Treatment of Hip Osteoarthritis (coxarthrosis) in Israel

Osteoarthrosis is the most common indication for hip replacement. The surgery to implant an endoprosthesis is complex and traumatizing. To improve the results of a surgical intervention and reduce the risk of complications, many patients seek medical help from the leading hospitals in the world. Israel has several centers that use the most advanced technology for joint replacement. You can not only get rid of arthrosis, but also undergo a full-fledged rehabilitation after surgery, restoring your working capacity and physical activity in these clinics.

When is it necessary to undergo hip replacement surgery?

Hip replacement is not a first-choice treatment for coxarthrosis. This disease usually develops gradually, progresses for years and decades. At stages 1-2, it is possible to effectively treat osteoarthritis using conservative methods:

• Painkillers
• Injections of hyaluronic acid and rich in platelet plasma
• Physiotherapy
• Physical exercises
• Lifestyle modification and weight loss
• Arthroscopic surgery to relieve pain and other symptoms for several years

Nonetheless, at the advanced stage of the pathology, function of the hip worsens, pain intensifies, and a patient's activity decreases. As a result, he loses his ability to work. At the final stage of coxarthrosis, ankylosis can develop. This is complete immobility of the hip joint due to the fusion of articular surfaces. In such cases, doctors perform joint replacement surgery. This operation on the joint with subsequent rehabilitation measures allows a person to get rid of pain and return to an active life.

What are the types of hip replacement surgery?

Joint replacement surgery can be subtotal and total. In the first case, only the femoral component of the joint is replaced. In the second one, it is replaced with the pelvic component (acetabulum).

Here are the techniques of endoprosthesis fixation:

• With cement – it is used in osteoporosis presence, in patients of older age
• Without cement – it involves the ingrowth of the components of an artificial joint into a bone
• Hybrid – one of the components is implanted using cement, while the other is implanted without it

Different prostheses use different friction couples. All of them have the particular advantages and disadvantages, and therefore a doctor together with a patient selects the best option, the most suitable for the person. The most common friction couples are polyethylene with metal or ceramic, ceramic and ceramic, metal and metal.

Here are some of the options for joint replacement surgery, depending on the initial condition:

• Primary joint replacement surgery – it is an operation performed for the first time. It is usually performed at the 2-3 stage of arthrosis.
• Revision joint replacement surgery – replacement of an artificial joint, repeated operation due to the development of complications or wearing off the endoprosthesis.
• Complex (non-standard) joint replacement surgery – it is performed at stage 4 of osteoarthritis, in bone deficiency, post-traumatic coxarthrosis, deformities of the femur and acetabulum.

What clinics can offer treatment?

Please, use the Booking Health service to choose the best hospital for coxarthrosis treatment. Together with our specialists, you can choose a viable option based on the cost of treatment and the methods used in the medical center.

Here are the main hospitals for coxarthrosis treatment in Israel.

• Assuta Hospital. For the past 10 years, doctors at this hospital have used minimally invasive access for hip replacement. Doctors dissect soft tissues without damaging the muscles. This facilitates the subsequent rehabilitation significantly. The Assuta Hospital uses anterior approach to the hip joint through an incision about 10 cm long. The tissues are dissected using the ultrasonic scalpels. The intraoperative X-ray system allows obtaining three-dimensional images of the hip joint during a surgery. The use of the IASSIST technology based on the combined application of a gyroscope and Wi-Fi enables the surgeon to place the endoprosthesis perfectly.
• University Hospital Hadassah. The medical center performs more than 600 joint replacement operations every year. This is the only hospital not only in Israel, but in the entire Middle East region, which is part of the International Society of Orthopedic Centers. This allows its doctors to have internships abroad and conduct surgery together with the best orthopedists in the world. The Hadassah Hospital performs joint replacement surgery using a unique computer navigation system that is based not on electro-optical, but on electromagnetic technology. The system is used jointly with Medtronics and Zimmer.
• Sheba Medical Center. The medical facility performs 170 primary and 50 revision hip replacement procedures each year. In 95% of cases, cementless endoprosthesis fixation is used. The orthopedists work together with rheumatologists, surgeons, rehabilitologists and therapists. The efforts of a team of doctors make it possible to perform the operation safely for the patient and provide speedy recovery after surgery.
• Sourasky Medical Center. The hospital performs more than 2 thousand orthopedic procedures per year. It specializes not only in hip replacement surgery, but also in the rehabilitation after this procedure. The hospital has a modern Rehabilitation Center. The medical facility practices the early start of rehabilitation, which provides speedy recovery.
• Rambam Medical Center. The hip replacement surgery is performed at this hospital by doctors with vast experience: some of them have performed hundreds of surgical interventions to replace large joints during their careers. The medical center also employs the specialists who can perform a high-quality joint replacement for patients with bone tumors.

