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Before the final decision to replace the hip or knee joint, the doctor may try other methods of treatment, such as physiotherapy and medications. A special training program can strengthen the muscles in the thigh area, thereby correcting the position of the head of the femur in the joint and reducing pain, or in the region of the knee joint, which increases its stability.

The doctor can also try to suppress the inflammatory process in the joint with the help of non-steroidal anti-inflammatory drugs - such as aspirin or ibuprofen. Many of these drugs are available without a prescription, although doctors usually prescribe these drugs at higher doses than can be obtained without a prescription.

In some, more rare cases, the doctor may prescribe steroid medications - such as prednisone, if other medications do not relieve pain. Steroids reduce inflammation of the joint and are often used to treat rheumatological diseases - such as rheumatoid polyarthritis.

Steroid drugs may not always be a therapeutic option, since they can cause a bone fracture in the joints with prolonged use in the future. Some people experience side effects from taking steroids, such as increased appetite, weight gain, reduced resistance to infections. Doctors should carefully monitor the treatment with steroids. Because steroid drugs interfere with the natural production of hormones in the body, patients can not stop taking them suddenly and must follow medical instructions for the gradual cessation of treatment.

If physiotherapy and medications did not reduce pain and improve joint mobility, physicians can offer corrective surgery, which is less traumatic than a complete replacement of the hip or knee joint. This procedure is called an osteotomy. This is a surgical restoration of the normal position of the joint by removing the damaged bone and part of the tissue. The purpose of such an operation is to place the joint in a more correct position to help more evenly redistribute the weight on the articular surfaces. In some people, such an operation reduces pain. Recovery after this operation takes from 6 to 12 months.

After osteotomy, the function of the joint may continue to worsen, and the patient will need additional treatment. The length of time between the operation of an osteotomy and additional surgical intervention varies widely, and depends mainly on the condition of the joint before the operation.
The most common reason that people undergo joint replacement is their defeat with arthrosis (so-called coxarthrosis, or gonarthrosis). Other conditions - such as rheumatoid arthritis (chronic inflammatory joint disease, pain, stiffness and swelling of the joints), avascular necrosis (destruction of the bone site caused by insufficient supply of blood), hip fracture, bone tumors - can also lead to joint damage and cause a need for their transplantation. Before the decision about the operation, the doctor usually tries to improve the condition of the patient with the help of devices that facilitate walking - such as a cane, and also - with the help of medications and physiotherapy. These methods are not always effective for reducing pain and improving joint mobility. Replacement of the femoral or knee joint is recommended if permanent pain and impaired mobility in the joint severely interfere with the patient in his usual daily life. Before the doctor can decide how much endoprosthetics is needed, he must assess the degree of joint destruction using X-rays. In the past, endoprosthetics of the hip or knee joint were offered, mainly, to people over 60 years old. Usually older patients are less active, and therefore have less stress on artificial joints than young, physically active people. In recent years, doctors have discovered that joint endoprosthetics can also be very successful in younger people. New technologies have improved endoprostheses, transplanted into the joint, allowing them to withstand much greater stress and stress. Another, even more important than age, factor determining the success of a hip or knee joint replacement is the general health and level of physical activity of the patient. For some people, arthroplasty of the joint can be quite problematic. For example, patients suffering from severe muscle weakness or Parkinson's disease, compared to healthy people, have a much greater chance of damaging or dislocating an artificial joint. Since people who have poor general health and a high risk of infection complications have worse chances to successfully transfer surgery and recovery process, doctors may not recommend surgical treatment for such patients.
Yes. But this requires radiographs and an outpatient card of the patient. We work from Monday to Friday from 09:00 to 18:00.
As a rule, 2 hours after the operation, the patient can leave the ward on his own for awakening. On the first day after the operation, light food is allowed. To avoid thrombosis before the operation and until discharge, the patient is prescribed heparin.

4 days after surgery, the patient is discharged home. Within a week or so. 6 weeks must wear a special bandage. Then it is recommended to undergo an individual rehabilitation program under the supervision of an experienced physiotherapist.

Ride a bicycle and sit behind the wheel is allowed after the full healing of the wound. If after the radiography it was possible to establish that the implant is in the optimal position, the patient can quickly walk, fall or jump, and perform other loads on the spine without fear of consequences.
If the diagnosis confirms that the damaged intervertebral disk causes complaints, the operation to replace it will be the optimal and correct decision.

The principle of treatment is always the same: The maximum removal of the intervertebral disc, if possible - the preservation of the outer ring of the disc.

