Повний спектр ортопедичних послуг від діагностики до реабілітації. Надаємо допомогу при пошкодженнях і захворюваннях суглобів, а також при спортивних травмах.
Is it possible to run with arthrosis? Answer of the specialist
When running with arthrosis is possible, in which cases it is strictly not recommended, and what alternatives should be considered in order to maintain movement without harm to the joints - says Vasily Mellen, orthopedic surgeon and traumatologist of Mashtaler Ortho&Trauma Clinic.
#knee
What are compression stockings and who needs them?
This article is about what compression stockings are, why they are important in orthopedics, and how we apply them in an integrated approach to recovery in Mashtaler Ortho&Trauma Clinic.
#foot
#knee
Rehabilitation and life after hip endoprosthetics
How life changes after hip replacement, what to expect in the first weeks, what to strive for next and how to make recovery not only effective, but also natural.
#thigh
Bikini access during hip endoprosthetics
Bikini approach is a relatively new, minimally invasive method that is distinguished by its delicacy, less trauma and expressive aesthetics.
#thigh
The First Meniscus Transplant in the Western Region
This is an important achievement, because such an operation was carried out only for the eighth time in Ukraine.
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Endoprosthetics of the shoulder joint
Shoulder joint replacement surgery is performed to relieve pain and other symptoms that arise due to damage to the shoulder joint. The operation involves removing the affected areas of the bone and replacing them with parts — special implants made of metal or plastic.
#shoulder
Arthroscopy of the ankle
Arthroscopy of the ankle joint is a surgical procedure that allows the doctor to see all components of the joint, with minimal trauma to the surrounding tissues and a low risk of complications.
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Halus-valgus
Halus valgus or valgus deformity of the big toe is a pathological condition in which the thumb shifts to the side and looks like a large “bulging” growth. It is a condition that can significantly restrict movement and cause pain when walking.
#foot
PCV rupture: causes, mechanisms, symptoms — everything you need to know
Ligaments are strong fibers that connect bones together. The anterior cruciate ligament is one of two ligaments that cross at the center of the knee and connect the femur to the tibia. The anterior cruciate ligament is the main stabilizer of the knee joint. Injuries leading to its rupture provoke further instability of the knee.
#knee
High-Intensity Laser Therapy
High-intensity laser therapy is a powerful method of overcoming pain. På (biostimulation a fotomechanical effect), the laser accelerates the healing and regeneration processes. High-intensity laser technology is based on the principle of low-level laser therapy.
#hand
#knee
#thigh
#elbow
#shoulder
Super-inductive magnetotherapy
Superinductive magnetotherapy (also called High-Intensity Magnetotherapy) is a modern, effective and safe method of treating pain without direct intervention in the human body. This is possible due to the influence on the neuromuscular tissue of the magnetic field, which creates a special superinductive apparatus. Already after the first procedure, there is a noticeable reduction in pain.
#hand
#knee
#thigh
#elbow
#shoulder
BMAC
Nós,. BMAC regenerativna terapija je upravljanje, ki se.
#hand
#knee
#thigh
#elbow
#shoulder
Arthroscopy of the shoulder joint
Arthroscopy of the shoulder joint is a surgical procedure that allows the doctor to see all components of the joint, with minimal trauma to the surrounding tissues and a low risk of complications.
Pain and discomfort in the joints — can indicate various diseases. Medications do not always give the desired effect, sometimes you can not do without surgery and replacement of the joint.
What is endoprosthetics or replacement of a joint with an artificial prosthesis?
Joint endoprosthetics is a surgical operation that involves replacing the joint with a high-tech prosthesis. It is recommended for patients suffering from arthrosis, arthritis, other joint diseases that can restrict movement, cause pain and complicate everyday life. Also, often surgery and replacement of part of the joint are required after complex injuries.
Various types of endoprosthetics are performed at Mashtaler Ortho&Trauma Medical Center. The optimal type of endoprosthesis and the method of the procedure is determined by the doctor. This takes into account the peculiarities of the pathology and the individual needs of the patient. A successful operation to replace the joint in most cases allows you to return the necessary mobility of the limb. You can sign up for a consultation using the form on the center's website.
The price of replacing a joint in Lviv depends on the type of prosthesis and the material from which it is made. The choice of prosthesis is based on several factors — the existing pathology, age and physical activity of the patient.
Types of joint endoprosthetics that we carry out
Experienced doctors of the Center for Advanced Orthopedics, Traumatology and Rehabilitation Mashtaler Ortho&Trauma professionally perform joint replacement.
The doctor together with the patient determines the volume of surgery. This can be a total endoprosthesis — a complete replacement or a single-pole — partial replacement, which involves replacing only part of the joint.
The effectiveness of the operation depends largely on the experience of the surgeon, and the result of the recovery process - on the cooperation of the physical therapist and the patient, his careful adherence to the doctor's recommendations, active participation and positive attitude.
Endoprosthetics of the knee joint
This endoprosthesis is a reliable method of restoring the functionality of the limb. In cases of advanced osteoarthritis and after severe injuries, the installation of an artificial joint is a relief from pain and an opportunity to prevent complete loss of mobility.
This joint is very mobile, so the risk of its injury is quite significant. Such a surgical procedure consists in replacing damaged parts of the shoulder joint with artificial implants. Usually, such an operation is required for people suffering from severe osteoarthritis of the shoulder or the consequences of severe injuries. The price of replacing a joint also depends on the degree of tissue damage and the choice of prosthesis.
