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Achilles Tendon Rupture | Ankle Minimally Invasive Surgery Treatment. Hospital Prices, Ranking, Reviews - Bookinghealth

Achilles Tendon Rupture — Ankle Minimally Invasive Surgery: treatment in the Best Hospitals in the World

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Department of Adult and Pediatric Orthopedics, Foot Surgery

The Department of Adult and Pediatric Orthopedics, Foot Surgery offers the widest range of modern medical services to patients suffering from musculoskeletal diseases. The department specializes in knee and hip replacement surgery, including revision interventions to replace previously implanted artificial joints. The department has the status of a certified Maximum Care Endoprosthetics Center (endoCert), which means adherence to the requirements of European professional societies for carrying out procedures of this kind, a high level of safety and treatment efficiency. It is worth noting that the department uses the innovative ROSA® robotic system for performing knee replacement surgery. A special Rapid Recovery Program is used for the rapid recovery of mobility after joint surgery, which allows the patients to quickly return to their usual life. An integral part of the department's clinical practice is also the treatment of foot diseases and deformities in adults and children. The medical facility has been operating for more than 50 years, and therefore it provides patients with the highest quality medical care and easily copes even with highly severe pathologies.

Christoph Schnurr
Prof. Dr. med.Christoph Schnurr
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Hospital directly 7942.14
BookingHealth Price: 7142.14
Vitos Orthopedic Clinic Kassel
Specialized hospital

Vitos Orthopedic Clinic Kassel

Overall rating 9.2 / 10

Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery, Hand Surgery and Rheumatology

The Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery, Hand Surgery and Rheumatology offers the full range of diagnostic and therapeutic services in its areas of specialization. The key areas of work of the department's doctors include large joint arthroplasty, arthroscopic interventions on the knee, hip, and shoulder joints, conservative and surgical treatment of foot and hand diseases and deformities, rheumatic joint lesions, orthopedic diseases in children, and musculoskeletal injuries. The key to successful clinical practice is the professionalism and unique experience of the department's medical team, combined with the advanced infrastructure and state-of-the-art equipment. The department has 5 operating rooms equipped with the latest technology. Most surgical interventions are performed using minimally invasive techniques, due to which, in the shortest possible time, the patient is verticalized, their mobility is restored, and a pronounced pain syndrome is excluded. The department annually performs more than 4,500 surgical interventions, including especially complex ones, so the specialists at the medical facility are rightfully proud of their impressive clinical experience in the surgical treatment of orthopedic diseases. Over the years, the department has gained an excellent reputation not only in Germany but also far beyond its borders.

Guido Heers
Prof. Dr. med.Guido Heers
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Price: 7516.94
University Hospital Ulm
Specialized hospital

University Hospital Ulm

Overall rating 9.2 / 10

Department of Adult and Pediatric Orthopedics

The Department of Adult and Pediatric Orthopedics provides the full range of modern diagnostic services and effective treatment methods for patients with musculoskeletal diseases. The medical facility admits patients of all age groups, including young children and adolescents. Special attention is paid to the treatment of hip and knee arthrosis, foot diseases and deformities, spinal pathologies, and benign and malignant musculoskeletal tumors, including bone metastases. An experienced team of pediatric orthopedists takes care of young patients. The specialists conduct both conservative and surgical treatments for hip dysplasia, Perthes disease, slipped capital femoral epiphysis, clubfoot, flat feet, scoliosis, bone and soft tissue sarcomas, bone fractures, and other pathologies and injuries. The department successfully performs CT-guided nerve root blocks for the treatment of back pain. When surgical treatment is required, the department's team of doctors uses sparing, minimally traumatic techniques. Modern navigation systems are used during joint replacement surgery to ensure the most accurate positioning of the artificial joint. The department strictly follows the recommendations of the German Society for Orthopedics and Trauma Surgery (DGOU), which ensures highly effective treatment.

