Ankle Arthroscopy Abroad: Lithuania

Price in GBP
Price in EUR
  • Ankle arthroscopy – from 1.440 £
  • consultation with the surgeon
  • necessary health tests
  • surgery
  • 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. 

Testimonials
Justin, Northern Ireland
Justin, Northern Ireland
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My mother was experiencing problems with some level of pain and a lack of mobility in one hip. Locally she was advised that she could not have the appropriate treatment for 22 months . At eighty years of age that was a poor option. We were advised to contact Nordorthapaedics. The clinic was comparable to any private facility in the UK. Everything about the experience at Nordorthapaedics was positive. Everything from our first contact to our journey home was professionally managed by a team of courteous individuals. I would thoroughly recommend this service.
Annette, Wales
Annette, Wales
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The whole experience was excellent from making travel arrangements, all the pre-operation checks, making the payment. The clinic was so well run beautifully clean and the staff were marvellous. I would highly recommend taking a few days at the rehabilitation center as the post-op treatment received was outstanding and a great aide to recovery. I received every day physio, massage, hot and cold treatment, things that you wouldn’t get on the NHS. I can highly recommend having the operation in Lithuania it truly was a memorable experience.
Ronnie, Northern Ireland
Ronnie, Northern Ireland
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Hi, I'm Ronnie Kelly from Randalstown, Northern Ireland. From my initial inquiry Jurate at Nordorthopaedics was fantastic answering all my question almost immediately. I booked the flights, gave her the dates and the rest was plain sailing. Everything was organised with professional precision. From being met at the airport, to surgery, to recovery at rehabilitation center and back to the airport every detail was covered with constant emails and messages. I couldn't recommend this Clinic and Rehabilitation Centre any higher for its total professionalism and after care.
Karen, Alberta, Canada
Karen, Alberta, Canada
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Th clinic looked almost too good to be true but everything they claim is accurate. The care I received from the physician and nursing staff was very caring and excellent. Also there is the option for aftercare at a rehab facility that I highly recommend. It gives you time to recover from the surgery before the long flight home. The customer service representative Jurate is very efficient and will promptly answer any questions you have. Canada may seem like a long way from Lithuania but I feel it was totally worth the trip and I am planning to go back and have the other hip replaced.
John, Ireland
John, Ireland
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This is very simple because I recommend everything about nordorthopaedics. Firstly the administration staff are very professional and helpful with any problems you may have,and I would especially mention Aurelija along with her colleague Jurate for their attention to detail. Travelling to a different country can be daunting but the trip is carefully planned with collection from airport, transport to hotel and clinics. The clinics and rehabilitation center are of the highest quality and all the staff, nurses and doctors are really caring and helpful.
Julie, Northern Ireland
Julie, Northern Ireland
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Everything from airport to being picked up , hotel , hospital , loved it all it was the best decision I ever made , I tell everyone here in Ireland about it , I had the whole thing organised with Agnes help in four weeks , staff at hospital fabulous , care fabulous , doctor and anethnetist fabulous , honestly have nothing but good to say . If I need another hip I’ll be there in a heartbeat I’d never wait years here at home never . Thank you all
Ray, Spain, UK expat
Ray, Spain, UK expat
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My experience from beginning to end was one of the utmost pleasure. Not just my own surgery, rotator cuff repair but that of a fellow patient who was up and walking within hours after knee surgery. All made possible by the administration staff, nursing staff and the highly qualified surgeons. Nordorthapaedic deserve a gold medal for their obvious high standards. I award them one as such. After searching the web for a suitable clinic it was an obvious choice to select this clinic. And how happy am I that I did. The high standards of cleanliness and professional care shine out.
David, England
David, England
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Having been rejected by the NHS I chose to look abroad for my options. My friends all thought I was mad to consider Lithuania, nothing could be further from the truth. From my initial contact phone call I have experienced the highest standards of professionalism and service throughout . I must declare that I am quite a tough person to satisfy as I have had a career as a Quality Management Consultant and auditing suppliers. The clinic is first class. It is equal to any private hospital in the uk. I would wholeheartedly recommend the clinic to anyone in a similar position.
Michael, West Midlands, UK
Michael, West Midlands, UK
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I recently had a total hip replacement at Nordorthopedics. The whole experience from the initial contact through to the rehabilitation treatment was flawless, Dr Saraunas Tarasevicius and all at the hospital were unbelievably open and efficient, putting any doubts at rest. I was up and walking with crutches the day after surgery. At the rehabilitation centre the aftercare resulted in being able to walk 2 miles with 1 crutch by the time I left for home 9 days after surgery. Jurate deserves a special mention for organising almost every aspect, nothing seemed to be much trouble. I cannot recommend Nordorthopaedics enough.
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Refund from NHS and HSE
HSE & NHS

