{"translation_price":"50","translation_doc_price":"40","child_coefficient":"1.1","transfer_price":"2.00","transfer_price_vip":"5.00","constant_transfer_price_vip":350,"constant_transfer_price":150,"constant_transfer_distanse":60,"type":"treatment","program_full_story":"<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 (CRP, ESR)<\/li>\n\t\t<li>Indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>X-ray examination of the knee joints<\/li>\n\t<li>MRI scan of the knee&nbsp;joints<\/li>\n\t<li>Preoperative care<\/li>\n\t<li>Bilateral knee replacement (knee endoprosthesis)<\/li>\n\t<li>Symptomatic treatment<\/li>\n\t<li>Control examinations<\/li>\n\t<li>Physiotherapeutic procedures<\/li>\n\t<li>Orthopedic auxiliary aids, including walking aids<\/li>\n\t<li><strong>Orthopedic rehabilitation<\/strong><\/li>\n\t<li>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\n<p><strong>The program includes orthopedic rehabilitation:<\/strong><\/p>\n\n<ul>\n\t<li>Primary presentation in the clinic<\/li>\n\t<li>Medical history taking, including family history<\/li>\n\t<li>Neurological and orthopedic examinations<\/li>\n\t<li>X-ray examination<\/li>\n\t<li>Individual rehabilitation program, which includes:\n\t<ul>\n\t\t<li>Lymphatic drainage<\/li>\n\t\t<li>Restoring walking balance with Wii Fit video trainer<\/li>\n\t\t<li>Walking training<\/li>\n\t\t<li>Kinesiotherapy<\/li>\n\t\t<li>Therapeutic deep muscle massage<\/li>\n\t\t<li>Neuromuscular electrical stimulation (NMES)<\/li>\n\t\t<li>Acupuncture in pain and spastic syndromes<\/li>\n\t\t<li>Ergotherapy<\/li>\n\t\t<li>Physiotherapy, including microcurrent therapy<\/li>\n\t\t<li>Fangotherapy \/ cryotherapy<\/li>\n\t\t<li>Limb joint mobilization \/ splint therapy<\/li>\n\t\t<li>Reflexotherapy<\/li>\n\t\t<li>Training on rehabilitation exercise equipment<\/li>\n\t\t<li>Training in the swimming pool<\/li>\n\t\t<li>And other methods<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Full hospital accommodation<\/li>\n\t<li>Symptomatic drug therapy<\/li>\n<\/ul>\n<div class=\"program_indications_for_surgery\"><h4>Indications<\/h4><p>The bilateral total knee replacement is indicated in:<\/p>\n\n<ol>\n\t<li>Gonarthrosis of III-IV degree<\/li>\n\t<li>Knee dysplasia<\/li>\n\t<li>Rheumatoid arthritis<\/li>\n\t<li>Aseptic necrosis of joint components<\/li>\n\t<li>Pathology of the condyles of the femur a<\/div><div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>Standard program description<\/strong>:<\/p>\n\n<ol>\n\t<li style=\"text-align: justify;\"><strong>Preliminary preparation for surgery<\/strong>: quitting smoking and drinking alcohol 2 weeks before surgery; cancelling non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen); cancelling&nbsp; anticoagulants (warfarin); normalization of body mass, if possible.<\/li>\n\t<li style=\"text-align: justify;\"><strong>Preoperative examination<\/strong>, including consultation with an anesthesiologist and necessary related specialists. X-ray examination&nbsp;and MRI&nbsp;of the knee joints are performed. The examination takes 1-2 days.<\/li>\n\t<li style=\"text-align: justify;\"><strong>Performing bilateral knee replacement<\/strong>.<\/li>\n\t<li 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.<\/li>\n\t<li style=\"text-align: justify;\"><strong>Rehabilitation<\/strong>.&nbsp;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.<\/li>\n<\/ol>\n\n<p style=\"text-align: justify;\"><strong>Advantages of simultaneous bilateral endoprosthetics<\/strong>:<\/p>\n\n<ul>\n\t<li style=\"text-align: justify;\">Reduced blood loss during surgery<\/li>\n\t<li style=\"text-align: justify;\">Performing only one general anesthesia<\/li>\n\t<li style=\"text-align: justify;\">Even load on both joints during rehabilitation, the patient does not spare the operated joint<\/li>\n\t<li style=\"text-align: justify;\">Saving time and money (hospitalization period for bilateral endoprosthetics is on average 17-20 days, for unilateral it is 15 days for each surgery)<\/li>\n\t<li style=\"text-align: justify;\">Reduced psychological stress<\/li>\n\t<li style=\"text-align: justify;\">Higher quality of life (with unilateral prosthetics, the quality of life is reduced due to the second affected joint)<\/li>\n<\/ul>\n\n<p style=\"text-align: justify;\"><strong>The possibility of simultaneous joint replacement is assessed by the doctor during the initial presentation in the clinic. In some cases, the doctor may give preference to two-stage joint replacement, with an interval of 1 week.