Hip, knee, elbow and shoulder replacement

4/22/202511 min read

KAF International Clinic cooperates with Iraqi partners, professional Iraqi traumatologists specializing in hip and knee replacement, as well as fracture treatment, knee and shoulder arthroscopy and other procedures.

➕ KAF international Clinic

Premium endoprosthetics

A PAIN-FREE LIFE IS BECOMING A REALITY!

⛔️ Leave pain in the past!

Does every step bring suffering?

Do your joints prevent you from living a full life?

⚡️ KAF international Clinic

together with Doctor AL-MUTTAIRI RAMI HUSSAIN offer

a revolutionary solution – endoprosthetics at a unique price – ALL INCLUSIVE!!!

Why do you need to act right now?

❌ Time is your enemy:

The longer you wait, the more restrictions on movement.

KAFinternational Clinic – freedom of movement starts here!

🦿 Replacement of the Kulshova and

knee joint

What is included in the cost of the transaction?

1. Consultation with an orthopedic traumatologist (free).

2. Examination for surgery:

- 🩺 Tests (complex).

- ❤️ Consultation with a cardiologist + cardiogram + ultrasound of the heart.

- 🦵 Consultation with a vascular surgeon + Doppler of the vessels of the lower extremities.

- 🩺 Consultation with a general practitioner.

3. 🩸 Blood + plasma.

4. 🏥 Joint replacement surgery.

5. ⚙️ Implant (cementless).

6. 💤 Anesthesia.

7. 💊 Medications during and after surgery (all drugs are certified).

8. 📸 X-ray after surgery.

9. 🏋️‍♂️ Rehabilitation.

10. 🛏️ Stay from 3 to 5 days.

11. 🩺 Examination by a therapist after surgery.

12. 3 meals a day.

13. 📄 The patient receives a legal document with a 20-year guarantee + an extract and a certificate.

14. ♿️ Registration of a patient with a disability.

15. 🩺 Examination by a traumatologist until the patient has fully recovered after surgery.

Knee replacement surgery using minimally invasive methods

Knee replacement surgery is performed by an experienced and qualified orthopedic traumatologist. After surgery and rehabilitation, you return to your usual life without pain, you can even engage in some sports. Knee replacement is performed in a total or partial way - it all depends on the complexity of the case. The service life of anatomical prostheses is 15-30 years, and then the implant (endoprosthesis) can be replaced. At the KAF center, knee joint restoration surgeries are performed using minimally invasive techniques, using innovative equipment and prostheses certified in Ukraine under the supervision of qualified specialists in the field of traumatology.

Knee replacement:-

If drug treatment, physiotherapy, massages do not help restore knee function, if the joint is very damaged and does not respond to conservative methods of therapy, an endoprosthetics operation is recommended. Postponing surgery can have serious consequences, including:

the appearance of chronic inflammation of bone tissue, pelvic organs;

progressive osteochondrosis;

foot pathology;

gonarthrosis of the other knee;

compensatory scoliosis;

muscular dystrophy of the affected leg.

Endoprostheses used during endoprosthetics are reliable, high-quality. The maximum duration of operation of artificial joints from leading manufacturers from Europe and the USA is 15-30 years. At the same time, the service life of the implant depends on several factors:

surgeon's qualifications;

prosthesis quality;

individual patient parameters (body weight, condition of knee tissues, concomitant diseases of the spine, joints, due to which the load increases);

intensity of movements (lifestyle).

There are several directions (types) of endoprosthetics:

Partial. The operation is performed with the replacement of part of the knee. The prosthesis is installed instead of the internal or external condyle. Indications for such treatment are conditions of the knee joint after injuries, initial arthrosis, in which other parts of the knee are not damaged;

Total or complete endoprosthesis. Knee joint replacement surgery is resorted to if the joint and a significant part of the tibia and femur are damaged. In our medical center "KAF" complete knee joint replacement is performed using minimally invasive methods, so the gentle technique is suitable for elderly patients, for those who have concomitant diseases;

Oncological endoprosthesis. Joint replacement surgery is aimed at preserving the knee, damaged as a result of oncological pathology. The doctor's use of intraoperative fluoroscopic control ensures the accuracy of the scalpel, which is important in oncological surgery;

Revision surgery, which can be performed to replace a worn-out knee prosthesis or in the event of infectious complications after surgery on the primary knee joint endoprosthesis. If complications with infectious inflammation occur in the operated knee joint, the prosthesis is removed, washed and a temporary implant - a spacer is installed. After the knee joint infection is treated, the operation is repeated and a new prosthesis is installed.