To prevent disruption of the height of the vertebral body, an artificial implant (endoprosthesis) is placed on the site of the damaged intervertebral disc. Functional endoprosthesis of the intervertebral disc is an excellent alternative for replacing many painful discs.
The operation is performed under general anesthesia and lasts approximately 2 hours. After 2 hours after the operation the patient can move independently, and the next day he is discharged home.

Implantation of the endoprosthesis of the intervertebral disc is carried out through a small incision in the hypogastric region. After removal of the fallen intervertebral disc between the vertebrae (intervertebral), an endoprosthesis is installed.

The implant is fixed by two titanium plates. Thus, the bone can optimally grow to the prosthesis and the patient will not need to be afraid of weakening the established structure.

Between the two titanium plates is a polyethylene sliding core, a polyurethane sheath, protects the disc from the inside.
First question: What kind of operation is it?
The success of any operation largely depends on how much the patient and the doctor managed to find a common language. Therefore, usually doctors themselves tell in detail about the features and localization of the operation, explain why an operation is needed, describe in detail its course. If after the doctor's story some things remain unclear for you, do not hesitate to ask additional questions.
Second question: Which anesthesia will be used?
The times when anastatic drugs could harm the body, have been far in the past. Choosing a good profile clinic, you can be sure that you will choose the optimal anesthetic drug and its optimal dose. Nevertheless, if you want to alleviate postoperative pain, it makes sense to discuss with the doctor an additional epidural anesthesia.
Epidural anesthesia is an anesthetic injection that is performed in the spine and leads to loss of pain sensation and relaxation of the muscles.
The third question: how long will the operation last?
This is important for you and your family to optimally plan their time and avoid unnecessary discomfort.
Fourth question: What techniques will be used during the operation?
Techniques for conducting surgery are usually determined by the doctor in advance, so you can specify which technologies and tools will be used. It is also very important to understand if the surgeon is using this technology because it considers it to be the most effective, or because the resources of the clinic do not allow him to use a more innovative method.
Fifth question: How to prepare for the operation?Be sure to ask the doctor what should include the process of preparation for the operation. Find out what tests you need to pass and what tests to go through. Usually you need to take two types of tests: those that confirm your safety for other patients and medical personnel (for HIV, for hepatitis, etc.), and those that confirm the safety of the operation for your health (general blood test, urine and t .). In addition, you will need to pass narrow-profile tests related to the operated disease.
It is also important to find out what additional steps need to be taken to increase the likelihood of achieving positive results. If the operation is planned, you can start preparing in advance: stick to a diet, give up bad habits, and tackle the acute forms of already existing diseases.
At the same time, it is strictly recommended not to dramatically change your lifestyle immediately before the operation, as this can lead to additional stress, which is the main enemy of a quick recovery.
The sixth question: What is your experience of conducting such operations?
In order to be sure that your surgeon has enough experience in surgical treatment of your disease, first of all, you need to choose a specialized medical institution.
Usually specialists in narrow-profile centers have their own refined technique of conducting an operation, which greatly increases the chances of success. In addition, you can count on a broad general examination of the entire medical institution.
Seventh question: What will be the rehabilitation period after the operation?
Be sure to talk to the surgeon about the length of your stay in the hospital, how long the pain syndrome will last after the operation, when you can get out of bed, and always follow all the doctor's recommendations.
Separately ask the doctor what complications after the operation can expect you and how long it will take to treat them, find out if there is a chance of occurrence of "limited disability". The doctor should not only talk in detail about the complications, but also advise how to prevent them.
In addition, it is recommended to ask the surgeon about the size and shape of the stitch, which will be applied after the operation in order to avoid an unpleasant surprise.
Yes, it is possible. Any surgical intervention entails certain health risks. Moreover, it is always difficult to decide on an operation. But sometimes it can be the only method.
The insurance does not provide for payment of treatment, diagnostics and medications, unlike the policy of voluntary medical insurance. This type of health insurance assumes a direct payment of the insurance amount to the client in the event of an insured event.
Write to us at our e-mail: orthonik.ukr@gmail.com, provide information on how to contact you, a representative of the clinic will tell you the information for the initial consultation.
The company ORTHOPEDIC NIKIFOROV was founded in 1998 by the candidate of medical sciences. doctor of orthopedic-traumatologist of the highest category Nikiforov IA Owing to high professionalism and results of work, ORTONIC has gained well-deserved reputation and reputation among colleagues and population of Dnepropetrovsk region and CIS countries (Russia, Moldova, Armenia, etc.).

The principle of the enterprise is NO IMPOSSIBLE, it is based on knowledge, experience and active implementation of modern technologies in orthopedics and traumatology.