Joint replacement revision

Price in GBP
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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Our patients in the media

Only we can offer:
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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!

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waiting years saved

Patients saved this number of years by travelling to our clinic instead of waiting for surgery at home country.  

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 hip and knee surgeon Sarunas Tarasevicius
  • More than 15+ years of  working experience
  • Over 3.500 joint replacement surgeries performed
  • Fluent in English
  • President of Lithuanian Society of Orthopaedics and Traumatology
  • Training abroad: Sweden, Switzerland, Germany, Austria
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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 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. 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! Accepting patients from USA and Canada

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 joint replacement revision surgery?

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.

When is joint replacement surgery required?

Implant wear or loosening can threaten to cause a bone fracture, and so, should be immediately addressed. The indications for replacement surgery are:

How often is joint replacement revision surgery needed?

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.

How to prepare for joint replacement revision surgery?
How is joint replacement revision surgery performed?

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.

Recovery after joint replacement revision surgery

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
Returning to sports and daily physical activities after surgery

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.

We're open! Accepting patients from the UK and other countries