Traumatology

 
The specialists of our clinic have been doing hip and knee joints endoprosthesis replacement for over 18 years. Knee and hip joints prosthetics are among the most difficult operations in traumatology and orthopedics. Our clinics have extensive experience in the operative treatment of joints diseases. More than 1000 operations have been conducted.
For the treatment of injuries and diseases of joints we use the equipment and implants of leading world manufacturers: Zimmer (USA), Smith & Nephew (UK) Stryker® (USA), DePuy (Johnson&Johnson, USA), Mathys (Switzerland).

 

HIP JOINT REPLACEMENT

Hip replacement surgery is a joint replacement using high quality implants.
Surgical hip replacement is an effective and often the only opportunity for restoration of joint mobility.
Modern technology has expanded the possibilities of orthopedic surgeons in the treatment of motility diseases and joint damages.

 

 

The implants used

In our clinics we use the implants of leading world manufacturers only.

  • For the patients older than 65 years it is possible to install cemented hip joints. One of the manufacturers of such cemented hip joints is company Mathys (Switzerland).
  • Uncemented hip joints are offered with a friction pair types “metal-plastic” and “ceramic-on-plastic”. The final choice of the joint type is up to the attending physician and the patient.
    Manufacturers: Zimmer (USA), DePuy (USA), Smith & Nephew (UK).

Surgery information

  • The total period of staying in hospital is up to 14 days
  • The duration of surgery: 1-1.5 hours
  • For younger patients “gentle” prosthetics is used. It provides minimal bones sawing
  • The first day. Bed rest in the hospital
  • The second day. Breathing exercises and the sitting in bed attempts. Light exercises for hip joint and muscles
  • The third day. Walking with crutches with metered support on the operated leg
  • Removal of stitches – 10-12 days after the operation/surgery
  • The recovery period after surgery. Is provided at the rehabilitation center under the recreation therapists’ care.
  • Use of additional support during up to two months. Light physical load on the hip joint
  • Control X-ray after 1.5-2 months at the patient’s place of residence

 

Hip joint replacement is recommended at the following problems:

  • Ankylosing spondylitis
  • Rheumatoid arthritis
  • Posttraumatic arthrosis and dysplastic arthritis
  • Degenerative diseases
  • Aseptic necrosis of the femoral head
  • Femoral neck fracture
  • Severe trauma to the joint

 

Contraindications to surgery for joint replacement:

  • Neuropsychiatric diseases
  • Tuberculosis
  • Osteomyelitis
  • Severe forms of cardiovascular diseases
  • General contraindications to anesthesia and surgery

 

High-tech and precise hip replacement will return you the functions of the limbs and make the joints mobile as well as relieve you from pain.
The experience of our doctors gives our patients a confidence in high efficiency of joint replacement and a small number of postoperative complications.

KNEE JOINT REPLACEMENT

Knee joint replacement is an operation that allows to restore limb function. In the process of surgery injured joint surfaces are replaced by metal and plastic parts.
Depending on the clinical situation, total or partial joint replacement can be carried out. Partial replacement is performed if one of the halves of the knee joint of the patient is not injured. Depending on this, the appropriate implant is chosen.

 

The implants used

In our clinics we use the implants of leading world manufacturers only: Zimmer (USA), DePuy (USA), Smith & Nephew (UK).

Surgery information

  • The total period of staying in hospital is up to 14 days
  • Duration of surgery: 1.5-2 hours
  • From the first days the patient starts to make gradual leg movements under the supervision of medical staff
  • If a patient feels well, he is allowed to get out of bed on the second day after surgery
  • The rehabilitation program includes exercises to strengthen the hip muscles, development of joint mobility and forming of correct walking stereotype
  • Normally, the restoration of normal physical activity occurs within 3-6 months after surgery
  • During the rehabilitation period it is recommended to avoid sports-related stress on the knee joint such as running, wrestling etc.

 

Knee joint replacement is recommended at the following problems:

  • Trauma to the joint
  • Deforming arthrosis
  • Autoimmune diseases affecting cartilage
  • Infectious diseases affecting the articular surface
  • Aseptic necrosis
  • Cancer

 

Joint replacement surgery will allow you to:

  • Get rid of pain
  • Restore movement of the joint
  • Correct curvature of the legs
  • Restore quality of life

ARTHROSCOPY

Arthroscopy is a surgical procedure used to visualize, diagnose and treat pathologies of the joints.
During arthroscopic examination a small incision over the joint is made into which a small tool that contains a set of lenses and lighting systems is inserted. The joint image is passed through a miniature camera on a large screen. Thus, the surgeon can examine intra-articular structures (cartilage, ligaments etc.), find injuries and make treatment.

Shoulder arthroscopy

Arthroscopic method is used for the treatment of shoulder joint dislocation, ruptures of ligaments and tendons and glenoid lip injury.

According to statistics, among patients younger than 30 years the initial joint dislocation is followed by a secondary one in 80% of cases. That is, glenoid lip injury cannot be fixed without surgery.
Arthroscopy is a minimally invasive method of treatment. The operation is performed without incisions, but through punctures. A special optical instrument named arthroscope is inserted into the cavity of the shoulder joint through a puncture. It allows examining the joint, detecting the damage of ligamentous apparatus of shoulder joint and the cause of instability. Through another puncture special tools are inserted into the joint cavity. These tools allow to fix the glenoid lip.
Fixation of the glenoid lip is carried out using absorbable fasteners named anchors. If done correctly, success of this surgery is achieved in 85% of cases.

 


Shoulder arthroscopy is recommended at the following problems:

  • Habitual dislocation or subluxation of shoulder
  • Diseases and injuries of the synovial membrane
  • Tendon injuries
  • An open cuff of the shoulder
  • Articular surface injuries
  • Subacrominal bursitis
  • Movement difficulties
  • Post-traumatic arthrosis
  • Chondromatous (presence of intra-articular bodies)

Elbow arthroscopy

Currently, arthroscopy of the elbow is the most effective way to diagnose and treat many diseases and injuries of this joint.

The main advantage of arthroscopy is the low invasiveness. When conducting arthroscopy, the incision-puncture up to 5 mm is made over the joint. A special video camera connected to a monitor is introduced into the joint cavity. This allows the doctor to assess all the changes in the joint in details and to carry out necessary medical manipulations. Further one or two similar incisions-punctures are made and the auxiliary surgical tools are inserted which help to restore or remove the injured joint.

 

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Elbow arthroscopy is recommended for the following problems:

  • The presence of loose cartilaginous bodies in the joint cavity. Patient is concerned about the crunch in the joint, a feeling of locking and movement difficulties
  • Bony growths in the joint that cause pain and limitation of extension and flexion
  • Problems with joint movement of unknown origin
  • Bursitis – fluid accumulation
  • Pain in the external part of the elbow that increases under load

 

Contraindications to arthroscopy:

  • Acute and chronic joint infections
  • General contraindications to anesthesia and surgery
  • Pustular lesions of the skin in the joint area/li>
  • Reduction of the articular cavity
  • Bone and fibrous ankylosis

 

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