Orthopedics

Orthopedics

Services

  • Arthroscopy

    • Ankle arthroscopy

      €1200–€2959
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      Ankle arthroscopy is a minimally invasive operation of the ankle joint, performed via small (ca 5 mm long) incisions in the joint region. The camera-assisted arthroscope is equipped with special instruments for diagnosing cartilage damage and performing intra-articular treatment procedures, such as removal of osteophytes (bony lumps or bone spurs), resection of soft tissues and removal of a loose body (incl. pieces of bone and cartilage). The operation can be performed under general anesthesia, but also under regional anesthesia in a day surgery unit. Indications for the procedure include chronic ankle pain, synovitis (inflammation of the joint capsule), impingement syndrome and loose bodies in the joint cavity.

    • Arthroscopic meniscal resection

      €451–€2330
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      Arthroscopic meniscal resection is a minimally invasive knee joint operation whereby the torn part of the meniscus is removed. For the arthroscopic surgery, small (ca 5 mm long) incisions are made in the anterior part of the knee joint. A camera-assisted arthroscope is used to visualize the inside of the joint. The damaged part of the meniscus is then removed with special instruments. In younger patients it is possible to restore the integrity of the meniscus by suturing it with a special thread. General anesthesia is used for the operation, but it can also be performed under spinal anesthesia in a day surgery unit.

    • Diagnostic knee arthroscopy (excl. meniscus, resection, loose body)

      €544–€2932
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      Diagnostic arthroscopy is a minimally invasive intra-articular procedure performed via small (ca 5 mm long) incisions to specify the diagnosis of the joint disease. A camera-assisted arthroscope is used to visualize the inside of the joint and evaluate the condition and damage of the knee. If necessary, the diagnostic arthroscopy can immediately be followed by a surgical treatment procedure.

    • Shoulder arthroscopy

      €1085–€6995
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      Shoulder arthroscopy is a minimally invasive intra-articular shoulder operation performed via small (ca 5 mm long) incisions in the joint region. The camera-assisted arthroscope is equipped with special instruments for performing intra-articular treatment procedures and restoring the integrity of the injured structures. General anesthesia is used for the operation, but it can also be performed under spinal anesthesia in a day surgery unit. Indications for the procedure include shoulder joint dislocation, synovitis, tendon injuries, rotator cuff injury, adhesive capsulitis (“frozen shoulder” characterized by thickening and contraction of the joint capsule), joint surface damage, subacromial bursitis, post-traumatic arthrosis, and chondromatosis.

    • Hip arthroscopy

      €5200–€5467
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      Hip arthroscopy is a surgical minimally invasive intra-articular procedure, performed via small (ca 5 mm long) incisions in the hip joint region. The camera-assisted arthroscope is equipped with special instruments for diagnosing joint structure damage and performing immediate treatment procedures like removing a loose body from the joint cavity or repairing cartilage injuries. For the operation, either general or regional anesthesia is used. After the arthroscopic surgery the patient must keep lying down for 24 hours. Indications for the procedure include tears in the hip joint structures, cartilage loose bodies in the joint, hip joint luxation, early-stage arthritis and various cartilage injuries.

    • Anterior cruciate ligament (ACL) reconstruction

      €1800–€5400
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      Anterior cruciate ligament (ACL) reconstruction is a surgical procedure and the only treatment option for a torn anterior cruciate ligament. The operation, which is usually arthroscopic, is performed by means of a camera-assisted arthroscope equipped with special instruments. Small (ca 5 mm long) incisions are made in the knee joint region. During the procedure, the torn ligament is replaced with the patient’s own or a donor’s tendon, because the torn ligament cannot be sutured back together. Another name for this procedure is tendoplasty.

    • Posterior cruciate ligament (PCL) reconstruction

      €1800–€2500
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      Posterior cruciate ligament (PCL) reconstruction is a surgical procedure and the only treatment option for a torn posterior cruciate ligament. The operation,which is usually arthroscopic, is performed by means of a camera-assisted arthroscope equipped with special instruments. Small (ca 5 mm long) incisions are made in the knee joint region. During the procedure, the torn ligament is replaced with the patient’s own or a donor’s tendon – this is sometimes called tendoplasty. Once the posterior cruciate ligament has been torn, suturing it back together is not an effective method for restoring knee joint stability.

    • Artrhoscopic capsular release for frozen shoulder

      €1800–€4880
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      Artrhoscopic capsular release or arthroscopy with resection is a surgical procedure for releasing the shoulder capsule to improve the mobility of the shoulder and alleviate pain. Usually this operation is used for the treatment of frozen shoulder syndrome. Like other arthroscopic procedures, this surgery is also minimally invasive, performed via small (ca 5 mm long) incisions made in the shoulder joint region. By means of a camera-assisted arthroscope, equipped with special instruments, the shoulder capsule is released by cutting through and removing the thickened and inflamed ligaments that inhibit joint mobility.