Such an operation is a necessary step in cases where immobilization and pain syndrome already significantly reduce the quality of life, and other methods of treatment do not give the desired effect. Often, endoprosthetics operations are required for severe injuries, for example, with a fracture of the neck. Also among the indications are necrosis of the femoral head and post-traumatic arthritis.
Endoprosthetics of such joints in Lviv are performed in Mashtaler Ortho&Trauma Clinic using front access technology. This method allows you not to dissect any muscle during surgery, which speeds up rehabilitation and reduces the risk of postoperative complications. At the stage of preparation for surgery, the orthopedic traumatologist determines the type of implant and the material that is best suited for a particular patient. And the postoperative period is already the work of the patient with a physical therapist for the sake of a speedy recovery.
Indications for joint replacement surgery
Arthritis, osteoarthrosis, arthrosis, osteonecrosis, joint dysplasia are the main indications for surgery. In addition, replacement of the joint is required after severe injuries, fractures.
Surgical intervention for Treatment of arthrosisare chosen only in extreme cases, when drug therapy does not give the desired result, a person suffers from pain, cannot perform simple movements, which in general significantly reduces the quality of life.
Joint replacement is a radical method of treatment. Therefore, a mandatory step before the operation is a comprehensive examination: x-ray of the joints, computed tomography or MRI. With the help of these studies, it is possible to assess the degree of damage to the joints and choose the optimal methods of treatment.
Cases in which endoprosthetics of joints is contraindicated
Joint endoprosthetics is an effective method of treating severe forms of joint diseases in most cases, but there are situations when such an operation may be contraindicated.
Heart failure, uncontrolled arterial hypertension or decompensated hepatic, renal failure, violation of the blood coagulation process are the main contraindications. We carry out all necessary examinations to find out if the patient's state of health allows surgery. We plan the operation only when there are none of the listed contraindications.
The Mashtaler Ortho&Trauma Center employs experienced orthopedic traumatologists and surgeons who use high-quality prostheses and innovative equipment. All this allows you to get a good result, forget about joint pain and return to normal physical activity.
Types of dentures we use to replace
Mashtaler Ortho&Trauma uses high-quality prostheses made of reliable and durable materials. For the manufacture of artificial joints, in particular, ceramics and metal alloys are used. They can serve 15-25 years.
In order to correctly pre-select not only the material, but also the shape and size of the prosthesis, the doctor uses the results of examinations —X-rayand images of computed tomography, finally selects the parameters — directly during the operation.
It is a thorough diagnosis that gives an idea of what a joint with an endoprosthesis will look like in the future and how difficult the operation will be.
So, based on the degree of cartilage damage, the following types of prostheses are used:
total endoprosthesis (complete replacement) is the most common option for severe joint injuries;
hemiarthroplasty (partial replacement).
The type of fixation of the artificial joint is determined by the condition of the patient's bones, in particular density. According to how the prosthesis is implanted in the bone, two types of endoprosthetics are distinguished:
cementless — the endoprosthesis is fixed directly to the bone, and the bone grows into the endoprosthesis;
cement — the implant is fixed with the help of special bone cement.
The process of joint replacement surgery at Mashtaler Ortho&Trauma Medical Center
Replacement of a damaged joint is a difficult operation, therefore it requires modern equipment and special skills from the surgeon. In Mashtaler Ortho&Trauma, such operations have been carried out for many years, investing in each of them their competencies, achievements in orthopedics and surgery. But every patient should listen to the recommendations of doctors in preparation for surgery, so that the process goes without complications.
Joint after endoprosthetics
The operation involves a number of stages
First, a detailed examination is carried out, including X-rays, MRI, CT scans and other imaging methods to determine the condition of the joint.
If the degree of tissue damage is still insignificant, conservative treatment is prescribed, if it is no longer effective - surgery.
The doctor, together with the patient, chooses the type of implant and its components (metal, ceramic, polymer or combinations thereof).
The patient undergoes a general medical examination, blood tests, ECG and other procedures to assess the state of health and minimize the risks of complications during surgery.
The operation is performed under general anesthesia (the patient is completely unconscious), or under regional anesthesia (only part of the body is anesthetized), or by a combined method.
The surgeon makes an incision of the skin over the affected area and opens the joint, removes the damaged parts of the bone and cartilage. The operation lasts 1-2 hours.
After removing the damaged tissue, the doctor fixes the artificial joint. The implant repeats the anatomical shape of the joint and ensures its functionality.
The implant can be fixed with a special cement or cementless method (when the prosthesis grows to the bone).
After installing the artificial joint, the surgeon closes the wound with stitches and applies bandages.
Rehabilitation process after surgery
Proper rehabilitation after endoprosthetics will help not only improve the functionality of the joint, but also reduce the risk of complications. In particular, it is the displacement or loosening of the endoprosthesis. However, the total rehabilitation period depends on the age, lifestyle and health status of the patient.
So, already on the day of surgery, the patient is allowed to get out of bed. In most cases, you can immediately give a full load to the endoprosthesis and step on your foot.
The duration of the rehabilitation period depends on the type of operation performed and the individual characteristics of the organism of each patient. Therefore, the rehabilitation process for someone takes several weeks, and for someone - several months.
Some time after the operation to replace the joints of the lower extremities, you can not do without crutches or walkers, so as not to overload the joint. The physical therapist determines the optimal load and draws up a course of medical procedures and exercises for the joint. In some cases, drug therapy is also used.
Price of joint replacement surgery at Mashtaler Ortho&Trauma Center
The cost of replacing the joint depends on the type of prosthesis and is usually communicated to the patient by the doctor after professional consultation, the price for services can be found on the page “Prices”.
Treatment 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.