Heiko Reichel
Prof. Dr. med.Heiko Reichel
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Price: 7840.58
University Hospital Frankfurt am Main
Specialized hospital

Department of Adult and Pediatric Orthopedics, Special Orthopedic Surgery and Rheumatic Orthopedics

According to the Focus magazine, the Department of Adult and Pediatric Orthopedics, Special Orthopedic Surgery and Rheumatic Orthopedics ranks among the top German medical facilities specializing in the treatment of orthopedic diseases in adults and children, as well as in hip surgery! The department offers the full range of medical services in these medical fields. It carries out both diagnostics and treatment of patients of all age groups, including very elderly patients, with various musculoskeletal diseases. The therapeutic options include both conservative and surgical treatment methods. The department is distinguished by high professionalism of doctors, advanced infrastructure and invaluable experience in the field of its specialization, due to which it occupies leading positions in the European medical arena and guarantees an optimal treatment result.

Ingo Marzi
Prof. Dr. med.Ingo Marzi
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Price: 7488.75
University Hospital Heidelberg
Specialized hospital

Department of Adult and Pediatric Orthopedics, Traumatology

According to the Focus magazine, the Department of Adult and Pediatric Orthopedics, Traumatology ranks among the top German departments specializing in endoprosthetic joint replacement! The department offers the full range of services in the field of diagnostics and treatment of all diseases of the musculoskeletal system. In addition to surgical treatment, a number of effective conservative treatments are available in the department, for example, physiotherapy, occupational therapy, therapeutic exercise. The highly qualified doctors who have a rich experience and outstanding treatment results take care of the patients' health. 

Volker Ewerbeck
Prof. Dr. med.Volker Ewerbeck
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University Hospital Rechts der Isar Munich
Specialized hospital

Department of Adult and Pediatric Orthopedics, Foot Surgery

The Department of Adult and Pediatric Orthopedics, Foot Surgery offers the full range of services for the diagnostics and treatment of musculoskeletal diseases: bone, joint, muscle, ligament and tendon diseases. Special attention in the department's clinical practice is paid to knee and hip replacement surgery, including revision interventions to replace previously implanted prostheses, treatment of foot diseases, musculoskeletal cancers, orthopedic diseases in children. In addition, the department's specialists deal with the treatment of rare and especially complex musculoskeletal diseases. The department's highly specialized medical team applies only modern diagnostic and therapeutic techniques in their practice, and the long-term experience of doctors guarantees top-class surgical and conservative treatment. As a certified Maximum Care Endoprosthetics Center, the department's doctors annually perform more than 1,000 surgical procedures for partial and total joint replacement. Every year, more than 10,000 patients entrust their health to the department's medical team. Whenever required, doctors from related medical specialties are involved in the treatment process. The main goal and focus of doctors is to maximally restore the patient's health and give him the opportunity to return to his usual way of life.

Rüdiger von Eisenhart-Rothe
Prof. Dr. med.Rüdiger von Eisenhart-Rothe
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Price: 8194.5
University Hospital Würzburg
Specialized hospital

Department of Adult and Pediatric Orthopedics

The Department of Adult and Pediatric Orthopedics is the center of maximum orthopedic care and offers the diagnostics and treatment of all diseases and injuries of the musculoskeletal system. Along with the full range of modern operative and conservative orthopedics, the department specializes in hip and knee replacement surgery using the minimally invasive methods, replacement/revision of prostheses, orthopaedic oncology, foot surgery and patella problems in the patella.

Maximilian Rudert
Prof. Dr. med.Maximilian Rudert
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Price: 7450.12
University Hospital Carl Gustav Carus Dresden
Specialized hospital

Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery

The Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery offers the full range of diagnostics, conservative and surgical treatment of musculoskeletal diseases and injuries. The department is a certified Endoprosthetics Center – more than 1,000 primary joint replacement surgeries are performed here annually. The surgeons of the Endoprosthetics Center also specialize in particularly complex clinical cases and revision procedures for the replacement of previously implanted artificial joints. In addition, the department has the status of the interregional Trauma Center certified in accordance with the standards of the German Trauma Society. The department has also been awarded a Certificate of Excellence from the German Orthopedic Foot and Ankle Society (DAF) in the field of foot surgery. A separate area of ​​clinical activity is the treatment of diseases, injuries and congenital malformations of the musculoskeletal system in children. Depending on the severity of the clinical case, both conservative and surgical techniques are used in the treatment of orthopedic pathologies in children. The department's medical team prefers sparing low-traumatic surgery, while open operations are performed only if other therapeutic options are ineffective.