Diagnosis of the knee joint:-

To confirm the need for knee replacement, you must first diagnose the knee. For this, various types of examinations can be used, including:

visual examination for damage and collection of the patient's history, which the orthopedic traumatologist conducts at the initial consultation;

Ultrasound, CT, MRI of the knee joint;

laboratory tests.

If the consultation and comprehensive diagnosis confirm the need for knee replacement, the doctor appoints the day of the operation and the necessary additional examinations and medications. Usually, surgical intervention is planned, performed when the patient's mental and physical condition are satisfactory.

How is knee replacement surgery performed at the KAF clinic?

In our medical center "KAF" endoprosthetics is performed according to the established protocols of joint replacement by the Ministry of Health and includes all the necessary stages:

preparation for surgery;

minimally invasive surgical intervention;

rehabilitation on the basis of the clinic.

During preparation for surgery, the necessary diagnostic measures, instrumental and laboratory examinations are performed. MRI data and a special 3D modeling program are used to create a prosthesis project. Even before the operation, it is important to correctly plan the axes of both limbs, to clearly calculate them. The course and success of the surgical intervention will depend on this.

Features of the operation

During the surgical intervention, leading minimally invasive techniques are used, so the rehabilitation period is significantly reduced. The operation time is from 45-60 minutes. Depending on the individual condition, general or epidural anesthesia is chosen - when the patient is conscious, but does not feel anything in the lower part of the body. In total endoprosthetics, the stages of the operation are as follows:

introduction of anesthesia/anesthesia;

incision on the knee;

displacement of the patella;

removal of damaged cartilage and bone tissue;

installation of a femoral prosthesis;

replacement of the upper part of the tibia with the implantation of a flat implant and a polyethylene insert that replaces cartilage;

fixation of the prosthesis components;

checking the mobility of the restored knee;

suturing.

After surgery on the knee joint, the hospital stay is 3-5 days. During this time, the patient receives antibiotic therapy, other medications that prevent the risk of complications, accelerate the recovery of the body after surgery. Also, at our medical center, the patient undergoes physiotherapy procedures and receives the necessary measures that are part of the rehabilitation program.

Indications for knee arthroplasty

Arthroplasty is indicated in the presence of the following symptoms and conditions:

rheumatoid arthritis;

ankylosing spondylitis;

lupus erythematosus;

osteoarthritis;

injuries of various etiologies;

loss of the ability to move;

constant severe pain that does not subside with medication;

serious limitation of knee joint functionality.

After a consultation, the doctor determines the need for surgery, determines the type of arthroplasty (partial or total), and refers for diagnostics.

Contraindications

Knee surgery is a serious surgical intervention. There are cases when knee replacement is contraindicated:

cardiovascular failure;

exacerbation of chronic diseases;

late stages of cancer;

tuberculosis;

osteomyelitis (bone and soft tissue infections);

The operation is also not performed if the patient has infectious diseases, fever, serious conditions. First, you need to normalize your health, finish the course of antibiotics, drugs with anticoagulant properties. Then you can contact us and prepare for minimally invasive endoprosthesis

Rehabilitation after surgery: what you need to know

After knee replacement surgery, you need to go through several stages of rehabilitation. The first stage is in a medical center. After a few days, you are transferred to outpatient treatment. The first 4 weeks after endoprosthetics, you should use crutches when walking, later - a special cane. In order for the body to adapt to the prosthesis faster, it is recommended to follow the following advice from doctors:

avoid sudden movements with overloads;

do not make twisting movements;

eliminate swinging movements with the leg.

