Hip replacement for hip dysplasia in Rambam Health Care Campus Haifa
Rambam Health Care Campus Haifa
Haifa, Israel
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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. Walking with the use of walking aids is allowed in 3-5 days after the operation.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">X-ray examination, MRI\/CT scan (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>physical examination<\/li>\n\t<li>review of medical records<\/li>\n\t<li>laboratory tests:\n\t<ul>\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>indicators of inflammation<\/li>\n\t\t<li>indicators blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>x-ray examination<\/li>\n\t<li>CT\/MRI scan<\/li>\n\t<li>preoperative care<\/li>\n\t<li>hip replacement\u200b<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>control examinations<\/li>\n\t<li>physiotherapeutic procedures<\/li>\n\t<li>orthopedic appliances<\/li>\n\t<li>the cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>full hospital accommodation<\/li>\n\t<li>explanation of future recommendations<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>Preliminary preparation for hip replacement<\/strong> includes quitting smoking and drinking alcohol; cancelling non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen); cancelling anticoagulants (warfarin); normalization of body mass, if possible.<\/p>\n\n<p style=\"text-align: justify;\"><strong>Preoperative examination<\/strong>, including consultation with an anesthesiologist and necessary related specialists, takes 1-2 days. 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. Walking with the use of walking aids is allowed in 3-5 days after the operation.<\/p>\n<\/div>","is_ambulant":"0","bh_fee":"0","only_for_children":"0","no_service":"0","with_prepayment":"1","show_calculator":"1","paket_type":"1","btn_type":"2","clinic_icon":"5ffffa82697b5.jpg","city":"Haifa","clinic_site":"https:\/\/www.rambam.org.il\/EnglishSite\/Pages\/default.aspx","department_recommend":"0","country":"Israel","country_id":"11","clinic_name":"Rambam Health Care Campus Haifa","cinic_name":"Rambam Health Care Campus Haifa","department_id":"1874","duration":"14","direction":"Hip Surgery","min_duration":0,"clinic_id":"1379","paketPrice":"0.00","paket":"<ul>\n <li>Interpreter up to 12 hours<\/li>\n <li>Translation up to 10 pages<\/li>\n <li>Visa support<\/li>\n\n \n<\/ul>","title":"Hip replacement for hip dysplasia","price":{"val":21680.75,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[{"id":"attendant_place","title":"Accommodation for the accompanying person ","parent":"duration","type":"count_val","val":"90.00"}],"extra_service":[],"translation_hours":"0","translation_doc_count":null,"roads":[{"id":"16","distance":"12","airport_title":"Haifa"},{"id":"5","distance":"116","airport_title":"Tel Aviv"},{"id":"46","distance":"429","airport_title":"Eilat"}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}
Program id #
477020
Prof. Dr. med. Mark Eidelman
Department of Pediatric Orthopedics
Specialized in: pediatric orthopedics 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
- indicators blood coagulation
- x-ray examination
- CT/MRI scan
- preoperative care
- hip 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
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, MRI/CT scan (if available)
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About the department
The Department of Pediatric Orthopedics at the Rambam Health Care Campus Haifa offers all the options of modern medicine for the diagnostics and treatment of musculoskeletal diseases in children. The department's doctors have unique experience in correction of curvature and lengthening of the limbs, early diagnostics and treatment of congenital hip dysplasia, as well as in the field of conservative treatment of clubfoot according to the Ponseti method. The young patients receive medical care from the highly qualified doctors who apply all their professional skills for the restoration of the children’s health and mobility. The department is headed by Prof. Dr. med. Mark Eidelman.
It is worth noting that the department was one of the first medical facilities in Israel and around the world, which applied the innovative Taylor Spatial Frame external fixation system. This technology can be used to correct curvature of the lower limbs and to correct the length of the lower limbs with the best possible accuracy.
The department is famous for its outstanding results in lower limb lengthening. The most common technique is the drawing using the Ilizarov apparatus or Taylor Spatial Frame (compression-distraction apparatus with external fixation). Another method is the use of an intramedullary rod in combination with external fixation. This approach reduces the duration of the use of an external fixator.
The department also successfully treats clubfoot. For this purpose, the doctors use the Ponseti method, the essence of which is the regular application and change of plaster dressings with simultaneous manual correction of the foot. After that, the child will wear a corrective device for several years, namely the Denis Browne Bar (shoes with a metal plate, which is fixed at the right angle, firmly fixing the feet). As a rule, if all the doctor's prescriptions are followed, the recovery occurs in 100% of cases, while relapses are extremely rare.
The department's range of medical services includes:
- Hip ultrasound scanning for the diagnostics of hip dysplasia
- Pelvic osteotomy
- Limb lengthening according to the Ilizarov technique
- Radiofrequency ablation for osteoid osteoma
- Surgical correction of lower limb deformities
- Surgical correction of hallux valgus
- Treatment of Perthes' disease
- Non-surgical treatment techniques
- Drug therapy
- Physiotherapy
- Use of crutches
- Splinting or casting
- Elongation of joints using weights
- Surgical treatment techniques
- Contracture correction
- Hip reconstruction
- Removal of excess bone tissue or articular muscle (detached cartilage)
- Joint replacement surgery
- Non-surgical treatment techniques
- Other diagnostic and therapeutic options
Curriculum vitae
Dr. Mark Eidelman graduated from the Samarkand School of Medicine in the USSR with honors in 1985. In 1990, he immigrated to Israel and completed his residency in Orthopedics at the Rambam Health Care Campus Haifa.
Since 2000, he has worked in the Department of Pediatric Orthopedics at the Rambam Health Care Campus Haifa. In 2002, Dr. Eidelman completed a fellowship at the Sinai Hospital, Baltimore, Maryland, USA. His main areas of interest in orthopedics are limb lengthening and deformity corrections, clubfoot, pelvic osteotomies and pediatric trauma.
In 2003, Dr. Eidelman was the first to introduce the Taylor Spatial Frame in Israel. He is a Clinical Lecturer at the Technion Faculty of Medicine and the Author of eighteen scientific articles. Dr. Eidelman is a Member of the Israeli Orthopedic Association and the European Society of Pediatric Orthopedics.
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