Klaus-Dieter Schaser
Prof. Dr. med.Klaus-Dieter Schaser
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Price: 9030.74
University Hospital Tuebingen
Specialized hospital

Department of Adult and Pediatric Orthopedics

The Department of Adult and Pediatric Orthopedics offers the full range of modern diagnostics and treatment of diseases, deformities of the musculoskeletal system in patients of all age groups. The priority task of all specialists of the department is to preserve the mobility of the patient and improve the quality of his life. In the field of surgical treatment, the main focus is on joint arthroplasty, resection of musculoskeletal tumors, as well as surgical correction of spinal defects and pathologies. In addition, the department specializes in the treatment of sports injuries.

Nikolaus Wülker
Prof. Dr. med.Nikolaus Wülker
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Price: 7758.1
University Hospital Muenster
Specialized hospital

University Hospital Muenster

Overall rating 9.8 / 10

Department of General Orthopedics and Orthopedic Oncology

The Department of General Orthopedics and Orthopedic Oncology offers the full range of conservative and surgical treatment of all musculoskeletal diseases. The department ranks among the largest medical facilities of this kind in Germany, as well as among the specialized authoritative departments for the treatment of bone and soft tissue tumors in the European medical arena. The treatment is carried out both on an outpatient and inpatient basis, including the outpatient operations. In addition to its successful clinical activities, the department is proud of its productive research work, which has given birth to many innovations in orthopedics, for example, the department's specialists have patented the very latest prosthetic systems, particularly in the field of orthopedic oncology.

Georg Gosheger
Prof. Dr. med.Georg Gosheger
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Price: 8194.5

Department of Adult and Pediatric Orthopedics, Foot Surgery

The Department of Adult and Pediatric Orthopedics, Foot Surgery carries out accurate diagnostics, effective conservative and surgical treatment of the full range of diseases of the musculoskeletal system. The department's medical team's responsibilities also include physiotherapy and rehabilitation activities. Surgery for orthopedic diseases is performed in state-of-the-art operating rooms equipped for sparing minimally invasive and arthroscopic interventions. There are also treatment rooms for physiotherapy, including a room with a pool for swimming and physical exercises in the water, and rooms with modern exercise equipment. The excellent infrastructure allows doctors to provide high-quality treatment of diseases of the joints, tendons, and bones, thereby restoring patient mobility as quickly as possible. The department admits patients of all age groups, including children and adolescents. The medical facility has been awarded many prestigious quality certificates, including DGOU, endoCert, and EPRD certificates, and has an impeccable reputation in Germany.

Boris Holzapfel
Prof. Dr. med.Boris Holzapfel
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Price: 8261.31
University Hospital RWTH Aachen
Specialized hospital

Department of Adult and Pediatric Orthopedics

According to the Focus magazine, the Department of Adult and Pediatric Orthopedics ranks among the top German medical facilities specializing in joint replacement surgery! The department offers the full range of diagnostics and treatment for patients with musculoskeletal diseases. The department treats patients of all age groups ranging from young children to elderly people. The department annually treats more than 15,000 patients, and also performs about 1,500 interventions yearly. The department has long traditions, long successful clinical experience, which contributes to its reputable status in the medical arena.

Markus Tingart
Prof. Dr. med.Markus Tingart
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Price: 8125.59
University Hospital Marburg UKGM
Specialized hospital

Department of Orthopedics and Traumatology

According to the Focus magazine, the Department of Orthopedics and Traumatology ranks among the top German medical facilities specializing in the treatment of injuries of any severity! The department offers the full range of diagnostic and therapeutic services to patients with diseases and injuries of the musculoskeletal system. The department has been certified by the German Society of Traumatology as a supra-regional Trauma Center. In addition, the medical institution is a certified Center for Gerontological Traumatology, the Center for Arthroscopy and Joint Surgery.

Susanne Fuchs-Winkelmann
Prof. Dr. med.Susanne Fuchs-Winkelmann
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Price: 7005.38
University Hospital Jena
Specialized hospital

University Hospital Jena

Overall rating 8.9 / 10

Department of Adult and Pediatric Trauma, Hand, Reconstructive Surgery

The Department of Adult and Pediatric Trauma, Hand, Reconstructive Surgery offers all modern surgical interventions in these medical fields. The department specializes in the treatment of patients with polytrauma, pelvic surgery, endoprosthetics, cancer, reconstructive surgery and hand surgery. The department has 62 beds for inpatient treatment and 3 high-tech operating rooms for both planned and emergency operations. The prestigious certificates of the Interregional Trauma Center of the German Society of Traumatology and the EndoCert certificate testify to the outstanding quality of medical services.