Benefits of treatment in Israel

A huge number of medical tourists prefer to undergo osteoarthritis treatment in Israel. Every year, doctors in this country perform more than 4 thousand hip replacement operations. Here are the main benefits of treatment in this country:

• Specialized Centers for Orthopedics. The clinics in Israel have state-of-the-art equipment.
• Quality endoprostheses from the best manufacturers. They can serve the patient for decades. They provide full function of the lower limb. These prostheses allow not only to lead an active lifestyle, but also to go in for sports.
• Interdisciplinary interaction. Orthopedists prepare a patient for surgery together with therapists, rheumatologists, cardiologists and other specialists whose help may be required in the treatment of elderly and senile patients.
• Leading hospitals work together with manufacturers of endoprostheses, which can produce their components individually, for a particular patient.
• Minimally invasive access for the placement of the artificial joint facilitates the early postoperative period. Due to the shorter incision length, a patient suffers less from pain during the first days after surgery, both the risk of complications and blood loss are reduced.
• The precise placement of an artificial joint using computer navigation.
• Training of the doctors. Israeli specialists are considered one of the best in the world. They receive high-quality training, and have internships abroad. They perform surgeries in patients together with the leading surgeons in Europe and the USA. After gaining sufficient experience, Israeli orthopedists begin their independent work.
• Possibility of performing technically complex operations: prosthetics of two joints at once, surgery to correct significant shortening of the limb, acetabular deformity, severe osteoporosis, concomitant pathologies, revision hip replacement surgery.
• Postoperative care. Patients in Israel are provided with a comfortable early postoperative period. A person receives treatment from several specialists, as well as symptomatic and supportive treatment.
• Full-fledged rehabilitation. After the hip replacement surgery in Israel, you can go through all stages of rehabilitation. The rehabilitation process involves the joint participation of physical therapy specialists, physiotherapists, massage therapists, rehabilitologists, orthopedists, and, if necessary, psychologists and social workers.
• Low cost of medical services. The prices in Israel are lower than in the US and Western Europe. Due to the affordable cost of hip replacement surgery, medical tourists from developed countries often seek medical help to hospitals in Israel.

Where to seek help from?

To undergo hip replacement surgery in Israel, please, use the Booking Health service. Our website presents information about the clinics, doctors, medical programs, and prices. You can compare the cost of medical services in different hospitals and book the hip replacement at the best price. Booking Health specialists will arrange your trip to Israel. We offer the following services and benefits:

• Selection of the hospital for treatment in Israel, which specializes in hip replacement surgery, uses minimally invasive methods and achieves the best results in coxarthrosis treatment
• Making an appointment for treatment in Israel on the most suitable dates for you
• Reduced cost of hip replacement in Israel – the price of treatment is reduced due to exclusion of additional coefficients for foreign patients
• Direct communication with the doctor
• Preparation of a medical treatment program in one of the hospitals in Israel without the need to repeat the previously performed diagnostic tests
• Buying and forwarding medicines
• Communication with the hospital after the completion of the medical program
• Organization of additional diagnostics, treatment or rehabilitation

Booking Health specialists provide quality services. We will book a hotel and airline tickets for you, meet you at the airport and take you to the hospital by car.