Physical activity needs to be dosed. The patient needs about 6 months to restore good physical condition. In this case, rehabilitation measures begin on the 3-4th day after surgery. The doctor prescribes a gentle motor regimen for early activation of the patient:

tension of the quadriceps muscle of the thigh;

involvement of the limb in the operated knee joint;

development of the posterior and anterior thigh muscles;

knee flexion/extension.

Activities are carried out under the supervision of a specialist. To prevent tissue injury, the patient must strictly follow all the doctor's instructions regarding rehabilitation exercises. Advanced rehabilitation techniques include:

shock wave therapy;

decompression therapy;

traction therapy;

physiotherapy;

mechanotherapy.

The use of such means contributes to the following effects:

significant improvement of muscle condition;

acceleration of restoration of movements in the operated joint;

acceleration of the period of complete restoration of tissues and the body as a whole;

improvement of blood circulation, microcirculation;

reduction of the risks of postoperative complications.

To make the artificial joint last longer, doctors recommend not gaining excess weight, eating a balanced diet, and leading an active lifestyle that is gentle on the knee. You should also avoid physical exertion and jumping on the operated leg. You can do swimming, walking, and gymnastics.

Hip replacement surgery using minimally invasive methods

The information in the article is provided for informational purposes only and is not a guide to self-diagnosis and treatment. If symptoms of the disease appear, you should consult a doctor.

Contents:

Causes of hip joint damage

Symptoms of hip joint damage

Diagnosis of hip joints

Treatment of hip joint diseases

Indications for hip joint replacement

Contraindications for hip replacement

Total and partial hip replacement

How minimally invasive hip replacement is performed

Possible complications of hip replacement

Every year, from 800 thousand to 1.3 million hip replacement surgeries are performed worldwide. These are the largest joints in our body, which are subjected to heavy loads.

Joint tissues are practically not restored, so many patients with fractures and arthrosis need endoprosthetics - replacing the damaged joint with a high-tech prosthesis that completely repeats the physiological form and functionality. The operation restores the function of the limb, relieves patients from pain and allows them to return to a full-fledged lifestyle.

The technology of endoprosthetics is constantly improving. Now it can be performed using a minimally invasive method, thanks to which the rehabilitation period is shortened and becomes easier.

Causes of hip joint damage

Hip joints are more often affected in people of retirement age, professional athletes and patients with chronic diseases. Hip joint surgery may be required for:

congenital anomalies of joint development;

injuries (bruise, fracture of the femoral neck);

arthrosis or arthritis;

osteoporosis;

necrosis of the femoral head;

thinning of cartilage tissue;

constant high loads on the joint;

endocrine pathologies (for example, diabetes mellitus);

diseases of the nervous system;

autoimmune diseases;

scoliosis, flat feet;

inguinal hernia;

obesity, etc.

Symptoms of hip joint damage

The main symptoms are pain and limited mobility.

Specialists of "KAFinternational" say that in the event of an accident, the pain can be sharp, and in the case of chronic diseases - aching, periodic, and increasing over time. The pain can occur only at the end of the day or during physical exertion. It can be the opposite - sharp, bothering the patient only with certain movements. Limited mobility is manifested by the fact that it is difficult for the patient to turn his leg or he cannot take a larger step.

In addition, the reason for seeing a doctor is leg muscle spasms and the development of lameness. If you get the impression that one leg has become shorter than the other - you also need to see a specialist.

Such symptoms cannot be ignored, because they can be caused by arthritis, arthrosis or another serious disease. In the early stages, effective drug treatment and physiotherapy, while in the later stages, surgical intervention is required.

Cartilage tissue, which primarily suffers when joints are damaged, is not restored. Therefore, without timely treatment, the pain will become permanent, and the mobility of the joint will be sharply limited.

Diagnosis of hip joints

Treatment of joints and other diseases of the musculoskeletal system is carried out by orthopedic traumatologists. During the first appointment, the doctor will study the complaints and medical history, conduct an examination and prescribe instrumental studies to confirm the diagnosis.