Gunther Hofmann
Prof. Dr. med. Dr. rer. nat.Gunther Hofmann
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Price: 8130.81
University Hospital Halle (Saale)
Specialized hospital

Department of Orthopedics, Trauma and Reconstructive Surgery

The Department of Orthopedics, Trauma and Reconstructive Surgery offers the full range of modern diagnostic examinations, conservative and surgical treatment of the musculoskeletal system. The competence also includes round-the-clock medical care for patients with severe and multiple injuries. The department operates a certified Endoprosthetics Center, within which the patients undergo knee, hip and shoulder replacement surgeries. All the department's doctors have excellent qualifications and they are recognized experts in their field of competence, which guarantees the highest quality of medical service.

Karl-Stefan Delank
Prof. Dr. med.Karl-Stefan Delank
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Price: 7369.74
University Hospital Duesseldorf
Specialized hospital

Department of Adult and Pediatric Orthopedics

According to the Focus magazine, the Department of Adult and Pediatric Orthopedics ranks among the top German departments specializing in joint replacement surgery! The department offers the full range of diagnostics and treatment of various diseases, injuries of the musculoskeletal system, and their consequences. Also, the department's doctors specialize in sports orthopedics and treatment of orthopedic diseases in children of all age groups. The doctors have in their arsenal many conservative and surgical treatment methods. Many complex operations are carried out using a highly accurate computerized system

Rüdiger Krauspe
Prof. Dr. med.Rüdiger Krauspe
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Price: 8101.58

Calcaneal tendon (Achilles tendon) rupture is one of the most common tendon and muscle injuries. It accounts for 23% of all injuries of this type. Most injuries are sustained by working-age people from 27 to 40 years. You can undergo treatment for Achilles tendon ruptures abroad. With fresh ruptures, the tendon can be quickly repaired with the help of sutures, which are applied during a minimally invasive surgical intervention. Chronic injuries may require V-Y lengthening or Achilles plastic repair.

Content

  1. Diagnostics
  2. Principles of treatment
  3. Why is surgery better than conservative therapy?
  4. How is Achilles sutured?
  5. How is Achilles tendon plastic repair performed?
  6. Why is it worth undergoing treatment abroad?

Diagnostics

 

To provide minimally invasive treatment, it is desirable to diagnose the Achilles tendon injury quickly. After two weeks, the rupture is considered chronic, and it becomes much more challenging to treat. Another important goal of diagnostics is to choose the best option for the surgical Achilles repair.

When seeking medical help, patients complain of sudden onset of pain in the lower third of the leg. Patients cannot raise the injured extremity on their toes. The force of plantar flexion of the foot is significantly reduced.

The fact of rupture can be established even with the clinical methods. The clinical examination detects swelling in the lower third of the leg. The doctor can palpate the retraction in the Achilles area, and it can often be seen with the naked eye. The retraction is usually located 3-6 cm above the calcaneal tubercle.

Thompson's symptom is considered pathognomonic (unique for Achilles rupture). The patient lies on his stomach, and his feet hang freely. The doctor compresses the upper third of the legs. The foot does not move when the calf muscle contracts with the injured Achilles. Orthopedists test this symptom on both legs to rule out false positives.

Ultrasound is the most straightforward and most informative diagnostic method. The doctor can see the tendon, assess the location of its ends, and determine the severity of the injury.

MRI is the most accurate diagnostic method. MRI is usually required to diagnose chronic injuries, as it allows high-quality imaging of concomitant bursitis, tendonitis, identification of bone growths, scars, etc. The method enables doctors to plan treatment to be safe and minimally traumatic for the patient.

Principles of treatment;

 

Conservative treatment of the disease is effective, but in one of three patients, the rupture recurs. At the same time, after Achilles repair surgery, repeated ruptures occur in only 2% of patients, which is comparable to the risk of the primary Achilles tendon ruptures in the population of people involved in sports. Since surgical treatment is more effective, it is the first-choice method in patients with high sports loads.

