Free choice of newest generation implants: Zimmer Biomet, Smith & Nephew and other.
Free choice of newest generation implants: Zimmer Biomet, Smith & Nephew and other.
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.
Patients saved this number of years by travelling to our clinic instead of waiting for surgery at home country.
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.
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
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.
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.
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.
Joint replacement revision surgery is a complex procedure to replace an old joint implant with a new one. Regardless of where the original prosthesis was inserted (a hip joint, a knee joint, or an ankle joint), wear-and-tear and implant loosening are the main reasons for reoperation. Revision surgery requires extensive preoperative planning and great surgical skills. The surgery also takes more time to complete than the initial joint replacement surgery. In some cases, only a part of the previously implanted prosthesis requires replacement, while other times a complete exchange of the implant is needed. Most patients have an excellent outcome of the surgery and resume daily life activities within 6-10 weeks.
Implant wear or loosening can threaten to cause a bone fracture, and so, should be immediately addressed. The indications for replacement surgery are:
Generally, most of the implants last around 10 to 20 years. Patients who had their joint replacement done more than 15 years ago are more likely to have older generation implants. Older implants wear down more easily compared to modern prosthesis used today. Approximately 3 to 5 % of joint replacement patients require reoperation in 10 years post-surgery. Sometimes, revision surgery is required after traumatic accidents, like fractures.
Firstly, a prospective patient should schedule an initial consultation with an orthopaedic surgeon. During the first consultation, the surgeon performs a thorough clinical examination and orders imaging tests if needed. The doctor determines the degree of the underlying damage and informs the patient of the possible treatment options. In some cases, fluid is aspirated from the joint space and sent to the laboratory to check for any joint infections.
Revision surgery is a major surgery that is performed under spinal or general anaesthesia and takes approximately 2-3 hours to complete. Modern joint implants are made with novel technology (so-called trabecular metal) that closely mimics real bone structure. That is why modern implants are more durable, ensure better stability and longer lifespan, compared to their older counterparts.
Whether it is a hip joint, a knee joint, or an ankle joint, a long incision is made over the joint to gain full access to an old prosthesis. The surgeon determines which parts of the prosthesis have worn down and need to be changed. Then, the old prosthesis is taken out and the bone surfaces are prepared for an insertion of a new implant. In case of severe bone deterioration, a bone graft can be used to fill any voids before the placement of a new prosthesis. Once a new implant is inserted, the incision is closed and the joint is placed in a bulky dressing.
A tissue-preserving hip replacement, also known as minimally invasive total hip arthroplasty (THA), is a surgical technique which is getting increasingly popular because of a shorter hospital stay and decreased rehabilitation time. It is similar to a traditional hip replacement surgery, however, it is designed to preserve muscle and connective tissue around the hip.
A tissue-preserving full hip replacement is different from a traditional full hip replacement because a much shorter incision of about 13 cm is made as compared to approximately 25 cm in traditional surgery. Moreover, muscles and ligaments are detached to a lesser extent than in traditional hip replacement surgery. Special surgical tools and techniques are used to access hip joint without damaging the surrounding tissues. The implants are the same as in traditional hip replacement.
Note that not every patient is recommended a tissue-preserving hip replacement surgery. This procedure is usually offered to patients who are younger and have a better physical form. One’s eligibility for this type of hip replacement surgery will be evaluated during a private consultation with a doctor.
Most patients have excellent results and return to regular activities and office work within 6 weeks and reach full recovery within 4-6 months. Driving is allowed after about 4 to 6 weeks. It may take up to 3 months to return to manual labor jobs.
Patients may choose to recover at home or in a rehabilitation facility. Rehabilitation should be commenced immediately after surgery. The operated leg should be kept elevated as much as possible. It is important to keep wound dressing dry and clean to prevent any infections. Ice packs can be used for short periods of time to control swelling. Post-op discomfort is managed with pain medications and patients are encouraged to sit up or walk with crutches a little bit each day. Recovery also includes physical therapy exercises, hydrotherapy, and manual therapy, to strengthen the muscles and improve range of motion.
|Return to office work||Return to manual labor job||Driving||Return to low impact sports|
|Hip joint revision surgery||4 to 6 weeks||About 3 months||6 weeks||about 3 months|
|Knee joint revision surgery||6 to 12 weeks||8 to 12 weeks||6 to 8 weeks||about 6 months|
|Ankle joint revision surgery||4 to 6 weeks||about 6 months||9 weeks||6 months to 1 year|
In the first weeks, rehabilitation focuses on gaining knee range of motion and strength. A CPM (Continuous Passive Motion) machine can be used to help with bending and straightening the leg. By the third week, patients gradually progress from using crutches, and eventually, walking with a cane only. Later, patients begin using a stationary bike and neuromuscular electrical stimulation to help activate the muscles. During weeks 7-8, patients are introduced to more difficult weight and proprioceptive training. A return to low-impact sports like swimming, cycling, and aerobics, can be expected after 3-6 months.
For the first two weeks, patients can walk only with crutches. Staples are removed after 2 weeks, and once they are out, patients can begin slowly bearing more and more weight on the operated leg. Hip joint replacement patients can walk without a limp after approximately 6 months and gradually return to low impact sports. High impact sports, such as basketball or running, are not recommended to prevent premature wear out of the prosthesis. Swimming, cycling, aerobics, dancing, and golfing, are safe at a relaxed state.
In the first 4 weeks, patients achieve independent mobility with a walking aid. By 3 months post-op, patients achieve full range of motion, begin core strengthening, proprioceptive exercises, and hydrotherapy. By 6 months, patients can wear normal footwear, walk independently, and slowly progress to low-impact sports, like swimming, cycling, or golfing.