Knee Replacement Abroad: in Lithuania

Price in GBP
Price in EUR
  • Knee replacement surgery- 3.400 £
  • Knee implants – from 2.500 £
  • Rehabilitation after surgery – from 116 £ per day

Package prices:

  • Package 1 (surgery + implant + 7 days rehabilitation) – from 6.760 £
  • Package 2 (surgery + implant + 14 days rehabilitation) – from 7.580 £
  • consultation with the surgeon
  • necessary health tests
  • surgery
  • implants
  • anaesthesia
  • hospitalisation
  • 24/7 personal assistance during your stay
  • transfers to / from the airport, hotel and clinic
  • all documents translated in English

The clinic uses Zimmer Biomet, Smith & Nephew and other highest quality implants. The implant option is discussed in detail once the surgeon reviews your individual case. 

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. 

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 NHS/HSE hospitals.

Refund from NHS and HSE
HSE & NHS

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. 

Experienced hip and knee surgeon
  • More than 10 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
  • 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 more than 10 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
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What is a total knee replacement?

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.

  • During the procedure, the patella is laterally subluxed and the knee is exposed in flexion.
  • The affected joint tissue is surgically removed and replaced by a knee prosthesis which consists of three separate components.
  • The end of a thigh bone is replaced with a femoral component made out of metal plate which corresponds to the natural shape of the bone.
  • The tibial component, which consists of a metal tray covered with a layer of plastic that moves against the surface of the femoral segment, replaces the top surface of the lower leg bone.
  • Patellar component covers the back part of the kneecap and is made out of plastic for it to glide over the front of the knee. Due to this reason the patients are advised not to kneel on the operated knee as the plastic covering of the patella may resurface.

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.

FAQ about knee replacement with our surgeon
More FAQ videos from our surgeon:

Watch full list of interview sessions on our Youtube channel.

What is a partial knee replacement?

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.

Preparation for surgery

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.

It is highly advised to quit smoking and consuming alcohol at least 2 weeks before the procedure as it may impair and delay bone healing.

It is important to stay as healthy as possible before the operation. Following a balanced diet and staying hydrated will strengthen the body, and this will help for a speedy and smooth recovery. The patients with a BMI higher than 25 may be also advised to lose some weight. However, it is important to be well nourished before the procedure therefore a very low-calorie diet just weeks before the surgery is not recommended.

Medications such as nonsteroidal anti-inflammatory drugs, blood thinners and aspirin should be avoided as they may cause bleeding during the procedure.

Consult an operating doctor about your allergies, previous surgeries, food supplements etc. If you have any pre-existing conditions that require daily usage of drugs, make sure to inform the doctor beforehand.

Follow your specific pre-operative instructions as they may vary depending on your medical history. If the instructions are not followed the surgery may be cancelled or postponed.

Is there an age or BMI limit for the surgery?

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.

Hospitalisation and what to expect during the first days after surgery

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.

The importance of physiotherapy

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.

The risk of flying and how to avoid it

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:

  • It is usually advised to flex legs frequently during the flight and drink mineral water in order to stay properly hydrated.
  • For the patients with a higher risk of thrombosis compression stockings are recommended as they constrict the diameter of veins and increase the blood flow.
  • In some cases, blood thinning medications or antiplatelet drugs may be prescribed.
Physical activity after the surgery

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.

Wound care and staple removal

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.

When it comes to showering, it is allowed as long as the dressing is kept as dry as possible, for it may fall off if the skin becomes too moist.

The stitches or staples are usually removed in 10 to 21 days after the surgery. If during the postoperative period a leakage, bruise or swelling is observed and the incision site becomes painful, you should consult a doctor immediately as the wound might get  infected.

Driving after a surgery

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.

Sports after knee replacement

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.

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