Endoprosthetics

 

What is joint replacement?

hip arthroplasty

Joint replacement is a surgical procedure carried out in order to replace worn out authentic joints with their artificial implants.

Just like any mechanism on the planet, our joints are prone to tear and wear, struggling to cope with pressures of a modern pace of life. As cartilages lose their elasticity, we can hear “popping” sound, can experience pain and constraint movements. Pain and inability to maintain a usual lifestyle are the most common factors that prompt a person to make a doctor appointment. In most cases, a patient will be prescribed a conservative treatment, which will be tailored individually, in order to remove the pain and to restore usual mobility. Unfortunately, non-surgical, reliant-on-medicine therapy does not always provide a desired effect. In that case, one of the most widespread treatments is joint replacement or endoprosthesis. Listed below are the most popular types of surgery requested by people at the Rudenko Clinic in Zaporizhzhia:

  • Hip arthroscopy
  • Shoulder arthroscopy
  • Hallux rigidus and hallux valgus
  • Knee arthroscopy.

 

Joint replacement indications and contraindications:

Despite a seaming simplicity of the treatment, it will suit far not every patient due to a number of indications and contraindications.

endoprosthesis

The indications (or conditions) for such a method of treatment include:

  • pseudoarthrosis of the femoral neck
  • late stages of osteoarthrosis
  • complex injuries that do not respond to standard treatments (intra-articular fractures)
  • ankylosing spondylitis (Bekhterev’s disease)
  • dysplasia of the joints
  • various types of osteoarthritis and arthrosis, including metabolic and post-traumatic conditions
  • Perthes' disease or aseptic necrosis of the femoral head

In addition, prior to hip, knee, or shoulder replacement, a traumatologist must check contraindications for such a surgery.

The main contraindications against arthroscopy include:

  • cardiovascular diseases combined with severe heart failure
  • acute infectious diseases
  • exacerbation of chronic pathologies
  • psychiatric disorders in the acute stage
  • diseases of the blood associated with impaired coagulation or hematopoiesis
  • decompensated conditions
  • excessive overweight

Sometimes senior age is viewed as a factor preventing from undergoing arthroscopy. But in reality, hip or knee surgeries are performed on all, even the most elderly patients. In fact, the only requirement for such a surgery would be absence of a decompensation condition of organs and systems of a particular patient.

One of the main concerns that our patients ask about our traumatologists before an arthroscopy procedure is the question of postsurgical complications. Modern implants of joints are made of high-quality bioinert materials (titanium-base alloys, ceramics and high-density polymers), which are safe for a human body. In addition, professional in-depth examination prior to a surgical procedure and strict compliance with aseptic and antiseptic rules during the surgery itself reduce all the risks close to zero. This also ensures fast and effective rehabilitation and return to normal life. Durability of a metal or a ceramic prosthesis depends on the exposure to stress and physical pressure. On average, an artificial joint functions 15-20 years, however, with gentle use and care its life can be extended up to thirty years.

A hip, knee, or shoulder replacement surgery is a very individual procedure that lasts approximately 1.5 hours and requires a post-surgery recovery period up to 7 days in an inpatient department.

A cost of a joint replacement surgery depends on many factors, such as a state of deterioration of joints, medical history of a patient, a type of implant and results of a pre-surgery comprehensive examination.

In order to get the cost of your joint replacement, book a consultation with our orthopedists in Zaporizhzhia.

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