Hip Arthroscopy Abroad: Lithuania

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

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. 

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

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
What is hip arthroscopy?

Hip arthroscopy is a minimally invasive hip joint surgery. The word “arthroscopy” literally means “to look inside the joint”. During arthroscopy, the hip joint is operated through  small key-hole like incisions, so there is little to no damage to the surrounding tissues. A special miniature camera is used to examine the bones, cartilages, and ligaments. If necessary, the surgeon uses pencil-sized instruments to repair the damaged structures. The surgery usually takes from 1 to 2 hours.

Hip arthroscopy is performed if the patient has persistent joint pain, joint locking symptoms or pain during hip movement. There is a range of hip problems that can be treated with hip arthroscopy. Depending on the case, the surgeon may repair damaged cartilage, labrum, remove some excessive bone or loose bodies. The most commonly treated hip joint conditions are:

Hip arthroscopy vs. open surgery

Through hip arthroscopy, a surgeon can treat the hip without having to make a huge incision and fully expose the joint. An arthroscopic approach allows for a shorter operating time, lower risk of infection, and less scarring. It is a favorable choice of many orthopaedic surgeons because it is simply less physically demanding on the patient.

During open hip surgery, the hip joint is exposed by making a long 15-20 centimeter incision. Such incisions take a long time to heal and demand more post-operative care. An arthroscopic surgery, on the other hand, only requires a few 1-centimeter incisions to access and operate on the joint. Post-surgery, these small incisions heal quickly, and so, patients can return to regular activities within a shorter period of time. If open hip surgery is performed with dislocation of the femoral head, there is a risk of aseptic necrosis of the femoral head.

Preparing for hip arthroscopy

Firstly, a prospective patient should contact the clinic and schedule an initial appointment. During the first consultation, a doctor evaluates their general health state and tailors the treatment plan to the needs of the patient. The patient should be prepared to state any existing allergies and discuss their medical history.

A patient should also prepare a list of all the medication which they regularly take (including prescription drugs, over-the-counter drugs, and herbal supplements). Medication and supplements with blood-thinning properties (such as aspirin, ibuprofen, fish oil, etc.)  should only be taken with the doctor’s consent because they may increase the risk of bleeding. 

It is strongly recommended to cease smoking and alcohol consumption at least a month before the surgery

Before surgery, it is recommended that the patients follow a healthy diet to ensure sufficient consumption of minerals and vitamins. Zinc, calcium, and iron are highly important for bone mineralization and healing processes. Vitamins A, D, and C ensure proper function of the immune system and recovery of the connective tissues.

Many choose to purchase ergonomic crutches, sometimes it is necessary to temporarily move the sleeping area downstairs.

On the day of the surgery, we advise that the patients wear loose-fitting clothes and comfortable slip-on shoes. Patients should not eat or drink at least 8 hours before surgery.

How is hip arthroscopy performed?

Hip arthroscopy is performed under general anaesthesia, meaning that a patient is fully unconscious the whole operating time. Once the patient is in the operating room, the nurses put an intravenous catheter to administer numbing medicines.

The skin of the affected joint is cleaned with antibacterial fluid and the leg is put in retraction (gently pulled to the side and along). Such positioning of the leg allows a surgeon to comfortably access the joint.

The surgeon makes a few 1-centimeter incisions next to the joint, and then, inserts an arthroscope and other fine surgical instruments.

An arthroscope is a miniature camera that is connected to the screen which the surgeon watches closely while operating. Before making any alterations to the bone, cartilages, or ligaments, the joint is filled with sterile fluid which makes all the structures visible with the arthroscope. Then, the surgeon examines the joint and repairs it, if necessary.

After the surgery, the surgeon removes all the instruments, puts in drain and sutures the incisions and covers the joint with sterile dressings. 

Recovery after hip arthroscopy

After hip arthroscopy, a patient is moved to the recovery room where the hospital staff closely monitors the patient’s health status. It is completely normal to experience dizziness and moderate pain post-surgery. The nurses check on the patient frequently and administer pain medication if necessary. The patient usually spends one night at the hospital. Hip arthroscopy patients have to wear a special hip brace for 2 to 4 weeks post-op or as advised by the surgeon. It takes approximately 6 to 8 weeks to return to regular activities, like driving and bearing full weight on the operated leg.

Physical therapy and returning to sports

Physical therapy and active rehabilitation are necessary to achieve fastest recovery. Rehabilitation is usually divided into 3 phases which have different goals and milestones.

Phase 1 (the first month) usually begins on the next day after surgery and takes 4 weeks. The main goals for this phase are to restore joint motion, regain flexibility, and begin building strength. Recovery exercises usually include soft circumduction movements and stretching. Slowly progressing to the next recovery phase is more important than prematurely increasing the intensity and volume of the exercises. At the end of phase 1, patients can walk normally and drive again.

Phase 2 (4 to 8 weeks) takes approximately a month. During this time, patients work on increasing strength. The training routine includes advanced balance exercises, squatting, leg presses, riding a stationary bike, and stretching.

Phase 3 (8 to 12 weeks) is the last part of recovery. During the last phase, the patient continues to work on achieving a full range of motion and further strengthening leg muscles. It is the last stage before returning to sports, so it is crucial to resolve muscle tightness, and eventually, advance to the treadmill. By the end of the third rehabilitation month, most patients feel strong enough to effortlessly perform daily activities or slowly return to professional sports.