Tendon suture. It is used for a fresh rupture, not more than two weeks old. Sometimes the suture can be applied when the injury is 2 to 3 weeks old. The method is not used in defibration, degenerative changes, or granulation tissue growth. Achilles is sutured using open and closed techniques. Open surgery is simple and effective, especially when performed no later than ten days after the Achilles tendon ruptures. However, standard open interventions are traumatic and often cause infectious complications.

There are also percutaneous techniques, but they are not very accurate in the classic version, sometimes lead to nerve damage, and have a high risk of injury recurrence. Doctors abroad use modified versions of these surgical procedures: Achilles sutures are applied using guides, ultrasound navigation, and doctors perform surgery under endoscopy control. Most interventions are minimally invasive and are performed through incisions 1-2 cm long.

Tendon plastic repair. It is one of the main methods of surgical treatment of chronic ruptures. Doctors use additional tissue to strengthen the Achilles tendon. As a rule, these are fragments from the proximal Achilles or tendon from other parts of the lower extremity. To obtain them, additional surgical intervention is required. Whenever possible, it is performed using minimally invasive techniques. Allograft, xenograft, and synthetic materials can also be used for tendon plastic surgery.

V-Y lengthening with end-to-end suturing. This is an effective technique for the treatment of chronic injuries. It has been used since 1975. The doctor makes an S-shaped incision on the lower leg, reaches the fascia of the triceps muscle of the lower leg, and opens its lower third, part of the small saphenous vein and sural nerve. Wide access is quite traumatic, but simplifies the surgery, reduces the risk of complications, and allows the doctor to examine all the anatomical structures carefully. In the area of transition of the gastrocnemius muscle to the extensor expansion, the posterior portion of the fifth tendon is formed. This is called V-mobilization. A Cuneo or Kessler suture is used with additional separate U-shaped sutures to connect the tendon end to end. The area of the relieving incision of the extensor expansion is sutured with separate sutures to form a Y-connection.

Why is surgery better than conservative therapy?

 

Conservative treatment is used less and less. It requires plaster immobilization of the extremity for up to 2-3 months, painkillers, and anti-inflammatory drugs. During immobilization, muscles atrophy are difficult for the patient to restore limb function. In addition, 35% of cases relapse, so the treatment is only suitable for people with low physical activity.

In the 20th century, supporters of conservative tactics of patient management and surgical interventions had the same weight in the world of medicine. There is no doubt that surgery is more effective than therapy. But at that time, surgery was overly traumatic and often led to complications. Their high risk was the main argument of the supporters of conservative tactics.

However, the situation has changed today. New types of surgical interventions have appeared in medicine: more sparing and less traumatic. They rarely cause complications, so operations have supplanted conservative tactics. By the 1990s, the surgical approach to treatment had become dominant.

Surgery is becoming more and more secure. Minimally invasive Achilles rupture surgery with short, functionally beneficial incisions have been developed. Devices for simple and reliable suturing of tendons appeared. More sparing methods of anesthesia have also been developed: the patient no longer needs general anesthesia. Doctors perform a nerve block and combine it with sedation. This further avoids the risks of general anesthesia.

How is Achilles sutured?

 

Minimally invasive surgery is preferred for the Achilles tendon suturing. It provides comfortable, fast recovery for the patient. The main methods are as follows:

  • percutaneous sutures – foreign clinics apply sutures with the use of special guides that provide accurate suturing with a low risk of injury recurrence;
  • endoscopic surgical procedures through short incisions under the guidance of a tiny video camera. 

Percutaneous Achilles tendon sutures provide minimal trauma, but they are not widely used in developed countries in their classical form. This is because, during this manipulation, doctors cannot see the suture being applied. This often causes the development of complications: ligature fistulas (pathological channels formed by threads), poor recovery of the function of the triceps muscle of the leg, and injury relapse.

Open surgery is less risky, but it is also more traumatic. Therefore, specialists abroad use the endoscopic method instead. It allows doctors to perform the surgery through a short incision, and it is good to see the suture site. The doctor uses a mini video camera to monitor his movements and ensure accurate adaptation of the tendon margins.

