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.
Endoprosthetics of the knee joint is an operation that helps restore mobility in severe pathologies. This is an effective solution against pain and stiffness in critical cases when other treatments do not help.
Mashtaler Ortho&Trauma Clinic performs knee replacement surgery in Lviv. We use modern implants, perform the procedure in the operating room of the highest level of sterility and accompany patients until complete recovery.
Knee endoprosthesis is a reliable method to get rid of pain and restore mobility
Endoprosthetics of the knee joint is an operation that involves the replacement of destroyed tissues with artificial implants. This surgical intervention allows you to relieve pain and restore mobility. After it, the patient can walk, climb stairs, do household chores and even play sports, subject to certain restrictions.
Modern endoprostheses are made of safe materials that take root well in the body. These are titanium, ceramics and innovative composites. They serve up to 15—20 years, withstand very heavy loads and do not cause allergic reactions in the vast majority of people.
Indications for endoprosthetics of the knee joint
Before the operation, it is imperative to consult an orthopedic surgeon. This allows you to objectively assess the need for surgery and choose the optimal method of treatment.
During the consultation, the doctor also calculates the price of knee endoprosthetics for the individual case.
What symptoms determine the need to replace the knee joint?
Constant pain in the knee — when walking, and even at rest.
Significant limitation of movements — it is impossible to fully bend or extend the leg.
Severe stiffness after lying down or sitting.
Knee deformity — the “O” - or “X” -like shape of the legs.
Crunch and instability of the joint during movement.
Significant limitation of mobility, which affects the quality of life.
How the knee is diagnosed
Surgery is performed for degenerative changes in cartilage tissue, which sometimes even affect bone tissue. Therefore, before performing the operation, it is important to assess the degree of damage. For this, the following diagnostic methods are used:
consultation of an orthopedic surgeon, anamnesis, examination, assessment of the degree of pain and mobility;
radiography of the knee joint in two projections;
MRI or CT of the damaged part of the joint to clarify the condition of ligaments, cartilage and soft tissues;
panoramic view of the lower limbs — to assess the deformation of the leg;
blood tests and examinations to assess the general condition of the body.
Contraindications to knee replacement
Replacement of the knee joint is the most effective method of treatment with a strong progression of the disease. And yet there are cases when doctors advise to abandon the operation and choose conservative therapy:
active infectious processes in the body;
septic arthritis;
violation of blood coagulation without medical adjustment;
poorly controlled diabetes mellitus;
severe cardiovascular or pulmonary diseases in the stage of decompensation.
A relative contraindication would be a low level of physical activity - especially in the presence of excess weight. The prosthesis wears out faster in such conditions, subjected to heavy loads.
In modern orthopedics and traumatology, conservative methods of treatment or joint-sparing procedures are often selected for patients under 65 years of age, which aim to eliminate pain and slow the development of the disease. If there is an opportunity to do without surgery, we make every effort to preserve the patient's own joint.
Types of knee endoprosthetics
X-ray of the knee joint after endoprosthetics
The most common option is complete replacement of the knee joint. This operation involves replacing the contact surfaces of the femur and tibia in the knee joint on both sides - medial and lateral. It is indicated for generalized arthrosis, when cartilage tissue is destroyed in all parts of the knee.
If only one department is affected, it can be usedpartial replacement of the joint. In it, only damaged tissues from the side of the lesion are replaced, and healthy ones are not removed. It is a less traumatic method that is often chosen in localized arthrosis or in the treatment of patients under 65 years of age.
How is the operation to replace the knee joint with an artificial one?
Knee endoprosthesis is a complex operation that requires highly qualified surgeon. It involves appropriate training, observation and rehabilitation. We tell you more about its main stages.
Preparation for joint replacement surgery
After the decision to install a knee prosthesis, the patient must undergo a comprehensive examination. It assumes:
blood and urine tests;
ECG, ECHO-KG, consultation of a cardiologist and anesthesiologist;
assessment of the condition of the veins of the lower extremities to exclude the risks of thrombosis;
a smear from the oral and nasal cavities for the detection of pathogenic microorganisms;
clarification of individual allergic reactions.
The patient receives recommendations on nutrition and medication. Before surgery, you must stop taking anticoagulants and some other drugs that affect blood clotting. 8 hours before surgery, you should refrain from eating.
Depending on the patient's condition, the surgeon can choose different types of implants and methods of surgical intervention. This determines the price of knee endoprosthetics, the length of hospital stay and rehabilitation techniques.
The main steps in the operation
Anesthesia is used. In most cases, it is a combination of regional anesthesia (numbness of the operated limb) and sedation - during the operation, the patient sleeps, which avoids pain and discomfort.
The surgeon makes an incision to reach the damaged joint. It removes tissues that have undergone degenerative changes and prepares the bones for the attachment of an artificial implant. After that, an endoprosthesis is installed. The whole operation lasts about two hours.
After making sure of the functionality of the artificial joint, the specialist sutures the wound and applies bandages. After the operation is completed, the patient remains in the hospital under the supervision of medical personnel.
What complications are possible?
Endoprosthetics is a common surgery well known in traumatology. With the right approach, the likelihood of complications is minimal. And yet the risks always exist. Among them should be mentioned:
infection of the wound;
thrombosis of the lower extremities;
dislocation or instability of the prosthesis;
chronic pain after wound healing;
allergic reactions to drugs or materials in the prosthesis (very rare).
Doctors at Mashtaler Ortho&Trauma follow the protocols for the prevention of complications. Our specialists carry out preliminary examinations, select safe and effective drugs for anesthesia, and ensure complete sterility during surgery.
Rehabilitation after knee endoprosthesis
It is important to understand that each organism is individual. Therefore, the duration of recovery may vary in each patient. We talk about the main steps and typical time intervals within the framework of rehabilitation.
The first days
Movements and light exercises to prevent thrombosis and activate muscles
Walking with a load on the operated leg using crutches or walkers.
Control of symptoms — especially pain and swelling.
The first month
Regular physiotherapy exercises to restore limb mobility.
Training the muscles of the thigh and lower leg.
Gradual increase in the amplitude of movements according to the doctor's recommendations.
After the first month
Exercises to restore balance and endurance.
Gradual return to daily activity.
Price for endoprosthetics of the knee joint in Lviv
The price for knee replacement in Lviv is formed individually. It depends on the selected implant, the complexity of the case and the amount of preoperative preparation.
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