Monica Young Doctors prior to hip replacement. Monica's knee replacement. Applied methods and technologies

Why are the reviews of knee arthroplasty patients so different? The fact is that when it comes to the hip joint, everything is relatively simple, and the results are almost always positive.

• Types of endoprostheses
• Endoprosthetics surgery
• Rehabilitation period after arthroplasty

But knee prosthetics is difficult, and more often there are complications:

• infection of the endoprosthesis area,
• dislocation of the prosthesis,
• avulsion of the patellar ligament,
• leg vein thrombosis,
• fracture of the femur.

For the sake of truth, it should be said that these cases are isolated, but taking place 10 years ago, and today there are much fewer complaining patients. All complications are anatomical and biochemical. Today, the design of the endoprosthesis itself and the technology of the operation minimize the percentage of subsequent complications. But even the most successful work of a surgeon requires competent rehabilitation during the recovery period.

Types of endoprostheses

Endoprostheses of large joints, including the knee joint, are becoming more and more affordable. Thanks to the frequent operations. This artificial product is placed in the body to replace a worn out or damaged organ. Complex endoprostheses made of quality materials that have passed numerous tests, trials and studies are more expensive than their Chinese counterparts.

When the entire knee joint is replaced, one speaks of total arthroplasty. Sometimes a partial replacement of a department is enough. The materials from which the prosthesis is made depend on the manufacturer: durable plastic, metal alloy, ceramics. It is fixed to the bone with acrylic inert cement. The surgeon determines which type of endoprosthesis is right for you, as there are more than 150 implant models on the market.

Modern implants take into account all the nuances and structural features of the knee and do not represent, as before, just a hinge. Recent studies have shown that male and female knees are different, so gender is also taken into account when designing and designing. When choosing a model, the patient's age, weight, general condition, degree of activity, cost are important. In some clinics, an individual prosthesis is made.

Endoprosthetics surgery

The implantation usually takes 2-3 hours. Prevention of infectious complications is mandatory. Before installing the endoprosthesis, the destroyed parts of the knee joint, the back of the patella are removed and the axis of the leg is leveled. If necessary, the surgeon can restore the integrity of the knee ligaments.

Today, high-quality prostheses allow the leg to bend up to 155 degrees. People wrote in reviews that after surgery, before being discharged, they already flexed their knees by 75 degrees. But there is still a rehabilitation period ahead, which is no less important than the prosthetics itself. Often, when reviews about complications are encountered after knee arthroplasty, it becomes clear that a big mistake was made in the postoperative period.

It should be said that spinal anesthesia is done before the operation. Judging by what eyewitnesses say, the sound that accompanies this whole case is not very pleasantly tolerated, therefore, if the anesthesiologist does not mind, you can ask for "sleep". Courage is needed in order to decide on an operation, and attitude and patience will be required in recovery.

Rehabilitation period after arthroplasty

All patients who have undergone knee arthroplasty write about how effective recovery measures are. For someone it takes 2 months, for someone half a year. But the result is almost always positive. The main thing is to work tirelessly on your renewed knee.

It is worth starting to fight for recovery on the very first day. The main stage is the exercises that must be done in the morning, afternoon and evening:

• raising a straightened leg;
• flexion of the knee with support on the bed;
• bending the knee while sitting without support;
• bending the knee while sitting with the good leg supported;
• straightening the knee joint;
• rotation of the ankle. Working calf muscles contribute to the normalization of blood circulation.

The set of exercises and their duration is determined by the doctor individually for each. Some have been impressed by a special device for passive knee flexion and extension, the use of which is called mechanotherapy. In mechanotherapy, specially designed mechanisms and apparatus are used for physical exercises.

Learning to walk with a walker or crutches is very important. So you can feel like a truly complete person. Try to take care of yourself, without outside help. Move the walkers or crutches close to the body and step on the heel of the operated leg, and then on the entire foot, after which you can lift the big toe of the healthy leg off the floor. Over time, patients switch to a cane.

A new knee, new steps, new movements, a new life - this is what awaits a persistent and obedient patient. As for the effect of arthroplasty, one thing is clear - everything is good that brings relief to the patient.

Not everyone knows that gonarthrosis is the same well-known arthrosis of the knee joint. The disease is characterized by chronic degenerative damage to the knee joints, where not only inter-articular cartilage tissues are destroyed, but also bone structures, if the disease progresses to its extreme stages. Knee problems can occur on one of them, or on both.

