Ankle Instability Surgery

Price in GBP
Price in EUR
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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Ankle Instability case analysis
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Nordorthopaedics Center Of Excellence
One of the world’s leading medical technology companies and orthopaedic implant manufacturers, Smith & Nephew, have chosen Nordorthopaedics as its exclusive partner in the Baltic States and the clinic is now a Center of Excellence for this company in the region. 
Experienced ankle and foot surgeon V. Kimtys
  • More than 20 years of working experience
  • 500 ankle prosthetics performed
  • 1.000 ankle fusion surgeries
  • Fluent in English
  • Co-author of scientific articles represented in various medical journals
  • Read more
Refund for EU patients

Get your surgery for free by claiming a refund from your local health board. The clinic helps patients with the documents needed to claim a refund after following the EU directive route for medical treatment abroad. It applies to patients who are insured under the systems of one of the EU countries and may not get the surgery due to long waiting times. 

Our clinic
Self-catered accommodation with medical care
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. Moreover, our surgeons are members of various prestigious surgical societies both Lithuanian and international. Our joint replacement surgeon S. Tarasevicius is an author of 150 scientific publications in different medical journals. 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 the United Kingdom, Ireland, Norway, Sweden, Spain, Denmark, Germany, Switzerland, Canada 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. It may take up to 3 days. 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.

Our clinic works according to the highest standards set by the European Union. This helps to guarantee the quality of medical service. 

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.

We have no waiting line so we can schedule your surgery as soon as you are ready to do so.

Everyone in our clinic speaks English, including nurses, assistants and the surgeon.

You can find lots of testimonials from our previous patients online. Reading all the positive feedback on Google or Facebook can help you make a final 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. Our clinic works according to the highest standards set to the medical institutions by the European Union.

Athletes treated at Nordorthopaedics

COVID-19 situation: We're open!

Our clinic is open and operates in accordance with all safety requirements. All the procedures are implemented as usual. You can read about the latest COVID-19 updates here.

What is lateral ankle ligament reconstruction?

Lateral ankle ligament reconstruction is a surgery that tightens up the ligaments on the outside of the ankle. Lateral ankle injury is one of the most frequent lower leg pathologies. It accounts for 14 percent of all sports-related injuries and range from minor sprains to severe ligament tears and ankle instability. Athletes, dancers, and people with prior ankle injuries have an increased risk for lateral ankle ligament damage.

Ankle instability surgeries vary from simple ligament repair to complex reconstructions. During repair surgery, loose ligaments are shortened and reattached to create stable support. Reconstruction surgery involves more complex operative techniques, like ligament replacement with a graft.

Why might one need lateral ankle ligament reconstruction?

An ankle joint is held by several ligaments, band-like connective tissue structures. They keep the foot steady when walking. The inner side of the ankle has a strong deltoid ligament, while the outer side is held by 3 smaller ligaments. If those ligaments are injured or repeatedly sprained, they can become stretched, partially torn, or completely ruptured. Such trauma to the ankle joint eventually leads to joint instability. Certain medical conditions that increase the likelihood of ligament damage are rearfoot supination (foot tilting inwards), flexion of the first ray (the big toe is positioned lower than other toes), high foot arches, congenitally fused foot bones, or inborn ligament looseness

Before considering surgery, patients should first undergo conservative treatment, which includes exercises for muscle strengthening, ankle bracing, or foot orthotics. Surgical treatment is only considered when the conservative treatment has failed to help and pain persists for 3 months or longer.

How to prepare for lateral ankle ligament reconstruction?
What happens during lateral ankle ligament reconstruction?
What happens during lateral ankle ligament reconstruction?

If the patients stay in the hospital overnight, they receive 24-hour care. While in the clinic, pain is managed intravenously. When patients are discharged, they are given a prescription for pain medicines.

For the first 72 hours, the operated leg should be kept elevated to avoid swelling and decrease pain. The patient should refrain from putting any weight on the operated leg and use crutches for short distance walking. The bandages should be kept clean and dry. When showering, the leg should be placed in a cast or a plastic bag.

In about 10 days, there is a follow-up appointment to remove the stitches and replace the splint with a boot or cast.

What happens during lateral ankle ligament reconstruction?

In general, lateral ankle reconstruction patients can return to work after 2 weeks post-op for most sedentary jobs and up to 10 weeks for manual labor jobs. Recovery is divided in four phases and each of them have different goals.


Weeks 1-6


The goals of the first 6 weeks post-op are to protect the operated ankle and begin restoring ankle range of motion. The firsts 2 weeks consist of complete immobilization in a cast, splint, or boot to prevent the reconstructed ligaments from stress and damage. About 5 days after the first follow-up consultation with a surgeon, the patient has a first rehabilitation appointment. 

Weeks 6-10

The second rehabilitation phase begins once the patient regains at least 75% of range of motion. The goals are to continue to protect the operated ankle while also increasing strength and balance. By this time, the patient should have at least one rehabilitation appointment a week.

Weeks 10-12

The goal of the third rehabilitation phase is to regain normal ankle stability, strength, and neuromuscular control. The patient should have at least 2-3 rehabilitation appointments a week. The patient can walk, bike, and use an elliptical machine. However, jumping and swimming are still prohibited to protect the ankle.

Weeks 12-16

The goals of the last rehabilitation phase are to improve core and hip strength as well as achieve good stability in higher velocity movements and change of direction movements that replicate sport-specific patterns. After receiving clearance from an orthopeadic surgeon, the patient may return to professional sports.

Our patient John was diagnosed with a rupture of ligaments in the lateral side of the ankle joint and ankle joint instability after the injury. As a sports athlete and a father of 8, John chose to seek treatment. Given the fact that his ankle joint was unstable and swollen, it was decided to go move forward with ankle arthroscopy. Read more

9 patients' case studies

10 reasons that make us the most popular orthopaedic clinic abroad