Joints can be examined using:

X-ray;

computed tomography;

magnetic resonance imaging.

It is also possible to order blood tests and other studies for a comprehensive assessment of the state of health.

Treatment of hip joint diseases

Treatment methods depend on the diagnosis and degree of damage to the hip joint. In arthritis, arthrosis and other diseases in the early stages, drug treatment, physiotherapy procedures, physical therapy and massage are used. This allows you to slow down pathological processes, reduce pain and relieve stiffness. In more severe pathologies, surgical intervention (arthroscopy) or replacement of the joint with a prosthesis may be required.

Indications for hip joint replacement

The main indications are:

arthrosis stage 3 and 4;

rheumatoid arthritis;

aseptic necrosis of the femoral head;

intra-articular fracture (if other treatment methods are ineffective);

bilateral fibrous or bone ankylosis (fusion of joint surfaces);

neoplasm in the femur, requiring removal of the joint;

false joints of the femoral neck.

Endoprosthesis is prescribed mainly when the affected joint causes constant pain and loses mobility, which leads to a sharp deterioration in the quality of life.

Contraindications to endoprosthesis

Endoprosthesis is not suitable for all patients. In some cases, there is a high risk of prosthesis rejection and complications.

The operation is contraindicated in:

severe heart and vascular diseases;

respiratory, renal, hepatic insufficiency;

certain endocrine diseases;

inflammation of soft tissues in the prosthetic area;

severe osteoporosis;

severe obesity;

varicose veins;

purulent infections;

mental disorders, etc.

Some of these contraindications are relative, that is, the operation can be performed after eliminating the interfering factor.

Total and partial hip replacement

There are two types of endoprosthetics:

total;

partial.

In total, the head and neck of the femur, the surface of the acetabular cavity and the articular cartilage are replaced, that is, all elements of the joint and the tissues to which it is attached.

In partial endoprosthetics, the head of the femur is preserved. Only osteophytes (bone growths) and damaged cartilage are removed. If necessary, the acetabulum is also cleaned, after which the prosthesis is installed.

For its fixation, the following are performed:

cement fixation - a biological glue is used, which reliably connects the bone to the elements of the joint;

cementless - structures with an uneven surface are used, which over time ensures fusion with the bone;

mixed - both methods are used.

The method of fixation depends on many factors - the doctor chooses it individually.

How is minimally invasive hip replacement performed

In the KAFinternational clinic, equipped with modern equipment, hip replacement is performed using minimally invasive methods. This is a more gentle technique, after which patients recover faster.

Stages of hip replacement at KAFinternational:

preoperative preparation - CT scan of the joint, laboratory tests, ECG and other examinations according to indications;

3D modeling - using a special computer program, CT and MRI images are processed and a volumetric image is formed, working with which in virtual space the surgeon selects the appropriate prosthesis and tactics of the operation;

prosthesis installation - the surgeon makes a longitudinal incision in the joint area and provides access to it, removes damaged tissues and installs the prosthesis;

postoperative recovery - a couple of hours after the operation, the patient is transferred to a comfortable ward for postoperative recovery.

Minimally invasive endoprosthetics use endoscopic techniques that minimize soft tissue damage. This operation is performed under anesthesia and lasts about 20-40 minutes.

Possible complications of endoprosthetics

Endoprosthetics is a rather complex operation, so it is difficult to 100% eliminate the risk of complications, although doctors' efforts are always aimed at successful and safe treatment of the patient.

To minimize the risk of complications, it is important for the patient to responsibly approach the choice of a clinic and a specialist for surgical treatment. This will reduce the likelihood of developing the most common complications - rejection of the artificial joint and its dislocation, limited mobility due to an error in the process of installing the prosthesis.

In the area of ​​​​responsibility of medical personnel, the prevention of complications such as wound infection and damage to large vessels and nerves during the operation is included.

Careful diagnostics before starting treatment allows you to minimize the risk of developing a stroke, heart attack or venous thrombosis during the operation.