PCL reconstruction surgery

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. 
 
Our surgeon Arnoldas Sipavicius
  • More than 10 years of working experience
  • Specialises in osteotomy surgeries and knee deformities
  • Fluent in English
  • ATLS Certificate
  • President of Kaunas Regional Scientific Society of Orthopaedics and Traumatology (KKOTMD)
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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 packages

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!

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 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.