Knee Arthroscopy Abroad: Lithuania

Price in GBP
Price in EUR
  • Knee arthoscopy – 1.300 £
  • consultation with the surgeon
  • necessary health tests
  • surgery
  • anaesthesia
  • hospitalisation
  • 24/7 personal assistance during your stay
  • transfers to / from the airport, hotel and clinic
  • all documents translated to English

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. 

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. 

Our surgeon Juozas Belickas
  • More than 25 years of working experience
  • 500 surgeries per year
  • More than 2000 knee replacements, more than 2000 ligament reconstructions, more than 10000 arthroscopies
  • Fluent in English and Russian
  • The ex president of Arthroscopy Surgeons Association in Lithuania
  • UK General Medical Council certificate
  • Training abroad: USA, Austria, Denmark, Finland, Switzerland, Belgium, Germany
  • Read more
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 in Lithuania

Lithuania has one of the lowest rates of COVID-19 cases in Europe. Its rate of confirmed COVID-19 cases per 100.000 residents in the last 14 days is several times lower than UK. You can read 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 knee arthroscopy and why is it performed?

Knee arthroscopy is a surgical technique that allows a surgeon to view the inside of the knee and treat the damaged ligaments of the knee joint.

During knee arthroscopy the surgeon makes a few small incisions in the knee and injects saline. Saline is a salty aqueous solution which expands the knee, and therefore, provides the surgeon with a clear sight of the joint.

A tiny camera, which is called an arthroscope, is inserted into the knee making it possible for the surgeon to view inside of the joint and repair the damaged ligaments with a great precision.

Knee arthroscopy is a procedure of choice for diagnosing knee problems and then treating them.

The arthroscopic view provides detailed imaging of the knee which helps to diagnose the problem, confirm a source of pain, or treat the damaged ligaments. Doctors often use arthroscopy when other imaging techniques (e.g. X-rays or MRI) have failed to provide enough information about the injury. Usually knee arthroscopy is used for diagnosing torn meniscus and patellar tracking issues.

Types of meniscus tears

Menisci are located between tibia and femur bones. These ligaments are composed of cartilaginous tissue and may resemble rubbery cushions which function as ‘shock absorbers’. Menisci highly contribute to keeping the knee stable and protecting the bones from grinding into each other when moving.

Knee injuries mostly include various manifestations of the meniscal tears. Menisci are often torn because of traumatic events, injury, or degeneration, and anyone at any age can have their meniscus damaged. The injury may be caused by sudden twisting, rotating or squatting movements. Surgeons usually recommend arthroscopic knee surgery for the injuries that remain symptomatic. If a meniscus tear remains untreated, the risk of developing osteoarthritis later in life increases significantly. The choice of surgical method depends on the type of meniscus tear.

  • An incomplete tear usually does not require surgical treatment since this type of injury is relatively stable. Sometimes it may heal on its own, however, consulting a doctor and choosing a treatment plan is crucial for a successful recovery.
  • A radial tear has little to no capacity to heal since the tear is usually located in the central part of the meniscus where there is no blood supply. Hence, the damaged portion has to be fully removed during surgery.
  • A horizontal tear does not require removing a part of the meniscus and can rather be treated by sewing the torn parts together.
  • A flap tear is an uncommon pattern of a meniscus injury. It may prevent the knee from bending smoothly, cause pain and instability. Fortunately, a flap tear can be simply treated without a need to remove a large portion of the meniscus.
  • A bucket-handle is a horizontal tear along meniscus. The torn portion of the meniscus usually cause the knee to become stuck, and therefore, limits normal range of motion. Bucket-handle tears require immediate surgical treatment to restore a usual bending of the knee.
The symptoms and diagnosis of a meniscus tear

A meniscal tear is usually a result of a trauma or degenerative processes, and can be quite painful and debilitating. When the meniscus is damaged one is likely to hear a ‘pop’ sound and feel a ‘tearing’ sensation in the knee. Many people choose to continue walking even when their knee is injured. Unfortunately, the knee slowly swells and after approximately 6-12 hours becomes stiff and painful. A meniscal tear might also result in a free body, which can obstruct full knee flexion leading to a locked flexion.

In this case the patient might not be able to move the knee to its full range of motion. A meniscus tear can be diagnosed if there is tenderness within the joint, the joint is significantly effused, or there is a limited range of motion. There are specific tests which help to determine if the meniscus is torn, however, meniscal tears are best diagnosed through MRI scanning.

