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Endoprosthesis replacement in knee arthritis with rehabilitation (399685) | Rambam Health Care Campus Haifa - BookingHealth
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X-ray examination and MRI of the knee joints are performed. The examination takes 1-2 days.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgical knee endoprosthesis replacement<\/strong>. The operation is performed under general anesthesia and lasts for about 2 hours.<\/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. Walking with the use of walking aids is allowed in 3-5 days after the operation. Normal walking without the use of walking aids (crutches, cane) will become possible in 6-12 weeks.<\/p>\n\n<p style=\"text-align: justify;\">Finally, the attending physician will evaluate the results of <strong>control examinations<\/strong>, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Rehabilitation<\/strong>. The rehabilitation program begins after the transfer of the patient from the intensive care unit to a regular ward. It includes physical activity (from exercises in bed in the early days to exercises in the gym), physiotherapy, massage (including lymphatic drainage). 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X-ray examination and MRI of the knee joints are performed. The examination takes 1-2 days.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Surgical knee endoprosthesis replacement<\/strong>. The operation is performed under general anesthesia and lasts for about 2 hours.<\/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. Walking with the use of walking aids is allowed in 3-5 days after the operation. 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Endoprosthesis replacement in knee arthritis with rehabilitation in Rambam Health Care Campus Haifa

Rambam Health Care Campus Haifa

Haifa, Israel
Program id # 399685
Doctor photo
Prof. Dr. med. Doron Norman
Department of Orthopedic Surgery
Specialized in: orthopedic surgery

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 of blood coagulation
  • X-ray examination of the knee
  • CT scan of the knee
  • preoperative care
  • endoprosthesis replacement
  • symptomatic treatment
  • control examinations
  • physiotherapeutic procedures
  • orthopedic appliances
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • explanation of future recommendations


The program includes orthopedic rehabilitation:

  • Primary presentation in the clinic
  • medical history, including family history
  • complex neurological and orthopedic examinations
  • X-ray examination
  • complex neurophysiological examinations
  • individual rehabilitation program, which includes:
    • Wii Fit training in the use of the balance
    • neuropsychological therapy
    • functional therapy of the upper extremities (ArmeoSpring)
    • kinesitherapy (physiotherapy)
    • biocontrol with feedback
    • healing deep muscle massage
    • acupuncture of spasticity and pain syndromes
    • occupational therapy
    • psycho-educational classes
    • individual physiotherapy
    • microcurrent treatment
    • fangotherapy / cryotherapy
    • antispasmodic drug therapy
    • mobilization of limb joints
    • hydrotherapy / massage therapy / reflexology
    • training on special trainers
    • etc.
  • nurses care
  • stay in the hospital with full board
  • symptomatic and drug therapy

How program is carried out

Preliminary preparation for surgery: quitting smoking and drinking alcohol 2 weeks before surgery; 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. X-ray examination and MRI of the knee joints are performed. The examination takes 1-2 days.

Surgical knee endoprosthesis replacement. The operation is performed under general anesthesia and lasts for about 2 hours.

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. Normal walking without the use of walking aids (crutches, cane) will become possible in 6-12 weeks.

Finally, the attending physician will evaluate the results of control examinations, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Rehabilitation. The rehabilitation program begins after the transfer of the patient from the intensive care unit to a regular ward. It includes physical activity (from exercises in bed in the early days to exercises in the gym), physiotherapy, massage (including lymphatic drainage). After discharge from the hospital, the patient is transferred to a specialized rehabilitation clinic for 2 weeks, where he undergoes an advanced rehabilitation course.

Required documents

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

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About the department

The Department of Orthopedic Surgery at the Rambam Health Care Campus Haifa specializes in the diagnostics and treatment of the full range of diseases and injuries of the musculoskeletal system, including rehabilitation measures. The specialists demonstrate excellent results in hand surgery, reconstruction and lengthening of the lower limbs, arthroscopy, treatment of cancers, sports injuries, shoulder and hip diseases, spinal diseases, etc. The department has the status of one of the leading Trauma Centers in the country. The department is headed by Prof. Dr. med. Doron Norman.

The department has received international recognition for top-class medical services, patient care, as well as for the development of excellent rehabilitation programs, scientific and educational activities. The orthopedic surgeons of the medical facility prefer minimally invasive treatments, which can reduce pain and facilitate the recovery process.

In the field of clinical research, special attention is paid to monitoring during the operations, which helps the doctors to improve results and increase the effectiveness of surgical interventions. The department has an extensive training program, which is implemented in collaboration with the Ruth and Bruce Rappaport Faculty of Medicine and aimed at the improvement of the quality of education in orthopedics.