The knee joint is a very complex mechanism, consisting of many small components, with the well-coordinated work of which, a person moves from place to place at different speeds, squats, stands up, and so on. It is on this part of the body that the load of the entire human body falls. Excess weight can be the main reason for the development of a disease such as arthrosis. The initial manifestations of gonarthrosis are invisible, as there is a gradual thinning of the layer of cartilage tissue. With the initial degree of arthrosis of the knee joint, a person almost does not feel the changes occurring in the lower extremities. This phenomenon can begin to bother only a couple of years after the onset of the onset of the disease, if measures are not taken in time to prevent its progression.

It is mistakenly believed that arthrosis of the knee joint does not threaten young people - they simply do not notice it. An improper lifestyle (smoking and alcohol), frequent injuries, dislocations, excessive stress on the body, wearing high heels, adherence to strict diets, which provokes a vitamin deficiency in the body, will certainly lead to the development of the disease.

The main symptoms of arthrosis of the knee joint

You should not overlook the manifestations of the first bells of such an unpleasant ailment as arthrosis of the knee joint, if you do not want to subsequently lose the ability to move freely or resort to a more radical method of treating arthrosis of the knee joint - an operative one.

The main symptoms of articular deformity, both knee and hip, are:

Having noted the above, without postponing until later, go through the examination and start treatment for arthrosis of the knee joint in order to restore the regeneration of the cartilaginous tissue of the whole organism at the initial stages of the disease or slow down its destructive process.

Common degrees of knee arthrosis

There are three degrees of the disease:

Grade I is the initial stage of the disease. Almost not felt by the patient. Occasionally, minor pains bother with fast walking or running, sometimes the knee zones acquire swelling of a short duration. At rest, nothing disturbs. During the examination, a certain change is already noted on the X-ray images - the thickness of the inter-articular gap is reduced.

II degree - the inflammatory process is gaining strength. Pain of a prolonged nature is increasing, even with little physical activity. Pain relief is achieved by taking painkillers. When bending and extending the leg, limited movement appears, the patient already hears clicks, the crunch of the inter-articular joints. With the initial degree of detection of arthrosis of the knee joint, slight deformation occurs, and therefore, there is a moderate limitation of motor functions. The distribution of the load on the legs is not uniform. In places where the cartilage has already disappeared, osteophytes (bone growths) appear, which causes severe pain. X-ray images clearly show the growth of bone inclusions along the edges of the articulation, the inter-articular gap becomes thinner.

III degree - characterized by incessant pain. With the naked eye, a change in a person's gait and appearance of the knee is noted. The patient has difficulty bending or straightening the legs. The X-ray shows the absolute absence of cartilage tissue, a huge amount of abnormal bone structure in the joint and the destruction of the main inter-articular joints. This degree of the knee joint is the most severe, often the only option for helping the patient is arthroplasty.

Treatment for the first degree of the disease

Let us dwell in more detail on the first degree, since it is easier to prevent the disease than to treat the advanced arthrosis of the knee joint.

Diagnosis of arthrosis

A podiatrist with extensive experience in medical practice may suspect grade 1 arthrosis of the knee joint based on an external examination and the symptoms present. Confirmation of the previously exposed diagnosis, he can receive thanks to a simple X-ray, which shows a slight narrowing of the joint space, which has arisen due to the onset of thinning of the cartilaginous tissue. At the same time, there is no need to undergo more expensive diagnostic procedures, such as computed tomography or MSCT.

The disease can be both bilateral - bilateral arthrosis, and unilateral, for example - arthrosis of the left (right) knee joint or arthrosis of the right knee joint.

Drug treatment

In case of arthrosis of the 1st degree, it is possible to start treatment of the knee joint even with home improvised means - ointments, creams, medications - hondoprotectors, but to achieve the maximum result, it will be necessary to resort to clinical assistance - physiotherapy, manual therapy, the use of intra-articular injections, non-steroidal anti-inflammatory drugs.

Before starting the treatment of arthrosis of a given degree of the knee joint, it is necessary to enlist the advice of an orthopedist, because the tasks of treatment include:

• body weight correction,
• the right medication that is right for you,
• a set of exercise therapy exercises,
• a certain type of massage,
• physiotherapy or manual therapy.

The doctor will tell you how to properly adhere to the diet so as not to cause more damage to the cartilaginous tissues of the body and at the same time lose weight, which will reduce the load on the patient's lower limbs.

The adoption of hondoprotectors helps relieve joint pain, restore (that is, regenerate) cartilage tissue, and strengthen the inter-articular cartilage. This type of drug contains glucosamine and chondroitin sulfate, which act on cartilage tissue. The most famous drugs are: Dona, Hondrolone, Teraflex, Structum, Chondroxide (in the form of tablets and in the form of an ointment). To achieve the best results, it is recommended to undergo several courses of treatment with chondoprotectors, in combination with physiotherapy and therapeutic exercises.