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 clinic
What sets us apart from other clinics?

Our clinic works with highly professional and educated ankle surgeon. He has over 15 years of experience in the field of orthopaedic surgery. The surgeon has already performed more than 1000 ankle fusion surgeries and more than 500 ankle replacements.  Moreover, he is a members of various prestigious surgical societies both Lithuanian and international.

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.

What is ankle arthroscopy and what conditions does it treat?

Ankle arthroscopy is a minimally invasive joint surgery that is designed to treat ankle pain and improve overall joint function. It is performed through small key-hole size incisions with a special miniature camera (an arthroscope) that visualizes cartilages, ligaments, and bones, inside the joint. An arthroscopic approach is used to diagnose and treat several joint problems:

Ankle arthritis is an inflammatory joint disease that includes more than 200 other joint disorders. It presents with swelling, warmth, decreased range of motion, and pain.

Ankle instability is treated by tightening the loose ligaments which ensure correct bone alignment and foot positioning.

Anterior ankle impingement, commonly known as an athlete’s ankle or footballer’s ankle, is compression of soft tissues. This condition can be treated surgically by removing the bone spurs or tissue that is causing the blockage.

Synovitis (inflammation of the synovial membrane) can be treated by removing the damaged membranous part of the joint capsule.

Loose bodies (free-floating parts of cartilage, bone, or soft tissue) are arthroscopically removed from the joint space.

Posterior ankle impingement (os trigonum syndrome), flexor hallucis longus tendinitis is treated performing posterior hindfoot endoscopy  and removing prominent posterior talar process or os trigonum which can cause posterior ankle impingement and pain, flexor hallucis longus tendon is debrided and tendon retinaculum is released.

Ankle arthroscopy advantages and possible disadvantages

There are many advantages to ankle arthroscopy:

  • Firstly, ankle arthroscopy is performed through tiny incisions, so the surgery is faster and less complicated.
  • There is minimal scarring, thus, a patient experiences less pain and easier post-operative care.
  • If compared to open ankle surgery, ankle arthroscopy has a lower complication risk and relatively shorter recovery.
  • The patient can expect to return to professional sports as soon as 4-6 weeks post-surgery.
Preparing for arthroscopic ankle surgery

A prospective patient should contact the clinic to schedule the first appointment. During the first consultation, the patient should be prepared to discuss their medical history, allergies, and medication that they are taking at the time. The first appointment is for deciding on the treatment plan and evaluating the patient’s general health status. 

It is strongly recommended to cease smoking and alcohol consumption at least 4 weeks before surgery. Tobacco use increases blood clotting and makes blood flow worse, thus, increasing the complication risk.

We recommend that patients make a list of all the medications they are currently taking so that it can be discussed with the consulting doctor. Some medication, such as Aspirin, Ibuprofen, Caumadin, naproxen have to be avoided due to their blood-thinning properties. Certain herbal teas, garlic, and fish oil should also be taken only with the doctor’s consent. 

Patients must follow a healthy diet rich with all the vitamins and minerals. Vitamins (A, D, and C,) and minerals (zinc, calcium, and iron) are responsible for proper immune functioning and bone formation.

Once the surgery date is set, it is time to prepare for the post-operative recovery period. The first few weeks after surgery is mainly for resting at home. Thus, it is necessary to rearrange furniture and stock up on easy-to-cook foods. 