<\/strong><\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li>X-ray examination of the knee joints<\/li>\n\t<li>MRI scan of the knee joints, 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 (CRP, ESR)<\/li>\n\t\t<li>Indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>X-ray examination of the knee joints<\/li>\n\t<li>MRI scan of the knee&nbsp;joints<\/li>\n\t<li>Preoperative care<\/li>\n\t<li>Bilateral knee replacement (knee endoprosthesis)<\/li>\n\t<li>Symptomatic treatment<\/li>\n\t<li>Control examinations<\/li>\n\t<li>Physiotherapeutic procedures<\/li>\n\t<li>Orthopedic auxiliary aids, including walking aids<\/li>\n\t<li><strong>Orthopedic rehabilitation<\/strong><\/li>\n\t<li>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\n<p><strong>The program includes orthopedic rehabilitation:<\/strong><\/p>\n\n<ul>\n\t<li>Primary presentation in the clinic<\/li>\n\t<li>Medical history taking, including family history<\/li>\n\t<li>Neurological and orthopedic examinations<\/li>\n\t<li>X-ray examination<\/li>\n\t<li>Individual rehabilitation program, which includes:\n\t<ul>\n\t\t<li>Lymphatic drainage<\/li>\n\t\t<li>Restoring walking balance with Wii Fit video trainer<\/li>\n\t\t<li>Walking training<\/li>\n\t\t<li>Kinesiotherapy<\/li>\n\t\t<li>Therapeutic deep muscle massage<\/li>\n\t\t<li>Neuromuscular electrical stimulation (NMES)<\/li>\n\t\t<li>Acupuncture in pain and spastic syndromes<\/li>\n\t\t<li>Ergotherapy<\/li>\n\t\t<li>Physiotherapy, including microcurrent therapy<\/li>\n\t\t<li>Fangotherapy \/ cryotherapy<\/li>\n\t\t<li>Limb joint mobilization \/ splint therapy<\/li>\n\t\t<li>Reflexotherapy<\/li>\n\t\t<li>Training on rehabilitation exercise equipment<\/li>\n\t\t<li>Training in the swimming pool<\/li>\n\t\t<li>And other methods<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>Nursing services<\/li>\n\t<li>Full hospital accommodation<\/li>\n\t<li>Symptomatic drug therapy<\/li>\n<\/ul>\n<div class=\"program_indications_for_surgery\"><h4>Indications<\/h4><p>The bilateral total knee replacement is indicated in:<\/p>\n\n<ol>\n\t<li>Gonarthrosis of III-IV degree<\/li>\n\t<li>Knee dysplasia<\/li>\n\t<li>Rheumatoid arthritis<\/li>\n\t<li>Aseptic necrosis of joint components<\/li>\n\t<li>Pathology of the condyles of the femur a<\/div><div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>Standard program description<\/strong>:<\/p>\n\n<ol>\n\t<li style=\"text-align: justify;\"><strong>Preliminary preparation for surgery<\/strong>: quitting smoking and drinking alcohol 2 weeks before surgery; cancelling non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen); cancelling&nbsp; anticoagulants (warfarin); normalization of body mass, if possible.<\/li>\n\t<li style=\"text-align: justify;\"><strong>Preoperative examination<\/strong>, including consultation with an anesthesiologist and necessary related specialists. X-ray examination&nbsp;and MRI&nbsp;of the knee joints are performed. The examination takes 1-2 days.<\/li>\n\t<li style=\"text-align: justify;\"><strong>Performing bilateral knee replacement<\/strong>.<\/li>\n\t<li 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.<\/li>\n\t<li style=\"text-align: justify;\"><strong>Rehabilitation<\/strong>.&nbsp;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.<\/li>\n<\/ol>\n\n<p style=\"text-align: justify;\"><strong>Advantages of simultaneous bilateral endoprosthetics<\/strong>:<\/p>\n\n<ul>\n\t<li style=\"text-align: justify;\">Reduced blood loss during surgery<\/li>\n\t<li style=\"text-align: justify;\">Performing only one general anesthesia<\/li>\n\t<li style=\"text-align: justify;\">Even load on both joints during rehabilitation, the patient does not spare the operated joint<\/li>\n\t<li style=\"text-align: justify;\">Saving time and money (hospitalization period for bilateral endoprosthetics is on average 17-20 days, for unilateral it is 15 days for each surgery)<\/li>\n\t<li style=\"text-align: justify;\">Reduced psychological stress<\/li>\n\t<li style=\"text-align: justify;\">Higher quality of life (with unilateral prosthetics, the quality of life is reduced due to the second affected joint)<\/li>\n<\/ul>\n\n<p style=\"text-align: justify;\"><strong>The possibility of simultaneous joint replacement is assessed by the doctor during the initial presentation in the clinic. In some cases, the doctor may give preference to two-stage joint replacement, with an interval of 1 week.<\/strong><\/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":"60055f2f152da.jpg","city":"Eschweiler","clinic_site":"www.sah-eschweiler.de","department_recommend":"0","country":"Germany","country_id":"1","clinic_name":"St. Antonius Hospital Eschweiler","cinic_name":"St. Antonius Hospital Eschweiler","department_id":"142","duration":"35","direction":"Knee Surgery","min_duration":0,"clinic_id":"41","paketPrice":8900,"paket":"<ul>\n <li>Interpreter up to 20 hours<\/li>\n <li>Translation up to 10 pages<\/li>\n <li>Visa support<\/li>\n\n\n<\/ul>","title":"Bilateral total knee replacement and rehabilitation","price":{"val":34801.64,"type":"val"},"price_surcharge":0,"price_surcharge_clear":0,"extra_service_clinic":[{"id":"need_to_use_head_doctor","title":"Treatment by leading experts","type":"val","val":"6307.20","req":0},{"id":"1_person_room","title":" Single room (whole period)","parent":"duration","type":"count_val","val":"168.00"},{"id":"2_person_room","title":" double room (whole period)","parent":"duration","type":"count_val","val":"86.00"},{"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":"7","distance":"73","airport_title":"Cologne-Bonn"},{"id":"4","distance":"92","airport_title":"Duesseldorf"},{"id":"6","distance":"236","airport_title":"Frankfurt a.M."}],"pakets":[],"lang":{"day":"Day","days":"days","ambulatory":"Outpatient","stationaryProgram":"Inpatient"}}