ACL Reconstruction Surgery Abroad: Lithuania
Price in GBP
Price in EUR
- ACL reconstruction surgery – 2.800 £
- MCL reconstruction surgery – from 2.800 £
- PCL reconstruction surgery – from 2.800 £
- consultation with the surgeon
- necessary health tests
- surgery
- implants
- anaesthesia
- hospitalisation
- 24/7 personal assistance during your stay
- transfers to / from the airport, hotel and clinic
- all documents translated to English
The clinic helps patients with the documents needed to claim a refund from NHS & HSE for medical treatment abroad. It applies to patients who are insured under the UK and Irish systems and may not get the surgery due to long waiting times.
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Refund from NHS and HSE
The clinic helps patients with the documents needed to claim a refund from NHS & HSE for medical treatment abroad. It applies to patients who are insured under the UK and Irish systems and may not get the surgery due to long waiting times.
Our surgeon Liudas Bazaras
- More than 10 years working experience
- 700 surgeries per year
- Fluent in English
- Member of European Wrist Arthroscopy Association
- Trainings abroad: Hungary, Sweden, France, Canada, The USA, The UK
- Read more
Rehabilitation package
The rehabilitation centre is located at a SPA resort town called Druskininkai. It is equipped with modern facilities. The professionals there have years of experience working with people after various surgeries and injuries.
Rehabilitation in Lithuania – from € 130 / £ 116 per day
- personalized rehabilitation course
- room with TV and private bathroom
- three meals a day
- all medication needed
- transportation to/from the rehabilitation centre
An individual rehabilitation program is prepared for each patient depending on the type of surgery, general patient‘s well-being, health status and other factors.
Our rehabilitation centre
Our clinic
What sets us apart from other clinics?
Our clinic works with highly professional and educated surgeons. They have 10-20 years of experience in the field of orthopaedic surgery. They each perform 500 surgeries per year. Our surgeons are board-certified in the UK. Moreover, our surgeons are members of various prestigious surgical societies both Lithuanian and international. Find more information about our surgeons here.
The clinic is equipped with modern diagnostic and surgical facilities, all analogous to those in Western European clinics. You will be looked after by professional English speaking staff.
The wards are fully furnished and equipped with TV, WC and air conditioning. Free Wi-Fi is available while staying in the clinic.
Our clinic is one of the biggest surgical centres in the Baltic region. We work with patients from various countries, among which Great Britain, Norway, Sweden, Denmark, Germany, Switzerland, etc.
Despite the size of the clinic we provide our patients with personal care and assistance. The majority of big public hospitals due to high volume of patients do not have enough resources and medical personnel to pay personal attention to each patient. Whereas we are fully focused on providing exceptional care and undivided attention for our patients.
Without any additional fees patients are tended in the clinic as long as they need. We only discharge our patients from the clinic when they are in a good health state and ready to leave.
All inclusive price, which is twice lower than in Western European clinics.
Our clinic works with medical professionals of highest education and experience level and uses the same materials as the clinics in Western Europe. More often than not, the quality of our clinic‘s facilities exceed the ones in Western European clinics.
The price difference is only due to considerably lower average salaries and taxes – which is the main reason for medical travel everywhere around the world.
During your entire stay in Lithuania you will receive personal care as well as transport to and from the clinic, hotel, and airport. You will not have to worry about a thing. You will be assisted from the moment of plane landing in Vilnius or Kaunas airport till your departure.
Our clinic is flexible date-wise and can usually arrange your surgery on the date convenient for you.
Everyone in our clinic speaks English, including customer service desk, nurses, assistants and the surgeon.
Our clinic is the only clinic in Europe that offers customer service in 8 languages, among which English, Norwegian, Swedish, Danish, German, Spanish, Russian, and Lithuanian.
We can give you lots of testimonials from our previous patients that had orthopaedic surgery in our clinic. They can tell you their stories and help you make a decision.
2-3 hour regular flights operate from all main airports in the UK & Ireland. Lithuania is closer than you thought. You can find the list of direct flights here. Please note that airlines constantly add new flights and new destinations, therefore feel free to contact us if you need help choosing the flight that suits you best.
Lithuania has been a part of the EU and NATO since 2004. Lithuania has one of the fastest growing economies in the whole region and the second fastest internet speed in the world. Lithuanian medical schools have trained many medical professionals who are highly appreciated and employed by many foreign hospitals, among which hospitals in the UK.
COVID-19 situation in Lithuania
Lithuania has one of the lowest rates of COVID-19 cases in Europe. Its rate of confirmed COVID-19 cases per 100.000 residents in the last 14 days is several times lower than UK. You can read the latest COVID-19 updates here.
Direct flights to Lithuania
What is ACL and its function in knee anatomy?
Ligaments are strong bands that connect bones to each other. Anterior cruciate ligament (ACL) is a band of connecting tissue which is located in the knee. Four ligaments in the knee are responsible for its stability, two of which are an anterior cruciate ligament and a posterior cruciate ligament. These two ligaments cross each other connecting the lower end of a femur with the upper part of a tibia. ACL is a key structure in the knee as its main function is to keep the knee stable preventing it from sliding backwards and rotating inwards.
What is ACL repair and how is it performed?
ACL reconstruction surgery typically lasts from 1 to 2 hours and is performed arthroscopically, meaning that only a few incisions are made for an insertion of an arthroscope (a small camera which helps the surgeon to see inside the knee) and other surgical instruments.
A patient will receive either spinal anesthesia, which numbs the body from the chest down, or general anesthesia, which puts the patient to sleep for the duration of the procedure.
