PCL reconstruction surgery
Price in GBP
Price in EUR
- PCL reconstruction surgery – from 3.920 £
- ACL reconstruction surgery – 2.900 £
- MCL reconstruction surgery – from 2.900 £
- accommodation with medical care – from 58 £ per night
- 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 to English
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.
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Our patients in the media
Only we can offer:
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.
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.
More than 188 positive reviews from our happy clients from all over the world. Accept the challenge and read them all here!
Patients saved this number of years by travelling to our clinic instead of waiting for surgery at home country.
Nordorthopaedics Center Of Excellence
Our surgeon Arnoldas Sipavicius
- More than 10 years of experience
- Specialises in arthroscopies, osteotomy surgeries and knee deformities
- ATLS Certificate
- Read more
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
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. 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.
- personalized rehabilitation course;
- specialist who is also a physiotherapist for Lithuanian Men’s National Basketball Team;
- all required medication;
- transportation to/from the rehabilitation clinic;
- read more about outpatient rehabilitation in Kaunas.
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.
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.
Our clinic uses implants based on their performance in international registries.
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 2-3% 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.
Direct flights to Lithuania
What is a PCL tear and what are its symptoms?
The posterior cruciate ligament (PCL) is a tough band of tissue that connects the thigh bone (femur) to the shinbone (tibia). It is located in the back of the joint and forms an X shape with the anterior cruciate ligament (ACL) in the center of the knee. A PCL injury is the second most common knee injury, making up less than 20% of knee ligament injuries. The ligament is most often injured during motor vehicle accidents (e.g. the knee slamming against the dashboard) or during contact sports (e.g. falling on a bent knee). PCL tear usually presents with mild to moderate pain in the knee, limping, knee swelling, and feeling as if the knee is going to give way.
How is a PCL tear diagnosed?
If a PCL tear is suspected, a physician examines the knee by pressing on it to feel for an injury and swelling. In the “posterior drawer test”, the doctor pushes the shin back to see if it will move more than 5 millimeters. If so, the PCL is likely torn. The doctor also compares the injured knee to the healthy one and asks the patient to take a few steps to determine whether the ligament is fully torn, partially torn or just sprained. Following the physical examination, the doctor orders certain imaging tests (X-ray, MRI scan) for further clarification of the diagnosis. In unusually difficult cases (when it is impossible to state diagnosis even after performing the imaging tests), the patient might need an arthroscopy to examine the inside of the joint capsule with a tiny camera.
Injury to the posterior cruciate ligament ranges from a sprain to a total rupture. Therefore, PCL injury is classified into the following grades:
- Grade I: a small partial PCL tear.
- Grade II: a near-complete PCL tear
- Grade III: a complete PCL tear (the ligament becomes non-functional)
How can it be treated?
There are several treatment options to treat a PCL tear. The exact treatment method depends on the severity of the injury and how much time has passed since the actual injury. Non-operative treatment is recommended for patients with incomplete tears or for older, sedentary patients with little desire to return to high-level sports. Pain relievers, such as ibuprofen or naproxen help to ease pain and discomfort. Rehabilitation at home includes resting, applying ice packs for 20 minutes every few hours, and elevating the knee above the level of the heart to reduce swelling. Conservative treatment also includes physical therapy to help make the knee stronger and improve its function. If PCL injury is severe, patients are recommended surgical reconstruction of the ligament.
Who is an eligible candidate for PCL repair surgery?
Not all posterior cruciate ligament injuries require surgical treatment. The decision for operative or non-operative treatment depends on a patient’s age, symptoms, expectations, and activity level. Reconstruction is considered in case of a completely torn PCL ligament and decreased knee mobility because of the injury. Surgery is recommended for young, active patients who wish to return to high-impact sports. PCL reconstruction is also considered when the symptoms of instability and discomfort remain despite rehabilitation.
How is the surgery performed?
PCL reconstruction is performed using a minimally invasive technique, called knee arthroscopy. It only requires a few small incisions around the knee joint, and so leaves minimal to no scarring. Most surgeries are completed under general anaesthesia and take up to 2 hours.
Firstly, a surgeon makes several incisions around the knee joint and inserts a tiny fiber-optic scope (an arthroscope) to examine the inside of the knee. Then, the surgeon uses special instruments to repair the ligament. He removes the damaged ligament and replaces it with a graft. In a PCL repair, the doctor typically uses an autograft (tissue from the patient‘s body) . The graft is accurately positioned and anchored with screws between the femur and tibia. Once the surgery is done, the surgeon closes the incisions, bandages the operated knee, and places the leg in a brace.
Possible complications
Recovery and rehabilitation after the surgery. Returning to sports and other activities.
Since posterior cruciate ligament (PCL) reconstruction is a minimally invasive surgery, it typically does not require an overnight stay in the hospital. Patients can expect to wear a knee brace and walk with crutches for the first 4 weeks. It is recommended to take at least 1 week off to rest and recover at home. Upon discharge from the clinic, patients are prescribed pain medications and given wound-care instructions. Physical therapy is initiated after approximately one-week post-op. Patients can return to driving in 6-8 weeks. A complete recovery can be expected in about 6 months to a year.
Immediately after surgery, patients should protect the healing structures and completely limit weight-bearing. During the first week post-op, the brace is locked in full extension at all times. Starting from the second week, the brace is unlocked for passive range of motion when working with a physiotherapist. Physical therapy exercises include patellar mobilization, straight leg raises, ankle pumps, and others.
The goals of the second recovery stage are to increase the range of motion, normalize gait, and continue to improve muscle strength and flexibility. Firstly, the brace is unlocked in a controlled environment (e.g. when at home) with a gradual progression to being with an unlocked brace for all activities. Patients progress to exercising in a pool, using a stationary bike, or an elliptical trainer.
The goals of the last recovery stage are to restore any residual loss of motion, improve muscle strength and flexibility. Patients progress to treadmill walking, jogging in a pool, and swimming. When the patient is ready, a physical therapist can initiate sport-specific training.
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