Heel bone (calcaneal) osteotomy

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Price in EUR
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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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. 

Rehabilitation packages

One of the most important factors for a quick and full recovery after surgery is proper rehabilitation. Rehabilitation helps recover after surgery as well as prevents formation of blood clots and helps avoid most of the postoperative complications and side effects. We offer two different rehabilitation packages:

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. 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.

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.

Direct flights to Lithuania
from UK
from UKin 2 h 30 min
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London (London City, Stansted, Luton), Bristol, Edinburgh, Liverpool, Doncaster, Belfast
from Spain
from Spainin 3 h 30 min
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Madrid, Barcelona, Palma de Mallorca, Alicante
from Germany
from Germanyin 2 h
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Berlin, Nurnberg, Cologne, Bremen, Dortmund, Munchen, Frankfurt
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What is calcaneal osteotomy?

Calcaneal osteotomy is aimed at correcting the position of a heel bone (calcaneus) so that it perfectly aligns with a shin bone (tibia). The heel bone is critically important to the foot position during weight-bearing. Calcaneal osteotomy is designed to help patients with symptomatic foot and ankle malalignment, like an abnormally high or low foot arch. Calcaneal osteotomy relieves pain, improves bone alignment, and reduces the likelihood of arthritis later on in life.

Who is a good osteotomy candidate? What conditions does calcaneal osteotomy treat?

Calcaneal osteotomy is recommended for patients with either a cavovarus (high foot arch) or a planovalgus (low foot arch) deformity. Surgery to address the bony alignment is only considered after attempting conservative treatment options, like using custom-made corrective foot and ankle orthotics, rest, ice packs, nonsteroidal anti-inflammatory medications, and physical activity. Calcaneal osteotomy is not recommended for patients with arthritis, severe obesity, poorly controlled diabetes, peripheral vascular disease, and chronic skin diseases.

Deformation of the feet

Flat foot (Fallen arch)

Normal foot

Hollow foot (High arch)

How to prepare for calcaneal osteotomy?
What happens during calcaneal osteotomy?

Calcaneal osteotomy is a safe and effective surgery that improves one’s quality of life. The surgery is performed under general anaesthesia or spinal anaesthesia and takes approximately 2 to 3 hours to complete. Firstly, a surgeon makes a few centimetre incisions along the outside of the foot to access the heel bone. Then, the surgeon uses a cutting instrument to divide the heel into two pieces. After cutting the bone, the surgeon shifts the pieces to the desired location and secures them with screws to hold the bones together. There are four main types of specific calcaneal osteotomy techniques:

Evans osteotomy, also known as lateral column lengthening, is performed on patients with flatfoot deformity. The heel bone is carefully divided into two pieces that are then spread apart. A wedge bone graft inserted between them to lengthen the outer side of the foot and create an anatomically correct arch.

Dwyer osteotomy is performed on patients with varus deformity (excessive inward angulation). It involves an incision in the outer side of the heel. A bone wedge is taken out of the heel and the bone pieces are shifted into an anatomically correct position.  

Medializing osteotomy is performed to restore a falling arch and correct flatfoot. The weight-bearing axis is changed by slightly cutting the heel bone and changing its position to create a higher arch. 

Lateralizing osteotomy is performed through an incision in the outer side of the heel to correct an abnormally high arch. The heel bone is cut into two parts that are then shifted to lower the arch of the foot.

What happens after calcaneal osteotomy?

After surgery, the operated leg is dressed and placed in a splint. For the first 3 days, patients are at bed rest and the operated leg is elevated above the level of the heart to reduce swelling. It is normal to experience swelling and moderate discomfort. While at the clinic, pain is managed with intravenous medications, and for pain control at home, patients are prescribed non-steroidal anti-inflammatory drugs, like ibuprofen or naproxen. Ice packs can also be used for comfort.

It is recommended to stay at home for at least a week post-op. To speed up recovery, we advise to drink enough water, get proper rest, and maintain a well-balanced nutritious diet.

How long does it take to recover from calcaneal osteotomy?

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