The surgical spectrum of the department includes:

  • Arthroscopy
  • Tissue sampling (biopsy) in suspected musculoskeletal cancers
  • Injection therapy for joint and tendon pain syndromes
  • Intramuscular and subcutaneous injections
  • Knee replacement surgery
  • Hip replacement surgery
  • Shoulder replacement surgery
  • Minimally invasive knee surgery
  • Reconstructive surgery to correct congenital malformations of the upper limbs
  • Hallux valgus correction 
  • Surgical treatment of tennis elbow
  • Surgical treatment of acromioclavicular joint lesions
  • Surgical treatment of curved limbs
  • Surgical treatment of shoulder fractures
  • Treatment by means of external fixation systems
  • Surgery for intervertebral disc diseases (discectomy/laminectomy)
  • Lower limb amputations (above and below the knee)
  • Nerve ending decompression 
  • Surgical treatment of dislocations
  • Surgical treatment of ligament ruptures
  • Vertebroplasty
  • Nucleoplasty
  • Surgical correction of scoliosis
  • Minimally invasive spinal surgery (posterior lumbar fusion, transforaminal lumbar interbody fusion)
  • Other therapeutic options

Curriculum vitae

Dr. Doron Norman is the Chief Physician of the Department of Orthopedic Surgery at the Rambam Health Care Campus Haifa. He is also a Clinical Lecturer at the Technion (Rut and Rappaport Faculty of Medicine, Israel Institute of Technology).

Dr. Norman’s main interest is orthopedic trauma surgery, including complex fractures of the lower (hip, knee, tibia, foot and ankle) and upper (shoulder, arm, forearm, wrist) limbs, complicated elbow injury and elbow arthroplasty.

Dr. Norman received his doctorate from the Rappaport Faculty of Medicine, and was trained in Orthopedic Surgery at Rambam. He completed a fellowship in Orthopedic Surgery at the Royal National Orthopedic Hospital in Stanmore, UK, and in Bochum, Germany.

Dr. Norman is one of the founders of Voyant Health, where, as the company’s VP of clinical applications, he is responsible for guiding the development of Voyant Health products and their clinical applications. Recognized as a leader in his field, he teaches courses internationally on treating complex fractures.

From 2008 till 2014, Dr. Norman served as Chairman of the Israel Orthopedic Trauma Society.

Photo of the doctor: (c) Rambam Health Care Campus Haifa


About hospital

The Rambam Health Care Campus Haifa is the largest and the most progressive hospital in Northern Israel. The medical center was founded in 1938 and nowadays is proud of its long history, rich and successful experience in providing comprehensive medical services in all medical fields. The hospital serves more than 2 million locals, as well as the members of the Israel Defense Forces, UN Peacekeeping Forces and the United States Sixth Fleet. The medical center houses 61 inpatient departments, 73 specialized departments, 10 medical institutes and 25 laboratories. It is also the clinical and academic base of the Technion – Israel Institute of Technology.

The medical center includes the Ruth Rappaport Children's Hospital. It is a multidisciplinary medical facility specializing in the diagnostics and treatment of various pathologies, including extremely rare ones, in children of all age groups.

The total number of employees in the medical facility is 4,000 (715 doctors and 1,407 nurses). Many doctors are world-famous in the field of their clinical specialty and participate in advanced research projects in order to offer new treatment methods not only to their patients, but also to the world community.

The medical center is a leader in the field of medical care in emergency cases with a large number of victims. In addition, the hospital is certified in accordance with the strict standards of the Joint Commission International (JCI).

During the long-term and successful clinical practice, the medical center has formed a clear vision of optimal medical support and system of values. These suggest that the primary focus is always on the patient with his individual needs and wishes, while the medical services are professional, high-quality and safe. In addition, the specialists of the hospital apply the most effective and innovative treatment methods, as well as create a favorable environment, which contributes to the improvement of physical and emotional health and well-being of the patient. The key role in the daily work of the hospital is also played by a tolerant attitude towards all patients.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Rambam Health Care Campus Haifa live in comfortable rooms designed in light colors. The standard room includes an automatically adjustable bed, a bedside table, a wardrobe for storing clothes, an armchair and chairs for receiving visitors, a TV, a telephone. Each room is equipped with an ensuite bathroom with shower and toilet.

Meals and Menus

The patients of the hospital are offered tasty and balanced three meals a day: breakfast, lunch and dinner. The menu also includes dietary and vegetarian dishes.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV