Total hip replacement

Hip replacement in Minsk has been successfully performed by Belarusian orthopedic traumatologists for many years.

An attractive price and quality of medical services for endoprosthetics is what clinics in the Republic of Belarus offer. The Triostyle company will organize a consultation and surgery for you with the best orthopedic traumatologists, correctly draw up your schedule of stay, and provide guidance on all issues related to the trip.

Treatment in Belarus +375 29 7793774

• The Triostyle company will take care of organizing, supporting, and booking medical services for you in the best clinics
• We offer free review of applications and consultation on selecting a clinic, doctor and treatment options
• You do not overpay anything - payment for medical services is carried out directly in clinics and medical centers

After operation

Immediately after surgery

The patient is prescribed analgesic drugs, as well as antibiotics and anticoagulants. Sometimes the patient will have a special pad placed between their legs to help keep the new hip joint in the correct position. A catheter for collecting urine will save the patient from having to get up to go to the toilet, and compression stockings will prevent the formation of blood clots. The patient may also be prescribed compression sleeves. They compress the shins and stimulate blood circulation.

Movement

The patient will be able to stand up with the help of a rehabilitation specialist one day after the operation. At first he will walk on crutches or with a walker. At the time of discharge, the patient will be able to sit down and stand up, dress himself, use the toilet, and go up and down stairs.

The patient should engage in physical therapy as soon as possible. He will be shown exercises that develop strength and endurance. In addition, he will be taught to move in such a way that the hip does not move when moving.

If a patient has had a traditional hip replacement, they will need to follow special instructions until the hip is completely healed. Basic recommendations:

1. do not twist your hips. Try to keep your shoulders, hips, knees and feet straight;
2. do not bend your hips at an angle of more than 90, i.e. do not lean forward when sitting down or tying shoelaces;
3. do not place the operated leg close to the other leg (the leg should not move inward relative to the center of the body):

• do not cross your legs and feet;
• carefully get out of bed and lie down on it, sit down and get out of the car. Make sure that the leg does not cross the imaginary line running through the center of the body;
• put a pillow between your legs when you lie down.

The risk of hip dislocation is lower after anterior minimally invasive hip replacement. However, the patient should follow some recommendations:

• do not move or lean back;
• do not move your leg to the side too much. Control the position of your big toes: they should look straight or slightly inward.

A physical therapy specialist will teach the patient how to move correctly and safely.

Further recovery

After the operation, the patient is prescribed painkillers (for about a week, with the dosage gradually reduced) and anticoagulants (for several weeks).

The patient will walk using a cane, crutches, or walker. As you recover, it is recommended to take short walks several times a day. If pain occurs, you can apply a cold compress to the thigh.

After hip replacement using the traditional method, the recovery period takes at least 6 months. Patients typically recover faster after anterior minimally invasive arthroplasty. Regular exercise and walking speed up recovery.

Life with a hip prosthesis

Physical activity (swimming, walking) will help strengthen muscles and overall health. The doctor will advise what is best to do.

Perhaps after the operation the patient will be able to again engage in his favorite sports: cycling, swimming or dancing;

At least once a year, the patient will need to visit a doctor to evaluate the condition of the joint.

For at least two years after surgery, doctors recommend that patients take antibiotics before dental treatment and other invasive procedures to prevent infection of the tissue surrounding the denture. After two years, the doctor and dentist will decide whether the patient needs to continue taking antibiotics.

Hip replacement

The Minsk Emergency Hospital is one of the leading medical institutions where hip arthroplasty (replacement) is performed.

Our institution has developed and operates a unique and unique in Belarus in its type of activity “Department of Combined Trauma”, on the basis of which specialized surgical care at the republican level is provided for hip replacement.

We perform more than 100 operations per year.

Prices

The cost of surgical treatment is $523

You can find out all the necessary information on endoprosthetics by calling: + 375 (17) 287-89-26 or fill out an online application for treatment.

Specialists

The most competent and qualified doctors of the necessary specialties are involved in your treatment, from the moment of first aid until the end of the course of rehabilitation after injury.

Ladutko Ivan Nikolaevich

Leading surgeon, head of department. Highest qualification category in the specialty "Surgery". Awarded a Certificate of Honor from the Council of Ministers of the Republic of Belarus, a Certificate of Honor from the Minsk City Council of Deputies. Awarded the title “Doctor of the Year of the Republic of Belarus 2006”.

Komarovsky Mikhail Vladimirovich

Traumatologist-orthopedist, head of the department. First qualification category. Awarded the title “Excellence in Healthcare of the Republic of Belarus”.

Voloshenyuk Alexander Nikolaevich

Traumatologist-orthopedist. Highest qualification category. Candidate of Medical Sciences. Assistant professor.

Stages of prosthetics

1) Before surgery

On the eve of the endoprosthetic surgery, you are examined by an anesthesiologist, who, together with you and the operating surgeon, decides which type of anesthesia to choose.

For surgical intervention for various injuries and diseases of the joints (bone fractures, various therapeutic and diagnostic measures, skeletal traction, major surgical interventions, knee replacement, etc.), the following types of pain relief are used:

1. Local anesthesia is a simple, safe method for the patient, which is used relatively infrequently due to the short duration of the anesthetic and limitations in intra-articular measures.
2. Conduction anesthesia - the effect of an anesthetic on a large nerve trunk and its branches lasts up to one and a half hours.
3. Epidural anesthesia allows you to control the administration of anesthetic in doses and maintain contact with the patient during surgery.
4. General anesthesia allows you to choose the required duration of pain relief during major surgery, but has a number of disadvantages.

At the same time, it is possible to control the depth of anesthesia that is used, as well as the duration of the operation. The presence of a qualified anesthesiologist is required, who will constantly monitor the patient’s condition and monitor his cardiac performance (heart rate and strength, blood pressure level).

During operations on elderly patients, the anesthesiologist is accompanied before the operation, during and after the end of the surgical intervention.

2) Duration

The average duration of various operations is from 30 minutes to 3-4 hours. The first day after surgery, depending on the severity of the initial condition, the patient spends either in his room or in the intensive care unit (severe general condition of the patient with extensive injuries, large-scale operations) for enhanced monitoring of his health.

3) First days

The next day, patients usually begin to become active (turn on their side, sit down). On days 2-3, the patient usually begins to walk independently with the help of crutches.

4) Discharge and rehabilitation

Discharge, as a rule, occurs 8-12 days after joint replacement surgery. After discharge, it is important to strictly follow the restrictions and prescriptions prescribed by the surgeon for successful rehabilitation.

Hip endoprostheses for each specific patient are selected after a comprehensive examination!

Why us?

Why you should use our services

• The most competent and qualified doctors of the necessary specialties are involved in your treatment, from the moment of first aid until the end of the course of rehabilitation after injury.
• The operating unit is equipped with all the necessary equipment to perform joint replacement operations of any level of complexity, including the use of video laparoscopic techniques (thoracoscopy, laparoscopic operations on the abdominal organs, athroscopy).
• You are guaranteed to receive quality services for a reasonable price.
• Trust your health to professionals. During the operation of the clinic, over 800 thousand sick and injured people received competent medical care and confidence in their future!

Patient Acknowledgments

I express my deep gratitude to the head of traumatology department No. 2 M.V. Komarovsky. and trauma surgeon Suedan A.A. for the golden hands that help us restore health, as well as a sensitive attitude towards our patients.

Lemeshkova Yanina Vladimirovna

On February 3, 2015, I underwent surgery at the State Clinical Emergency Hospital - total endoprosthetics. I was in trauma department No. 2, during the entire period of my stay in the department, in addition to the necessary treatment, I felt care and attention from the nursing staff, their understanding and assistance in connection with the limitation of motor activity. I would like to express special gratitude to the head of the department, Mikhail Vladimirovich Komarovsky, and the doctor, Igor Vladimirovich Fedorenchik. It is thanks to their professionalism and sensitive attitude towards patients that people again get a chance to return to normal everyday life. Many thanks to the anesthesiologist, the specialist who introduced me to the rehabilitation program, as well as to all the medical workers of the department.

Baltadzhi Viktor Vladimirovich

We also treat

List of diseases that can be treated in our clinic:

• Hip replacement (arthrosis deformans, femoral neck fractures);
• Intracranial hematomas (epidural, subdural, intracerebral operations are performed with endoscopic video assistance);
• Fractures of the bones of the vault and base of the skull; Consequences of traumatic brain injuries (bone grafting of skull defects, cerebrospinal fluid shunting operations for hydrocephalus);
• Damage to the chest organs (rib fractures, hemopneumothorax, lung ruptures, heart injuries, diaphragmatic ruptures, damage to large vessels);
• Damage to the abdominal organs (ruptures of the liver, gallbladder, spleen, pancreas, small intestine, colon, kidneys, ureters, bladder, damage to great vessels);
• Bone fractures (osteosynthesis for fractures of the spine, pelvis, hip, ankle, foot, collarbone, shoulder, forearm, hand);
• Dislocations (elimination of dislocation of any localization: shoulder, forearm, hand, phalanges of the fingers, collarbone, thigh, lower leg, foot; habitual dislocation of the shoulder, patella);
• Restoring the integrity of the tendons (Achilles, biceps brachii, tendons of the fingers and toes);
• Consequences of previous injuries (false joints, delayed bone fusion, curvature of limbs, removal of metal structures);
• Sports injury;
• Treatment of foot deformities (halux valgus, flat feet, bunions).

Result

As a rule, the patient's condition improves after surgery. Pain sensations are significantly reduced, and it is easier for the patient to perform daily activities. But for final recovery the patient needs time and patience.

Dentures last 10-20 years, and sometimes longer. The lifespan of the prosthesis depends on the patient's age, the load on the joint, how well the bones and the new joint have fused, and the patient's weight. Every kilogram triples the load on the hip joint. Maintaining a healthy weight will extend the life of your denture.

REHABILITATION

Rehabilitation is also possible at the Republican Scientific and Practical Center for Traumatology and Orthopedics. The cost of rehabilitation after hip replacement surgery is $800-$1,200.

The recovery period in the hospital consists of drug therapy, physiotherapy, prevention of complications, physical therapy to restore range of motion in the joint, training in movement and self-care. Rehabilitation after hospitalization has the goal of completely restoring the ability to support a limb, restoring range of motion, and the ability to move freely.

The recovery period takes 10-14 days.

The physiotherapy department of the clinic has modern equipment that allows for a wide range of rehabilitation procedures, including:

• massage,
• hydrotherapy (baths, swimming pool)
• electrophototherapy
• medicinal electrophoresis procedures
• local cryotherapy
• magnetic laser therapy and other procedures.

Rehabilitation of patients after endoprosthetics begins in the early postoperative period. A team of highly qualified specialists develops an individual plan of rehabilitation measures for each patient, which allows the person to return to an active and fulfilling life in the shortest possible time.

Leave a request +375 29 936-03-03

POST-REHABILITATION

When performing this type of surgery, special attention should be paid to the subsequent rehabilitation period. A well-designed and effective rehabilitation program is often the decisive factor when choosing a clinic and country in which the operation is performed. After a total hip replacement, the rehabilitation period ranges from three months to six months. What the patient can and cannot do during this period.

At the very beginning, immediately after surgery, it is recommended to limit physical activity, especially the activity of the joint that has been replaced.

It is necessary to follow a special dietary regimen that promotes rapid tissue healing.

If necessary, specialists can develop an individual regimen in which there is a gradual return to the usual way of life. Moderate physical activity, walks begin, swimming and special physical therapy are indicated.

Comprehensive physiotherapy

Physiotherapy is an important component of successful rehabilitation after endoprosthetics. The goals are to improve microcirculation, activate metabolic processes, increase muscle tone, and eliminate spasms.

Kinesiotherapy is a type of physical therapy, movement treatment, prescribed at an early stage of rehabilitation. Classes are held on a special simulator for the hip joint. The complex is compiled taking into account the individual characteristics of the body, the presence of certain diseases in the patient.

To achieve results, you need to practice regularly under the strict guidance of an instructor. The patient masters all exercises gradually, the loads increase gradually taking into account the body’s adaptation. During gymnastics you need to breathe correctly, this helps to cope with pain and engage deep muscles.

Contraindications: malignant neoplasms, infectious pathologies, open and closed bleeding. Gymnastics cannot be performed with high blood pressure, tachycardia, diabetes, thrombosis and thrombophlebitis.

Hydrokinesitherapy - therapeutic exercises in the pool. Allows you to avoid excessive loads on the joint capsule and the appearance of unpleasant sensations. Improves the functioning of the entire musculoskeletal system and immune system.

Effective physiotherapy after endoprosthetics:

1. Cryotherapy. Forms filled with hydrogel are applied to the prosthetic site. The duration of the procedure is 15 minutes. Helps quickly get rid of pain and swelling.
2. Electrical stimulation. Exposure of tissue to current of a certain frequency. Muscles contract, strengthen, and tone increases. The method activates metabolic processes and improves blood circulation in the surgical area.
3. Magnetotherapy. The tissue is exposed to a high or low frequency magnetic field. The result is a decrease in pain, a decrease in signs of inflammation, a mild sedative effect, improved vascular elasticity, and accelerated tissue recovery.
4. Watsu is a body-oriented technique. Combines body support, muscle traction, mobilization of cartilage tissue, joint healing, massage. Allows you to increase the range of motion of the hip joint to its natural amplitude. After the first session, mobility improves, spasms disappear, and pain decreases. Additionally, the protective and restorative functions of the body are activated, sleep improves, and emotional stress goes away.
5. Orthotics. An orthosis is selected for the patient for fixation, correction of functions, and unloading of the limb during recovery after surgery.
6. Laser therapy. The light beam improves the body's self-regulation. After the procedure, swelling and pain are reduced, and the immune system is activated.

Therapeutic massage is prescribed after relief of acute pain. Sessions are carried out to improve blood circulation, saturate tissues with nutrients and oxygen, and accelerate the regeneration process.

ORGANIZATIONAL PROCESS

• Patient fills out consultation form
• Within 1-2 days, the data is studied by a council of doctors
• The patient receives a preliminary treatment program in writing
• Discussion of medical issues by phone/skype/email
• Coordination of visit dates and booking an appointment time
• Arrival, meeting at the train station/airport, transfer to the clinic
• Accommodation in a comfortable room at the clinic
• In the morning, face-to-face consultations + preoperative examination (blood, ECG, X-ray or MRI)
• On day 2-3 the operation is performed (2 - 2.5 hours)
• The patient spends 8-10 days in the clinic under the supervision of doctors and undergoes an intensive rehabilitation course.