Preparing for arthroscopic knee surgery

In order to experience a stress-free recovery it is necessary to prepare for an upcoming surgery in advance. During a consultation with a surgeon, a patient’s medical history and all the medications in use will be reviewed. The patient is asked about the current health and the previous medical, surgical, and medication history.

The doctor might recommend discontinuing aspirin, ibuprofen, CoQ10, glucosamine chondroitin, flaxseed, vitamin E, fish oil, green tea, chia seeds, primrose oil, and garlic as they all increase the risk of bleeding.

Also, the patient should avoid tobacco and alcohol consumption a month before and after the surgery since these substances disrupt and prolong the healing process.

It is advised to move downstairs for at least a couple of weeks and avoid using the stairs to refrain from putting weight on the operated knee. The patient should prepare a few pillows which will be placed under the operated knee since elevating the leg reduces postoperative swelling and speeds up recovery.

One week before the surgery the patient should undergo all the necessary medical tests. All the aspects of the surgery, such as available strategies and post-operative period, will be discussed during a private consultation. The patient will have to undergo any necessary lab tests, including blood work, urine test, ECG (electrocardiogram), X-rays, or others.

During the surgery a patient is given general anaesthesia. In order to prevent regurgitation during the surgery, the patient cannot eat or drink at least 6 hours before the surgery. It is extremely important that one does not have any bruises, cuts, or pimples on the legs as they highly increase the risk of infection. Patients are recommended to arrive a few hours before the surgery and bring all the medications they might need additionally. Wearing loose and comfortable clothing will make it easier to dress up when leaving the hospital.

Hospitalization and what to expect on the first few days after the surgery

Once the patient has recovered from anaesthesia they will find themselves in a recovery room. The knee will be bandaged and elevated. The patient might feel more or less tired which is common after undergoing anaesthesia. Many patients can be discharged from the hospital as soon as 2 hours post-surgery.

Usually, it is possible to return back to a sitting job after approximately a week and other daily activities may be resumed in 3 weeks. Returning to sports takes more time but most people can come back to high intensity activities in a few months.

After the surgery the knee may ache and swell. Recovery time varies depending on many factors. Most patients remain active after the treatment of a torn meniscus, broken cartilage, or Baker’s cyst, and does not even need to use assistive devices. The patients are recommended to wear a hinged knee brace for 4 weeks post-surgery.

The bandages should be kept dry and clean. Patients will be informed about the first time they can have a shower and how to take care of the wound.

For pain control the doctor may recommend taking anti-inflammatory drugs, such as ibuprofen or paracetamol. It is recommended to have someone to check on the patient for the first 24 hours after the surgery. The patient’s knee should be elevated for the first few days to reduce swelling. It is advised to apply ice compresses which helps to alleviate pain and promote healing.

The patient is not allowed to drive until the doctor agrees on doing so.

A rehabilitation specialist will provide a recovery program which usually includes an exercise routine and may include other muscle-strengthening activities, such as swimming, interferential current therapy (ICF), or electrical muscles stimulation.

Physical therapy; returning to sports

Week 1 to 4

During the first week, the goals are to diminish inflammation and swelling, restore knee extension and flexion (90 º), regain Quad muscle activity, full scar and patellar mobility. Such exercises as ankle pumps, quadriceps and hamstring sets and gluteal sets aid in strengthening the muscles used in knee bending.

Week 4 to 6

This time is dedicated to restoring the active range of motion (AROM) and reestablishing muscle activity. The goal is to move with no painful sensations. Training proprioception is an important part of the recovery too. The patient will do such exercises as heel raises, mini-squats (knees are bent less than 90 º degrees), and may use a stationary bike without resistance.

Week 6 to 12

At this time, the patients are prepared for advanced exercises. A range of motion should be full and pain-free. Patients can now begin to flex the knee beyond 90º. Depending on the individual cases, kinesiotherapist will offer advanced exercises which enhance stability and flexibility of the knee.

Week 12-16

People who are looking to return to professional sports should continue to increase muscle strength, power, and endurance. At this time, sport-specific training can be introduced. However, the patients are still recommended to avoid squatting, pivoting or twisting on the knee. One should continue all exercises and may begin light jogging. Plyometrics and swimming are also highly beneficial in recovery.

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