In the beginning, the damaged ligament and its remains are removed and the knee is inspected for any other injuries or damage. A new ligament is then harvested from a tendon (remember that a tendon is a bone to muscle connection) of the hamstring muscle. It will be used as an ACL graft. Then the surgeon will create attachment points for the new graft by drilling a tunnel in the upper end of the femur bone, and another one in the lower end of the tibia. A graft is then pulled through those tunnels and secured in place with screws to create a new ACL ligament. During the recovery period bone growth will fill in the tunnels and will further stabilize the graft.
What indicates that you might need an ACL repair surgery?
When ACL ligament is damaged a person usually has trouble putting pressure on the knee, walking, and playing sports. A slightly torn ACL is likely to heal and regenerate over time, especially after doing physical therapy. Unfortunately, if it is fully ripped it might need to be replaced, particularly if a patient is young and actively participating in sports.
Some of the signs of a torn ACL ligament may include:
- A “popping” sound during a trauma event and swelling
- Pain which ultimately develops in the injured area of the knee
- Limited range of motion and instability when performing everyday tasks can also indicate the need for ACL repair
- In order to further clarify if a patient actually requires surgical treatment a consultation with a specialist and evaluation of a CT scan or an MRI scan are needed.
Preparing for the surgery
Most of the people who experience ACL damage have their ACL replacement surgery scheduled a few weeks after the trauma. It is delayed in order to allow the swelling to go down before the procedure is performed. During the time before surgery, it is essential to prepare for the recovery period.
Firstly, you should purchase assistive devices, such as a walker, crutches, or a cane. Make sure to practice walking with them around the house so that you can rearrange any furniture and other items that might restrict getting around the house.
Furthermore, you will likely experience a lot of swelling and pain post-surgery, therefore, prepare a cold therapy system which would deliver consistent therapeutic cold. Check if there is an opportunity to rent a cold therapy system where you live. This device is much more effective and comfortable than ice packs.
If you are currently living on the upper floor, think about moving downstairs for at least a couple of weeks. Avoid getting up and down the stairs and refrain from putting strain on the operated knee. Prepare a lot of pillows as you will need to place them under your knee and lower leg. Elevating the leg will reduce postoperative swelling and speed up the recovery.
Before the surgery your knee should have a nearly normal and comfortable range of motion. Inquire your physician about specific exercises that will tone the leg muscles, especially hamstrings and quadriceps. Having your muscles strengthened before the procedure will get you going a lot faster after the ACL repair is performed.
It is extremely important that you have no bruises, cuts, or pimples on your legs as they highly increase the risk of infection.
Patients should cease smoking, taking oral contraceptive pills and consuming excessive amounts of alcohol at least 6 weeks before the surgery.
Hospitalization and early postoperative period
When you wake up from anaesthesia your knee will be bandaged and you might find a drain tube inserted. It helps to drain excess bleeding and reduce swelling. Hospitalization time depends on each particular case, however, most patients are discharged on the same day after the surgery. You will be given pain-relieving medication if required. You will be able to move the operated knee, however, the patients are encouraged to keep the leg elevated and allow it some time to rest. Before going home you will practice walking with some crutches. Most patients use the crutches only for a few days. Also, your doctor will fit you for a knee brace which helps to protect the graft.
For the first few days after the surgery your knee will be swollen and you might feel numbness around it. Most of the swelling should go down in the first week. You might feel tired for several days which is completely normal. As for all surgeries, allowing oneself to rest during the recovery period is a crucial part of the healing process. Try keeping your leg elevated at all times.
When at home, make sure to change the dressings of your knee regularly.
For pain relief your doctor may recommend you medications such as ibuprofen or naproxen sodium.
The recommended time off work depends on your line of work and how much, if any, physical activity it involves. In two weeks most of the patients can start walking without the crutches or a cane.
At home patients are recommended to use either a cold therapy system or to apply ice packs at least every 2 hours. Cryotherapy is proven to contribute to an overall faster recovery in several ways: it will lessen your perception of pain, control swelling, and reduce edema.
Physical therapy; returning to sports
Each patient’s response to physical therapy is individual, and the healing rates can differ as well. However, most people can walk within 3 weeks after their ACL surgery. You should be presented with a detailed plan of your physical therapy at the clinic. In general, physical therapy for the knee joint recovery can be divided into four phases.
- During the first three weeks post-surgery you should focus on letting your knee heal. You will then start physical therapy and work on restoring the movement of the thigh muscles and the range of motion. You should be able to bend your knee at 90 degrees. You will learn how to use crutches or a cane, and will practice walking up and down the stairs. A neuromuscular electrical stimulator can also be used to help you regain leg strength.
- On the fourth and the fifth weeks you will work on further strengthening your leg and hip muscles. Improved stability and motion control are crucial in order to progress from using two crutches to using only one, and finally putting them down altogether.
- On the third week you should be able to walk normally. Exercises will get more advanced and you might also start using light weights when exercising. People who are not athletes can now return to living their usual lives again, however, those who engage in highly active sports should continue on improving their physical shape.
- During the second month the patients perform exercises which help increase strength in the gluteal muscles as well as in the quadriceps (the muscles in the backside of the legs). Later on the patients move on to moderate plyometrics (jump training) and hopping. If by the end of week 8 the patients do not feel any pain in the operated knee anymore they should be already able to start jogging.
- During the third month patients will continue with the exercise regime. Those who are looking forward to getting back to sports should be evaluated by a training specialist. Bear in mind that it is important not to overestimate your capabilities as it might still be too soon to participate in professional sports or high-intensity activities which require a lot of sudden and sharp maneuvers.
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