Pain and discomfort in the joints may indicate various musculoskeletal disorders. Medication and conservative therapy do not always provide sufficient relief. In some cases, joint arthroplasty (joint replacement surgery) becomes the most effective treatment option.

What Is Joint Arthroplasty?

Joint arthroplasty is a surgical procedure in which a damaged joint is replaced with an artificial implant (prosthesis). The procedure is recommended for patients suffering from osteoarthritis, rheumatoid arthritis, and other degenerative or inflammatory joint diseases that limit mobility and cause persistent pain.

Joint replacement surgery may also be required after severe injuries, complex fractures, or post-traumatic joint damage.

Various types of joint arthroplasty are performed at Mashtaler Ortho & Trauma Medical Center. The optimal type of implant and surgical technique is selected individually by the orthopedic surgeon, taking into account the diagnosis, anatomical features, age, and level of physical activity of the patient.

Successful joint replacement surgery usually allows patients to restore mobility, reduce pain, and return to an active lifestyle.

Types of Joint Arthroplasty Performed at Our Clinic

Experienced orthopedic surgeons at Mashtaler Ortho & Trauma perform different types of joint replacement procedures.

Depending on the extent of joint damage, surgery may include:

• Total arthroplasty — complete replacement of the joint
  
  
• Hemiarthroplasty — partial joint replacement, involving only part of the joint
  
  

The success of the operation depends largely on the surgeon’s experience, while postoperative recovery depends on the patient’s cooperation with a physical therapist and adherence to rehabilitation recommendations.

Knee Arthroplasty

TKnee arthroplasty (knee replacement surgery) is a reliable method for restoring joint function in patients with advanced osteoarthritis, severe cartilage damage, or post-traumatic degeneration.

The procedure reduces pain, restores joint alignment, and improves mobility.

Shoulder Arthroplasty

The shoulder joint has a wide range of motion, which makes it particularly susceptible to injury and degenerative changes.

Shoulder arthroplasty involves replacing damaged joint structures with artificial implants that restore stability, reduce pain, and improve arm mobility.

Hip Arthroplasty

Hip arthroplasty (hip replacement surgery) is performed when severe pain and limited mobility significantly affect quality of life and conservative treatment is no longer effective.

Common indications include:

• fractures of the femoral neck
  
• avascular necrosis of the femoral head
  
• post-traumatic arthritis
  
• advanced hip osteoarthritis

At Mashtaler Ortho & Trauma Clinic, hip replacement surgery may be performed using the anterior (front) approach, which allows surgeons to access the joint without cutting major muscles. This technique helps reduce tissue trauma and accelerate postoperative recovery.

Indications for Joint Replacement Surgery

The most common indications for joint arthroplasty include:

• osteoarthritis
  
• rheumatoid arthritis
  
• osteonecrosis
  
• joint dysplasia
  
• severe traumatic injuries and fractures
  
• post-traumatic joint deformities
  

Joint replacement surgery is recommended when conservative treatment methods are no longer effective.

Diagnosis Before Joint Arthroplasty

Before surgery, patients undergo a comprehensive examination to determine the degree of joint damage and plan the procedure.

Diagnostic evaluation may include:

• X-ray imaging of the affected joint
  
• computed tomography (CT)
  
• magnetic resonance imaging (MRI)
  

These imaging studies allow the surgeon to accurately assess joint structures and select the most appropriate surgical technique.

Contraindications to Joint Arthroplasty

Although joint arthroplasty is highly effective, certain medical conditions may contraindicate surgery.

These include:

• severe heart failure
  
• uncontrolled arterial hypertension
  
• decompensated liver or kidney disease
  
• blood clotting disorders
  
• acute infections

Before surgery, patients undergo a full medical evaluation to ensure that the procedure can be performed safely.

Types of Implants Used in Joint Replacement

Mashtaler Ortho & Trauma Clinic uses high-quality orthopedic implants made from durable and biocompatible materials:

• titanium alloys
  
• medical ceramics
  
• high-performance polymers

Modern implants are designed to function reliably for 15–25 years.

Implant size, shape, and material are selected based on imaging results and individual anatomical characteristics of the patient.

Implant Fixation Methods

Depending on the clinical situation, different fixation methods may be used:

• Cementless fixation. The implant is inserted directly into the bone, allowing bone tissue to grow into the prosthesis and secure it naturally.
• Cemented fixation. A special bone cement is used to stabilize the implant. This method is often recommended for patients with reduced bone density.

Joint Replacement Surgery at Mashtaler Ortho & Trauma Medical Center

Joint replacement surgery is a complex orthopedic procedure that requires modern equipment and experienced surgeons.

The procedure typically includes several stages:

1. Comprehensive diagnostic evaluation
   
   
2. Selection of the surgical technique and implant
   
   
3. Preoperative assessment, including blood tests and ECG
   
   
4. Surgery under general or regional anesthesia
   
   
5. Removal of damaged joint structures
   
   
6. Implantation and fixation of the prosthesis
   
   
7. Wound closure and postoperative monitoring
   
   

The operation usually lasts 1–2 hours.

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Rehabilitation After Joint Replacement

Postoperative rehabilitation is essential for restoring joint mobility and preventing complications such as implant displacement or loosening.

In many cases, patients begin gentle activity on the day of surgery, including assisted standing and walking.

The duration of rehabilitation depends on:

• the type of arthroplasty
  
  
• the patient’s age
  
  
• overall health condition
  
  
• adherence to physiotherapy recommendations
  
  

Physical therapy plays a key role in restoring strength, balance, and joint mobility.

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Price of joint replacement surgery at Mashtaler Ortho&Trauma Center

Kosta na a, “Prezzi”.

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Treating at Mashtaler Ortho&Trauma is a combination of a professional approach to each illness or injury and sensitivity to each patient. Sign up for a consultation to start the path towards life without joint pain.

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