  • Hand Surgery

    • Carpal tunnel surgery

      €400–€2440
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      Carpal tunnel surgery is a surgical procedure to treat carpal tunnel syndrome (caused by pressure on a nerve in the wrist). The operation involves cutting the transverse carpal ligament, which helps to enlarge the tunnel and relieve pressure on the nerve. Carpal tunnel surgery is indicated when symptoms are recurrent and disturb daily life, and when drugs fail to relieve the pain. The operation is usually performed under local anesthesia.

    • Surgery for Dupuytren contracture

      €300–€3247
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      Dupuytren contracture (a condition in which one or more fingers become permanently bent in a flexed position) is treated with an operation called palmar fasciectomy whereby the surgeon removes the damaged fascia (sheet of connective tissue). After the procedure, the straightened fingers are placed in a cast, which is replaced by a special splint after 4–7 days. This operation is indicated when there is a flexion contracture of over 30° between a metacarpal bone and a phalanx, and also an interphalangeal contracture. The operation is performed under local anesthesia.

  • Joint replacement surgery

    • Hip replacement

      €3920–€10800
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      Hip replacement or hip arthroplasty is a surgical procedure to replace the hip joint with an artificial joint (also called endoprosthesis). This surgery is indicated when the patient’s worn or injured hip joint inhibits limb mobility or causes abnormal limb postures and all the other treatment options have failed to relieve pain. The aim of the operation is to restore normal posture and mobility of the limb and to alleviate pain. In case of total hip arthroplasty, a metal or ceramic prosthesis with a round head is inserted in the femur and the acetabulum (a socket in the pelvis for the head of the femur) is also replaced with a metal socket. Hemiarthroplasty (only the femoral head is replaced) is used in elderly patients in case of femoral neck fractures or pseudoarthrosis (“false joint”).

    • Knee replacement

      €4794–€12500
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      Knee replacement or knee arthroplasty is a surgical procedure to replace the knee joint with an artificial joint (also called endoprosthesis). This surgery is indicated when the patient’s worn or injured knee joint inhibits limb mobility or causes abnormal limb postures and all the other treatment options have failed to relieve pain. The aim of the operation is to restore normal posture and mobility of the limb and to alleviate pain. In case of total knee arthtroplasty, the ends of both femur and tibia are replaced with artificial metal components and a tibial polyethylene insert is used. Hemiarthroplasty – a procedure involving the replacement of only half of the knee joint – can be used in cases of moderate arthrosis and one-sided cartilage damage.

  • Surgery

    • Hallux valgus correction

      €420–€2560
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      Hallux valgus correction is a surgical procedure to remove a bony bump called bunion on the big toe. Nowadays several different methods are used to correct the valgus deformity, depending on the extent of the deformity, the existence of arthritic changes and the experience of the doctor. All surgical methods are based on correcting the bone deformity and releasing the connective tissue of the toe. Special footwear must be worn for 2–4 weeks after the operation to avoid applying pressure to the operated region and to facilitate healing.

    • Ankle ligament surgery

      €3750–€5080
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      Ankle ligament surgery is a surgical procedure to restore the stability of the ankle joint and relieve pain by means of reconstructing the lateral ligament. This is an open operation whereby the ruptured lateral ligament is replaced with the patient’s own or a donor’s tendon. After the operation it is necessary to wear a cast or a special orthosis for 2–6 weeks and use crutches for walking.

  • Achilles tendon surgery

    • Achilles tendon surgery

      €460–€3800
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      Achilles tendon surgery is a surgical procedure to repair a ruptured Achilles tendon (“heel cord”). The ends of the tendon are sewn together during the operation. There are many different sewing techniques and an open surgery is not always necessary. After the operation it is necessary to wear a cast or a special orthosis for 6–8 weeks and use crutches for walking, because immobilization promotes the healing of the tendon.

  • Back surgery

    • Decompressive lumbar laminectomy

      €2000–€7000
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      Decompressive lumbar laminectomy is a surgical procedure to treat lumbar radiculopathy, lumbar disc herniation and spinal stenosis. The operation is undertaken to relieve the pressure on the spinal canal, free the compressed (impinged) nerve root and restore the integrity of the vertebral column. This procedure is indicated in cases of chronic (that is, permanent) back pain that is resistant to conservative treatment (drugs and physiotherapy), and makes walking difficult or causes weakness and numbness in legs. In addition, impingement of spinal nerves may cause problems with urinating or defecating – if that is the case, immediate operative treatment is indicated. The patient may stand up from the bed in the evening of the first post-operative day already, however, it is not advisable to return to work before 4–6 weeks, depending on the nature of the work.

  • Reception

    • Orthopaedic surgeon’s consultation

      €25–€132
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      An orthopaedic surgeon specializes on diagnosing, monitoring and treating chronic and acute diseases of the human skeletal system and associated structures (bones, joints, ligaments, tendons and muscles). During the first appointment, the orthopaedic surgeon usually examines the patient and prescribes necessary tests and analyses. This doctor can also give advice about the prevention of bone and joint disorders and plan subsequent treatment.