics at the JSC Medicina Clinic, headed by doctor of the highest category Alexey Kalganov offers a wide range of orthopedic services, and in particular specializes in the treatment of degenerative changes and lesions of knee and hip joints, traumas or inflammatory diseases of knee and hip joints, age-related osteoarthritis and injuries of various joints due to chronic diseases.

The Department of Orthopedics and Endoprosthetics is equipped with the latest equipment, including CT, 3D MRI. The surgical procedures are mostly minimally invasive; prosthetics is performed with the Signature system. During the treatment, doctors use materials and implants of the best manufacturers. Best practices (in particular, the chief surgeon of the department Alexei Kalganov has over 25 years of surgical practice and more than 1,700 endoprosthetics operations) and the state-of-the-art technologies contribute to the most gentle treatment and prompt recovery. Thus, rehabilitation begins from the first day after the operation.

The main focuses of the Department of Orthopedics and Endoprosthetics include: 

  • Endoprosthetics
  • Arthroscopy
  • Minimally invasive treatment
  • Signature prosthetics

Photo of the doctor: (c) Clinic JSC "Medicine" 


About hospital

Founded in 1990, the JSC Medicina Clinic is an interdisciplinary medical center, which includes a polyclinic, an interdisciplinary inpatient clinic, round-the-clock emergency medical services and the state-of-the-art Sofia Cancer Center. With more than 300 doctors, the clinic offers a wide range of medical services. Within the framework of the Institute of Consultants, counseling is provided by academicians and corresponding members of the Russian Academy of Sciences (RAS), professors and leading specialists in various fields of medicine.

In total, the clinic covers 69 medical focuses and specializes in oncology (diagnostics, radiation therapy, chemotherapy and surgery), pediatrics, polyclinic and gynecological surgery, cardiology and cardiac surgery, ophthalmology and ophthalmic surgery, urology, trauma surgery and orthopedics, etc. In addition, there are offered various options of assisted reproductive medicine, including IVF.

The JSC Medicina is the first Russian clinic accredited in accordance with the international standards of quality of medical care JCI (Joint Commission International is the most objective and prestigious international accreditation in the field of healthcare). Also, the clinic is certified according to the international quality management standards ISO 9001: 2008 and was awarded for the excellence of the European Foundation for Quality Management (EFQM) in the EFQM Awards in Brussels in 2012.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patient rooms are more reminiscent of suites of four- and five-star hotels than hospital wards. The employees of the clinic try to do their best to make patients feel comfortable and cozy. 

For the most demanding customers, the clinic offers two deluxe wards equipped with a real fireplace and many other small things that even the discerning guests will appreciate.

Every room has multipurpose furniture, spacious wardrobe, TV, telephone, bathroom, and some patient rooms even have a refrigerator. If desired, it is possible to have access to the Internet and a DVD player.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV

Religion

Christian priests are available for the patients at any time. Representatives of other religions may be requested at any time.

Hotel

You may stay at the hotel during the outpatient program. Our employees will support you for selecting the best option.