On the day of surgery, patients should arrive wearing loose-fitting clothes, so that it is easy to fit them over an ankle cast, if it is required. It is best for the patient to not wear any nail polish or make-up and leave valuable jewelry at home. The patients should refrain from eating and drinking anything 8 hours before surgery.

How is ankle arthroscopy performed?

Before the surgery, the patients have to undergo certain lab tests, including a complete blood count and electrocardiogram (ECG). Ankle arthroscopy is performed under general aneasthesia, so a patient is fully asleep and does not feel anything during the surgery.

Firstly, a surgeon makes a few 1 centimeter size incisions to gain access to the ankle joint. The surgeon inserts a special camera, called an arthroscope. This miniature device is only 0.5 centimeter in diameter, allowing the surgeon to thoroughly inspect and treat the damaged joint. The exact alterations performed on the joint are individual and depend on the existing joint problems. At the end of the surgery, the incisions are closed and covered with a bandage. In some cases, the ankle is put in a plaster cast.

Ankle arthroscopy takes approximately 30-90 minutes and requires an overnight stay at the clinic.

Recovery after ankle arthroscopy

After surgery, the patients wake up in a recovery room. Feeling tired and dizzy is completely normal and should be expected. The operated leg is put in a brace and kept elevated to prevent it from swelling. For the first few hours, the pain is managed with intravenous medications. Normally, most patients can get up and walk with crutches on the same day. Before being discharged from the clinic, the patients are prescribed painkillers and given information on post-surgical wound care. Sutures are usually removed within 2 weeks after the surgery.

When at home, we recommend patients rest properly and keep the operated leg elevated for as long as possible. One may consider purchasing a foam ramp to keep the leg elevated at night. Many patients can expect to return to work within 1-2 weeks post-op unless otherwise advised by the doctor. It may take at least 4-6 weeks of recovery before one can return to sports, driving, and other strenuous activities. 

Post-surgical wound care

Taking proper care of the incision sites helps with healing, lowers infection risk, and prevents scarring. Any cut to the skin is an easy access for the germs to enter the body and cause an infection. To prevent the surgical site from getting infected: one should:

  • One should wash the hands with soap or use alcohol-based sanitizers before and after touching the operated area;
  • The bandage should be kept clean and dry for the first 24 hours.
  • After 5-7 days a patient can shower and gently wash the wound with soap and water without soaking it for too long.
  • The dressing has to be changed every day and when it gets wet or dirty.
  • Bear in mind that if the wounds are sutured with non-dissolvable stitches one should not try to take them out, and instead, wait for the doctor to take the stitches out properly.
Physical therapy and returning to sports

Each rehabilitation week has different goals and challenges. Steadily progressing through recovery stages eventually leads to a successful return to everyday activities and professional sports.

Week 1. The first-week post-op involves a lot of rest. The operated leg should be slightly elevated to prevent it from becoming sore and swollen. It is normal to experience mild bruising and moderate pain. Over-the-counter medications, like naproxen or ibuprofen, help to manage the pain. If the surgery was done on the left ankle, a patient can expect to begin driving after the first week 

Week 2-3. After 2 weeks post-surgery, patients have a follow-up appointment, during which a healthcare provider checks the operated ankle and, if needed, removes the stitches. The patients are also instructed on rehabilitation exercises which include rotation of the foot (‘drawing’ circles), moving the foot up and down, bringing the knees to the chest, and soft stretching. The exercise routine is to be done three times a day to prevent stiffness of the ankle. The patients can begin walking short distances, but the ankle should still be kept elevated for as long as possible. Some may be able to begin working from home. However, returning to manual and lengthy standing jobs should be postponed for at least 4 weeks. 

Week 4. A patient should continue to move regularly and increase the exercising frequency to 6 times a day. Provided that the wounds are completely healed, the patient can progress to exercising in a pool or bike riding. 

The ankle can remain slightly swollen for a long as 3 months post-surgery. Returning to professional sports requires gradually increasing activity levels and training difficulty. The time it takes to recover completely is different for every patient.