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Knee joint is more common than other joints in the human body and suffers from damage to the cartilage lining its surface. It develops deforming osteoarthritis. As a result, the function of the joint is impaired and pain occurs.
The structure of the knee joint.
Treatment of deforming osteoarthritis of the knee joint in Germany is performed by specialists with many years of experience, who hold leading positions in practical orthopedics, especially in the field of surgical methods. They use innovative materials and modern equipment during operations, that helps to avoid serious complications and negative consequences.
Almost every day, patients come to German clinics with signs of knee disorders. If pathological changes are detected in the course of diagnosis, when drug therapy fails to have a positive effect, then surgery is prescribed.
According to statistics, degenerative-dystrophic diseases of the musculoskeletal system most often affect people after 45 years of age. Usually, the cause of the pathological process is obesity of various degrees, metabolic disorders, congenital weakness of the ligamentous apparatus, hereditary predisposition and concomitant diseases. If this pathology is observed at a relatively young age, most likely the cause will be regular physical activity with weight, trauma and the presence of diseases that disrupt the functioning of cartilage tissues, such as systemic lupus erythematosus or scleroderma.
Important! It is recommended to consult a specialist at the very early stages of knee joint disease (pain when walking, limitation of movement), when the pathological process can still be eliminated with conservative therapy. As a result, it is possible to avoid surgery and recover much faster.
Indications for surgical intervention
In most cases, people go to the doctor with pronounced pain, which significantly reduces the quality of life. At the first stages of pathology, all discomfort is quite eliminable with various medications, so patients independently manage the pain syndrome, while degenerative processes continue to progress in the body. After a thorough diagnosis, the question of further treatment is decided. Let’s consider several factors in which the operation is performed:
- Advanced stages of osteoarthritis and other degenerative-dystrophic knee diseases;
- Severe pain that is not eliminated even by powerful medications.
- Congenital developmental anomalies of the musculoskeletal system;
- Autoimmune lesions of the knee;
- Serious knee injury.
- Dislocation of the patella.
- Pathological processes of cartilage tissue with involvement of knee joints.
The need for surgery is decided on an individual basis. In some cases, surgery may be prescribed for other diseases. More detailed information about the need for surgical intervention can be obtained at a face-to-face appointment with a specialist.
Pre-operative diagnosis
When applying to clinics in Munich for the purpose of this manipulation, a thorough laboratory and instrumental diagnosis is carried out first, during which possible contraindications to surgical intervention are excluded. Thanks to innovative equipment, the specialist has a complete picture of the pathology. Before deciding on the need for surgery, such procedures are carried out:
- General examination, to identify contraindications to surgery.
- Laboratory tests: general blood count, general urinalysis, biochemical blood count, inflammatory markers, blood coagulation.
- Knee X-ray
- MRI of the knee joint
When you are admitted to medical clinics in Germany, the medical staff monitors the patient. They check body temperature and blood pressure several times a day. This is necessary in order to avoid possible complications during the operation and to make sure that the client is feeling well.
On the eve of surgical intervention, psychological preparation of the patient is performed. For this purpose, sedative medications can be used.
Methods of Operation.
- Autogenous cartilage transplantation: arthroscopic or open surgical.
- Complete or partial joint replacement: knee endoprosthetics.
Which specific method to choose is decided only by the doctor on the basis of the full clinical picture and the results of the examination.
How knee replacement surgery works.
Different methods of anesthesia can be used during surgical intervention. Most often general anesthesia is used, in consultation with the doctor, it is possible to epidural anesthesia option. Во время операции специалист полностью контролирует процесс при помощи компьютерной системы. В среднем провести операцию удается за 1,5-2 часа. В ходе процедуры могут быть применены две методики операции:
- Total replacement. It is performed when the knee joint is completely damaged.
- Partial replacement. It is carried out in cases when the pathology has covered only a part of the cartilage tissue.
Let’s consider a step-by-step description of the operation:
- One type of anesthesia is used.
- In the damaged area, an incision is made in the skin, then in the fatty tissue, then in the muscle.
- The specialist extracts the damaged joints and performs antiseptic treatment.
- A prosthesis is fitted in place of the removed joint. Depending on the person’s age and individual characteristics, different prostheses can be used. techniques for fixing an artificial prosthesis.
- Layer-by-layer stitching of tissues. Suturing and installation of drainage, which is carried out to drain excess fluid in the operated area.
Postoperative period
Rehabilitation after surgery is as important for the patient’s recovery as the surgery itself. In Munich’s medical institutions, this area is not just well developed, but very well developed. The postoperative period is carried out under special control of physiotherapists and masseurs, thanks to which the recovery time is significantly reduced. During rehabilitation, various variations of physiotherapy and lymphatic drainage can be used, as well as exercises with an SRM splint and crutch training.
Orthopedic rehabilitation in Munich includes:
- Lymphatic drainage.
- Learning to walk.
- Physical therapy.
- Massage.
- Electrical stimulation.
- Acupuncture.
- Ergotherapy.
- Physical therapy.
- Microcurrents.
- Fangotherapy.
- Tire therapy.
- Cryotherapy.
- Mobilization of the knee joint.
- Reflexology.
- Chiropractic care.
- Mechanotherapy.
- Exercises on exercise machines.
- Pool exercises.
Prices for knee replacement surgery in Germany
|
Name of service |
Price, € |
Optional |
|---|---|---|
| Diagnosis before knee replacement.
Diagnosis and conservative treatment |
750–2000 2000-2500 |
2 days, outpatient. 2 days, outpatient. |
| Total endoprosthesis
Total endoprosthesis with rehabilitation |
10000-11000 15000-16500 |
8 days, inpatient 20 days, inpatient. |
| Partial endoprosthesis |
7000–9000 |
9 days inpatient |
How do I choose a clinic?
The advantages of surgical intervention in Germany are substantial. Firstly, it is worth noting the high-class diagnostic equipment, and secondly, the many years of experience of doctors who have performed hundreds of joint replacement surgeries.
Some patients are afraid to go to foreign clinics for many reasons: lack of knowledge of a foreign language, difficulties with visas, difficulties in choosing a medical center and a specialist. Especially frightening are the issues with choosing a treatment center and the right specialist.
Leave the handling of all these issues to the experts » Clinics in Germany «,In particular, to our manager, an expert physician in German treatment and surgical orthopedics, Maxim Sergeevich Rykov. He has up-to-date insider information on the treatment results of leading German orthopedists in Munich.
In order to avoid complications that increase the complexity and cost of treatment, it is advisable not to delay in contacting a physician whose specialization and qualifications correspond precisely to your diagnosis.