Physiotherapy

An individual set of exercise therapy exercises is the most important process in the treatment of initial stage arthrosis. As noted above, the nutrition of the cartilaginous tissue occurs precisely at the moment of movement of the joint. That is, the best regeneration will take place when taking chondoprotectors and exercising, since blood circulation in the tissues improves, thereby achieving a quick delivery of the necessary nutrients throughout the body. Gymnastics will help to strengthen the muscles of the legs, thus, the load will fall on the muscle tissue. After exercise, exercise therapy, massage is carried out to achieve the best results of manual therapy.

Practical advice from the best chiropractor Vitaly Demyanovich Gitt.

Physiotherapy

Physiotherapy treatment for arthrosis may include:

• magnetotherapy - applied topically, stimulates regenerative processes, improves blood circulation in the joints,
• electrophoresis - drugs are injected locally, which contributes to their direct entry into the affected area, thereby accelerating the recovery process,
• ultrasound influence - helps to improve the work of cellular metabolism.

Conclusion

It is not worthwhile to independently resort to all of the above methods of treatment for arthrosis of the initial stage. It may be superfluous or insufficient, which can lead to further development of the disease. If you follow the recommendations of the attending physician, then the dynamics will be monitored and, in accordance with its results, the doctor can make adjustments to the treatment plan and thereby save you from the disease or slow down the development process.

Knee arthroplasty: rehabilitation after surgery, complications

Endoprosthetics is a surgical operation, as a result of which a damaged or destroyed joint is replaced with an artificial analogue.

Replacement of joints with artificial implants is indicated for patients for whom a complex of conservative treatment has not brought results, and the damaged joint cannot function normally.

As a rule, prosthetics are performed against the background of severe forms of arthrosis or after a serious joint injury. The cartilage lining that exists between the bones of the joint wears out, preventing the knee from working properly.

There are several other causes of osteoarthritis:

• rheumatism,
• metabolic disorders,
• infections.

The aim of the surgery is to relieve pain and restore joint functionality. The structure of the prosthesis replicates the natural architecture of the joint as much as possible. Modern prostheses are made of metal and ceramics, they serve up to 20 years, after obsolescence they are replaced with new ones.

To fully start a normal life after replacing a knee or hip joint, it is not enough to carry out a total surgical intervention.

After the operation, rehabilitation is necessary.

The first day after arthroplasty

If the arthroplasty was successful and there are no contraindications, then a few hours after the surgery, the patient can sit down. You can hang your legs out of bed and get up only on the second day.

You need to be prepared for the fact that the rehabilitation period will take at least three months. This time is purely individual, and depends on the age, weight and general condition of the patient.

In order to prevent the appearance of a blood clot, the patient should definitely wear special stockings or use an elastic bandage.

For a quick recovery, it is necessary to follow all medical recommendations and do a set of exercises that is designed specifically for people after knee replacement.

In order to properly get out of bed for the first time after surgery, it is important to know the following rules:

• you need to stand on the side of a healthy limb,
• before getting out of bed, the leg should be extended forward and not bent,
• when lifting, you need to rely only on crutches and a good leg. For the first time, the procedure is best done with a doctor, and getting up, leaning on another person,
• the floor should not be slippery to prevent falling and damage to the operated limb.

The patient should take the first steps as carefully as possible. Do not load the operated leg, they lightly touch the floor. The load on the joint should be increased gradually, every day.

After the replacement of the knee joint, the person remains in stationary conditions for several days to exclude unexpected changes in the state.

At this time, doctors monitor the patient's general well-being and teach him the necessary set of gymnastic exercises, which the person will then do on their own at home.

In addition to independent exercises, doctors prescribe the patient a course of therapeutic and prophylactic exercises - exercise therapy.

Exercises after knee replacement

Only if the daily special exercises are performed will the normal functioning of the knee be restored and complications will be excluded. After the operation, a person must take painkillers for several days, gymnastics is carried out after the permission of the doctor.

Later, any gymnastics is performed without taking painkillers. These drugs reduce sensitivity levels, which can result in unexpected knee injury.

Gymnastic complex:

1. Flex and unbend the ankle. Each exercise is repeated five times, then the number increases up to 20 times, as it recovers,
2. Tighten and hold the front thigh muscles for 2-5 seconds. Do the same with the hamstrings,
3. Hold the gluteal muscles in tension for about 5 seconds,
4. In a prone position, raise straight legs at an angle of 45 degrees and hold them for about 5 seconds,
5. Take your hips to the side several times,
6. Take back the straightened prosthetic leg.

