Hip Impingement

We are one of the leading orthopaedic surgery clinics for medical tourists in the European Union. We are proud of the fact that over 90 % of our patients come from the UK, Ireland, Norway, Sweden, the United States, Canada and other countries.

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joint replacement surgeries performed

One of the most experienced orthopaedic surgeons in Europe. More than 3.500 joint replacement surgeries were performed by our surgeon to this date – a figure that no other surgeon or clinic in the region can match.

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scientific articles

More than 150 scientific articles co-authored by our surgeon and over 50 publications in different medical journals. You can read the most recent one here.

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reviews

More than 188 positive reviews from our happy clients from all over the world. Accept the challenge and read them all here!

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. 
 
Our surgeon Valdemar Loiba
  • More than 15 years of working experience
  • Performs 300+ arthroscopies a year
  • Fluent in English
  • Co-author of scientific articles represented in various medical journal
  • Author of 6 international oral presentations
  • 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:

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Self-catered accommodation with medical care
11 reasons that make us the most popular orthopaedic clinic abroad

One of the most important factors for a quick and full recovery after surgery is proper rehabilitation. Usually, clinics are not able to offer this due to costs savings. Our patients can choose between two inpatient and outpatient options: rehabilitation with a physiotherapist of the Lithuanian national basketball team, prof. L. Siupsinskas or rehabilitation at a medical SPA.

Our team of 5 orthopaedic surgeons has 10-20 years of experience in the field in total performing over 1.000 different orthopaedic surgeries per year. Moreover, our surgeons are members of various prestigious surgical societies both Lithuanian and international. Our leading joint replacement surgeon S. Tarasevicius is an author of 150 scientific publications in different medical journals, who has performed more than 3.500 joint replacement surgeries during 15+ years of his professional experience. 

We are one of the leading orthopaedic surgery clinics for medical tourists in the European Union. We are proud of the fact that over 90 % of our patients come from the UK, Ireland, Norway, Sweden, the United States, Canada and other countries.

One of the world’s leading medical technology companies and orthopaedic implant manufacturers, Smith & Nephew, have chosen Nordorthopaedics as Center of Excellence in the Baltic States.

We are trusted by our patients and we appreciate all the reviews and feedback collected over the years. Find more than 150 testimonials here or on Google. 

Already more than 4.000 of our former, current and future patients joined our online community with the aim to build a space for opinions and mutual support. Members are welcome to share experiences about their visit to the clinic and to discuss all surgery-related matters. No other orthopaedic clinic can offer such group support.

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 2-3% 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. Moreover, thanks to our active participation in collecting data for the registries, the surgical technique used at our clinic ensures best surgical outcomes.

Our clinic works according to the highest standards set by the European Union. This helps to guarantee the quality of medical services. We care about the safety, comfort and successful results of our patients from all over the world. 

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.

We provide customer service in 9 foreign languages including English, Swedish, Norwegian, Danish, Italian, Spanish, French, Russian, Polish. Everyone in our clinic speaks English, including nurses, assistants and the surgeon. 

Athletes treated at Nordorthopaedics
Official clinic of Lithuania national football teams
Highest quality implants

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 2-3% 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.

13 patients' case studies
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What is hip impingement? What are its symptoms and causes?

Hip impingement, also called femoroacetabular impingement, is a structural disorder of the hip. In a healthy joint, the ball of the femur fits perfectly into the acetabulum and glides smoothly during hip movements. However, in hip impingement, bone spurs or a structural joint abnormality prevent the painless and free movement of the ball-and-socket joint. 

Patients report feeling pain in the groin after sitting, walking, flexing, or rotating the hip. The symptoms also include altered walking and hip stiffness. Over time, hip impingement can cause joint cartilage injury, strain on other parts of the body, and an increased risk of osteoarthritis.

There are generally two types of hip impingement:

Who is at risk for hip impingement?

There are several risk factors that increase the likelihood of developing hip impingement. In general, the risk factors include childhood orthopedic conditions (e.g. hip dysplasia), heavy labour, trauma to the hip, repetitive flexion, inflammatory arthritis, muscle imbalance, poor biomechanics, instability of the hip, obesity, male gender, and others.

How is hip impingement treated?
Who is a good candidate for hip impingement surgery?

A good hip impingement surgery candidate is someone who complains about pain in the groin during flexion, walking, sitting, or squatting. A candidate should have completed physical therapy sessions without any signs of improvement and be in generally good health. Hip impingement surgery cannot be performed for someone with active infectious processes, osteoarthritis, severe obesity, or osteoporotic bones (loss of bone density).

How is hip impingement surgery performed?

Hip impingement can be corrected arthroscopically or with open surgery. An arthroscopic approach is a more common option since it only requires a few small incisions to access and operate on the hip joint. Arthroscopy has many advantages, such as less tissue damage, less postoperative pain, and a faster recovery. Open surgery allows the surgeons to address a variety of hip pathologies with direct observation.

Possible complications

Even though surgery for hip impingement is relatively safe, every surgical intervention comes with a certain level of risk. Complications can occur and may include wound infection, blood clots, nerve damage, and lack of healing of the involved bones. Every precaution is taken to ensure the highest quality care, safety, and the best surgical outcomes for the patient.

Recovery and rehabilitation after the surgery. Returning to sports and other activities

After surgery, patients remain in the hospital for 3 to 4 days. While in the clinic, pain is managed intravenously to ensure a comfortable recovery. Most patients can walk immediately after the surgery and crutches should be used for the first 6 weeks. After 2-3 days, X-rays are performed to evaluate the hip joint. A follow-up appointment to remove stitches is scheduled 2 weeks after surgery. It is advisable to take at least 2 weeks off work as most patients can return to sedentary jobs in about 2 weeks. Patients are allowed to drive after reaching almost full weight-bearing.

Physiotherapy plays a very important role in rehabilitation. Within the first week, patients have their first appointment with a physical therapist to assess the range of motion and plan the upcoming rehabilitation.