Flat Foot 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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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

Our clinic uses implants based on their performance in international registries.

Being a true member of the International Society of Arthroplasty Registries, Lithuania is one of the leaders in low joint replacement revision rates, as only 9% of surgeries in Lithuania require revision in 10 years after surgery. Moreover, with the implants used at our clinic, only 4-6% of surgeries require revision in 10 years after surgery, while revision rates in some other Western countries, for example, USA, is as high as 17% in 10 years after surgery. The implants used at our clinic have been evaluated by other countries’ registries as those ensuring longest implant life, as compared to products of other manufacturers. Read more here.

What is a flat foot and what causes it?

Flat foot, also known as pes planus, is a common foot deformity. It is characterized by a flattened arch of the foot which comes in contact with the ground when standing and walking. The majority of people with flat feet do not experience any discomfort; however, as the deformity gets worse a flat foot can become very painful. Arch pain, muscle fatigue, heel pain, increasing deformity or ankle pain, are the most frequent symptoms. Not only is flat foot painful but it also makes it challenging to find comfortable shoes. 

From an anatomical perspective, there are numerous underlying causes for flat feet. It is usually caused by excessive laxity of the ligaments, but may also be a result of several medical conditions, such as obesity, rheumatoid arthritis, diabetes, or trauma. When the arch-supporting ligaments and tendons overstretch, they fail to hold the bones in an anatomically correct position. One of the most important structures holding the foot is the tibialis posterior tendon. If it gets injured or becomes too loose, the foot arch will collapse. Other flatfoot causes include rearfoot equinus, arthritis, neuroarthropathy, and muscle imbalance.

What are the treatment options?

Flat feet affect multiple joints and require individualized care. The treatment can range from conservative care to surgical intervention, or a combination of both. Some patients respond well to just conservative management, while others with more severe deformities require surgical treatment.

Before considering surgery, all patients should first undergo conservative treatment. It entails patient education on biomechanical support (e.g. shoewear modification), home therapy (e.g. lower-foot stretching and strengthening exercises), and medication (anti-inflammatory drugs or corticosteroids). Studies show that as many as 87 % of patients do not require further surgical treatment. 

Surgery is only indicated when conservative treatment has not helped in 3 months or more. There are many surgical techniques designed for different flat foot stages. Therefore, the exact surgical procedure is determined by the stage and condition of the deformity.

What is flat foot surgery?

Flat foot can be of different severity. Some people do not have any symptoms, while others experience pain, discomfort, and reduced mobility. In general, flat feet conditions can be flexible or rigid. In a flexible deformity, the arch is only seen when a patient stands on their tiptoes. In a rigid flat foot deformity, the arch is not present when standing normally or on the tiptoes. There are 4 flat foot stages that determine the exact treatment approach and surgical technique.

What does flat foot surgery involve?

Surgery is performed under general anaesthesia, meaning that the patient is unconscious and does not feel any pain. The foot is additionally injected with numbing medication to control pain once general anaesthesia wears off. The exact surgical approach varies from patient to patient. A surgical plan is discussed before the surgery, so the patient knows what to expect.

Firstly, a surgeon makes a few incisions in the foot and then reconstructs the bones, ligaments, and tendons. The two most common surgical techniques are tibialis posterior tendon reconstruction and calcaneal osteotomy. In tibialis posterior tendon reconstruction, the damaged tendon is replaced with a tendon graft, which is harvested from another muscle, like flexor digitorum longus. During calcaneal osteotomy, the bone of the heel is fixed in a correct position to provide better support for the foot arch. When the foot’s arch is restored, the surgeon closes the sutures and places the foot in a plaster cast to the knee.

FAQ about flat foot surgery with our surgeon
Recovery and rehabilitation after flat foot surgery

Immediately after flat foot surgery the patient is closely monitored by the hospital staff. The operated leg is placed in a plaster cast, numb and pain-free. The duration of the hospital stay depends on the patient’s health state. Before leaving the clinic, the patient is given a follow-up appointment, instructions on wound care, and painkillers (if required). Patients can expect to drive again 8 weeks after or when the doctor allows them to do so. Immediately after flat foot surgery the patient is closely monitored by the hospital staff. The operated leg is placed in a plaster cast, numb and pain-free. The duration of the hospital stay depends on the patient’s health state. Before leaving the clinic, the patient is given a follow-up appointment, instructions on wound care, and painkillers (if required). Patients can expect to drive again 8 weeks after or when the doctor allows them to do so.

During the first 2 weeks, the operated leg should be elevated for as long as possible. The plaster should be kept completely dry, but a patient can shower with a waterproof cover over the leg. The patient should not put weight on the leg, rest as much as possible, and walk with the crutches only when needed. After 2 weeks, there is a follow-up appointment to check on the wound and fit a new plaster cast or boot. After 6 weeks post-surgery, patients can wear their shoes with insoles and begin putting weight on the operated leg.

Patients with sedentary jobs can expect to return to work within 4 weeks. If their job involves physical work, it can take up to 12 weeks. Each patient has an individualized rehabilitation program that focuses on gait re-education (walking correctly) and stiffness prevention. The patients can either choose to exercise at home or in a clinic with a physiotherapist. With time, rehabilitation exercises advance to more difficult balance and strengthening exercises. During recovery, it is highly important to avoid smoking and taking anti-inflammatory medications since they prolong wound healing and increase complication risk.

What is the long-term impact of flat foot surgery?

Most patients return to their regular activities and sports within 6 months after surgery. Flat foot surgery improves weight distribution and alignment of the feet, so the patients no longer experience chronic pain and inflammation. In short, flatfoot surgery improves life quality and allows the person to live actively with no discomfort.

10 patients' case studies

11 reasons that make us the most popular orthopaedic clinic abroad