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.
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:
Outpatient rehabilitation in Kaunas with a physiotherapist. The rehabilitation clinic is equipped with modern facilities. Individual rehabilitation programs are prepared by a kinesiologist with over 20 years of experience, Prof. Laimonas Siupsinskas. This type of rehabilitation is best suited for people who are physically active, athletes and those wishing to return to sports as soon as possible.
Rehabilitation in Kaunas – € 100 / £ 86 for one 1 h physiotherapy session 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.
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 4-6% 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.
Knee replacement surgery, also known as arthroplasty, is generally regarded as an effective treatment for end-stage knee arthritis. It results in an improved knee function and significantly relieves severe pain caused by degenerative joint diseases. All knee replacement procedures are generally divided into 2 major groups, depending on whether the knee is replaced totally or partially. When trying to better understand the mechanism behind total knee arthroplasty, knowing the anatomic complexity of a knee comes in handy. A knee joint is often compared to a hinge which allows to flex, extend and limitedly rotate the lower leg. Structurally it resembles three separate joints: slightly rounded end of the thigh bone forms 2 separate articulations with a slightly hollow end of the shinbone which has a mobile kneecap on top. The most common indication for total knee replacement is severe osteoarthritis that affects all surfaces of these synergic joints and causes pain which is unresponsive to medical management.
These significant structural changes are directly responsible for the main complaint after knee replacement surgery, which is stiffness and a lingering sensation of a foreign body placed inside the joint. All in all, a total knee replacement is one of the most successful examples of innovative surgery and has resulted in substantial quality-of-life gains for people with severe joint problems.
In comparison to a total knee arthroplasty, partial knee replacement may be defined as a less invasive surgical approach for patients with only moderate knee joint diseases. A great majority of degenerative joint diseases primarily affect the medial compartment of the knee joint. This is because a fibrous cartilage between the surfaces of the medial tibiofemoral articulation, also known as a medial meniscus, is relatively thinner and experience greater pressure while walking etc. The damaged component of the knee is replaced using the same method as in the total knee arthroplasty but without affecting the healthy parts of the joint. However, as flawless as partial knee replacement may sound, its biggest potential drawback is incomplete pain relief. The success of the surgery depends entirely on choosing the right candidate and carefully evaluating the extent of disease.
Careful preparation for knee replacement surgery is an important part of the procedure itself as it determines the success of the surgery and the quality of post-op recovery. Here are the main recommendations to be followed:
Practice active lifestyle. Committing to some form of regular exercise may greatly facilitate the recovery. Activities such as swimming or cycling are excellent for maintaining muscle function and range of motion. If the joints are painful and rigid the patient should stay minimally active by only taking short walks several times a day.
Increased body weight would, intuitively, be expected to lead to a poorer outcome after joint replacement as the knees are directly strained by overweight. A significant positive correlation has been observed between the wear damage seen on the components of knee prosthesis and the BMI of the postoperative patients. However, some recently published studies have proven that the perioperative complication rate in patients with BMI over 40 wasn’t dramatically higher than the rate in patients with lower BMIs. Moreover, it is now known that obese patients have relatively good pain relief and positive functional outcomes after the surgery. Therefore, a simple answer to the question about BMI limit is negative. Looking from a medical point of view, obesity is associated with many other comorbidities that affect one’s everyday life and well-being. That is why overweight should not be tolerated, and if a patient is able to lose weight they most definitely should do that.
The age limit for knee replacement patients is also of a debatable significance. Although the older patients require a relatively longer hospitalization time and have higher complication rates, the improvements in their quality of life are very similar to those of younger patients.
After the surgery a patient is expected to stay in the clinic for 2 to 3 days. If a patient underwent general anesthesia, it is absolutely normal to experience some mild side effects on the first day after the procedure. On the following day a postoperative patient is encouraged to start moving and walking with a walker or crutches. In the beginning, it requires a lot of will and effort to start walking again, but it will pay off in the form of faster recovery. Upon discharge from the hospital, a patient should be able to take short walks, bend one’s knee up to 90 degrees and climb up and down a few steps with some extra help.
It could be said that half of the success of a knee replacement surgery depends on the post-op physical therapy. Physiotherapy exercise routine may be either home-based or monitored by the health professionals in rehabilitation facilities. Studies have shown that light to moderate regular exercises show short-term improvements in patients’ physical function, whereas more intensive ones have positive long-term outcomes. In order for a certain therapeutic approach to give good results the right combination of physiotherapy methods should be selected for each patient individually.
As surprising as it may seem, air travel is directly associated with the risk of deep vein thrombosis (DVT) in post-operative patients. It is because prolonged periods of inactivity and space limitations slow down the blood circulation, and the major veins of the knees are compressed creating a potential site for clot formation. Low cabin pressure at high elevations also contributes to making blood thicker. Therefore, the candidates for knee replacement surgery are advised to avoid flying for up to 6 weeks before and after the procedure. If it is necessary for a patient to take a flight one may still do that but some extra precautionary steps should be taken:
The positive effects of physical activity are particularly important for patients undergoing knee replacement, as osteoarthritis predisposes them to metabolic and functional decline. Light physical activity such as walking, climbing the stairs, jogging etc. is an attractive and convenient form of exercise as it can be self-managed and performed on a daily basis with low cost and minimal equipment. In addition to that, there are several types of exercises which target specific muscle groups of the lower body and may be performed every day:
Exercising muscles of the thigh improves knee flexion. This may be achieved by light stretches of hamstrings.
Muscles in the front of the thigh are responsible for knee extension. In order to strengthen them any light tension creating exercises, such as half squats done while holding on to a handrail or straightening the leg while sitting on a chair etc. are advised
In the early post-operative period there is a great variety of light exercises that should be performed while lying down. This includes bending the knees by sliding the heel towards the buttocks, repeatedly adducting the operated leg etc.
In order to choose the right form of exercise which would result beneficial, one should always consult a physiotherapist.
After the knee is totally or partially replaced, the midline incision across the front of a knee is closed and tightened up with staples or stitches. In order to prevent the wound from getting infected, a waterproof dressing is applied. It is highly recommended to keep the dressing for up to 7 days after the procedure unless it moves out of place or becomes fully saturated. If so, it should be changed by a qualified nurse, if possible, or a patient may do it by themselves.
The candidates for knee replacement are often hesitant about the surgery as there is a common misconception that driving is prohibited once the surgery is performed. In fact, the postoperative patients may already resume driving 4 weeks post-op or when they feel comfortable and confident about the flexibility of the knee.
Based on a general opinion among the medical society low-impact sports, such as hiking, swimming, running, and cycling etc. after knee replacement are most certainly welcome and encouraged. However, strenuous activities that put a lot of pressure on the knees are a topic of discussion. It is observed that the patients who played sports before their surgery are more likely to return to sports because of their willingness and motivation. All in all, due to the improvements in surgical technique and the growing knowledge about post-operative management of knee prosthesis, knee replacement surgery has even less impact on the activity level of post-operative patients.