Minimally invasive treatment also involves the use of the Achillon system. It combines the advantages of the minimally invasive technique with the possibilities of open surgery. The intervention is performed through a 1 cm incision. The Achillon system allows high-quality suturing of the Achilles tendon through the entire thickness of the tendon tissue.

Some clinics use ultrasound-guided percutaneous techniques. The doctor sutures the tendon right through the skin. Unlike the original technique, which does not involve any imaging guidance, the ultrasonography procedure ensures the safety and high efficiency of the operation. After such a surgical intervention, the risk of postoperative divergence of the Achilles and damage to the sural nerve is lower.

How is Achilles tendon plastic repair performed?

 

If it is impossible to perform Achilles suturing, plastic surgery is required. Doctors use other materials that are sutured to the tendon to strengthen it. These materials may be:

  • autologous – the patient's own tendons from the upper sections of the Achilles or from other tendons of the muscles of the lower extremity;
  • allogeneic (donor) – preserved tendons of another person;
  • xenografts – animal tendons; 
  • synthetic tissues. 

The most physiological and reliable method is the repair with the patient's own tissues. It has one drawback: doctors have to perform additional surgery to obtain an autograft. Whenever possible, surgeons abroad perform it using minimally invasive techniques to reduce trauma. Autografts are always characterized by good engraftment, good blood supply, and very reliable. Even under extreme loads, the risk of repeated rupture will be minimal.

Allografts and xenografts are less durable due to their preservation. Special processing methods avoid immune rejection reactions. No additional trauma is needed to obtain the material, as when taking an autograft. But after the implantation of donor material to repair the Achilles tendon, the risk of repeated Achilles injury is higher, so the method is not suitable for people who play sports.

Sometimes synthetic materials can be used for surgical Achilles plastic repair. They are strong, can stretch, but still rupture more often than the native tendon, and some people develop inflammatory reactions after implantation. In recent years, new types of artificial tendons have appeared, the implantation of which provides results comparable to autoplasty.

Why is it worth undergoing treatment abroad?

 

Many patients with Achilles tendon ruptures go abroad for treatment in developed countries. They want minimally invasive treatment with reliable long-term results. For professional athletes, it is also important to recover and return to training as quickly as possible.

Here are a few reasons for you to go abroad: 

  • the use of modern methods of applying closed sutures on the Achilles with fresh injuries, with guides and suturing systems;
  • minimally invasive surgery through 1-2 cm incisions;
  • the use of endoscopic technique to control the ongoing manipulations, which reduces the risk of nerve damage and ensures high-quality suturing;
  • even chronic ruptures with pronounced degenerative processes in the Achilles area are successfully treated; 
  • full-fledged early rehabilitation ensures rapid recovery of patients.

To undergo treatment for Achilles tendon ruptures using minimally invasive surgery in one of the foreign clinics, please use the Booking Health service. On our website, you have the opportunity to get up-to-date and accurate information about the cost of treatment in different medical centers, compare prices and book a medical care program at a favorable price. Medical treatment will be easier and faster for you, and the cost of treatment will be lower.

You are welcome to leave your request on the Booking Health website. Our employee will contact you, consult, and answer all questions. We will take care of the organization of your trip abroad. We will provide the following benefits for you:

  • We will select the best hospital whose doctors specialize in minimally invasive Achilles treatment and achieve the best results.
  • We will help to overcome the language barrier and establish communication with the doctor at the hospital.
  • Your waiting times for medical treatment will be reduced, and you will receive medical care on the most suitable dates.
  • We will reduce the price. The cost of treatment in the foreign hospital will be lower than usual due to eliminating overpricing and coefficients for foreign patients.
  • Our specialists will solve any organizational issues: paperwork, transfer from the airport to the hospital and back, hotel booking, and interpreting services.
  • We will prepare your documents and translate them into English or German. You do not have to repeat the previously performed diagnostic procedures.
  • We will keep in touch with the hospital after completing medical treatment abroad. 
  • We will organize additional diagnostics, treatment, and rehabilitation abroad if required.
  • We will buy medicines in another country and forward them to your native country.

While the best specialists in the world take care of your health, the Booking Health staff will take care of all the travel arrangements.

 

Authors:

The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Alexandra Solovey. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Source:

American Cancer Society

National Cancer Institute

Cancer.Net