It should be noted that all procedures are necessary for the restoration of the knee joint to take place in a short time. Exercise therapy is a procedure that is also initially characterized by pain and discomfort; it is important to strictly follow the doctor's recommendations and perform exercises.

Sometimes exercise can cause swelling of the operated leg, which can be removed with a cold compress. During the recovery period at home, remedial gymnastics is best supplemented with physical activity:

1. riding a bike,
2. swimming,
3. massage.

All this stimulates the muscles and enriches the blood with oxygen, which contributes to the successful healing of tissues and prevents various complications after knee arthroplasty.

At the same time, the prosthetic limb must not be subjected to strong loads.

Contraindications

After replacing the knee joint and going through the rehabilitation period, most people return to a full-fledged lifestyle. It is important to follow some rules that will help to successfully recover and extend the life of the endoprosthesis.

After the operation, doctors advise to gradually carry out the usual activities. Can:

1. to drive a car,
2. do a little work at home,
3. walk the stairs.

Despite the fact that gymnastic exercises, exercise therapy and walking are needed for a quick recovery, doctors prohibit such types of physical activity:

• jumping,
• aerobics
• some sports: tennis, skiing, etc.

Any type of knee or hip arthroplasty does not involve lifting heavy objects.

Pain is completely normal after knee replacement. There is no need to abuse pain medications in the postoperative period. The pain is relieved by a compress or a relaxing massage.

It is important to remember that developing the knee joint is the best way to get used to the prosthesis.

The leg will not hurt when the body gets used to its condition and regains muscle activity.

Rehabilitation and complications

The body of each person has its own characteristics, and it is possible that complications may appear after joint replacement.

Sometimes, after replacement, the joint is also unstable and additional surgery is needed to correct the situation. After surgery, the wound may become infected and the patient is given antibiotics.

For six weeks after surgery, there is a risk of edema and blood clots, so you need to wear special stockings and take blood thinners.

Rehabilitation after replacement of the knee joint includes exercise therapy, this allows you to normalize blood circulation in the legs, and a special massage relieves swelling.

After the operation, there is a possibility of a bone fracture or fracture near the implanted implant. During the healing period, scar tissue appears, which can cause limitations in the mobility of the joint, it is removed surgically.

The kneecap may be displaced, it is put in place only with the help of an operation. There is also a risk of deformation of the artificial implant itself.

For some time, the postoperative scar and adjacent skin will have decreased sensitivity and numbness.

The rehabilitation period and knee arthroplasty are serious processes, so it is important to follow all medical recommendations and responsibly perform the necessary exercises at home or in a sanatorium.

The prosthesis makes it possible to lead a normal life. However, there are still certain motor limitations.

Many resorts offer rehabilitation procedures after endoprosthetics. But not all courses have a set of equipment, so it is important to carefully choose a place where total restoration of the state will be ensured.

Many patients prefer to visit sanatoriums abroad. Such sanatoriums offer patients a full range of services, they have modern equipment, and the medical staff has the entire base of necessary skills.

The cost of services providing total limb restoration in a sanatorium is quite moderate, therefore such establishments are traditionally popular and in demand.

Disability and rehabilitation after knee arthroplasty

For diseases that destroy joints and bone tissue, patients are entitled to a disability allowance. To get it, you need to collect all the necessary documentation, images, as well as a medical report stating that a person cannot perform full-fledged independent movement.

Rehabilitation after knee arthroplasty can also be a reason for obtaining disabled status if the patient cannot move at the level that is necessary to perform the activity.

Social assistance is provided for 1 year. To extend payments, after this period, you need to undergo a second examination procedure, submitting documents to a special commission on disability.

Endoprosthetics surgery is a radical method of treating deforming osteoarthritis, rheumatoid arthritis, aseptic necrosis, post-traumatic complications and malignant neoplasms of the knee joint. Surgical intervention is effective in the last stages of diseases, accompanied by chronic pain and persistent impairment of knee mobility.

Direct indication for surgical treatment.

City Clinical Hospital No. 67

Deservedly considered one of the best clinics in Moscow. World-class doctors work here. Patients are operated on on a commercial basis or at the expense of public funds.

City Clinical Hospital No. 67.

To get a quota for endoprosthetics, a person needs to collect documents and undergo some examinations. After receiving the coupon, he can go to the hospital and stand in line. Unfortunately, after this the patient will have to wait for hospitalization for several months.

Hospital named after N.I. Semashko

The institution performs minimally invasive knee replacement surgeries. The hospital is equipped with modern equipment that allows it to perform the most complex operations. Patients who operate at their own expense can choose an endoprosthesis.

Hospital named after N.I. Semashko.

Fact! There are many private clinics in Moscow dealing with knee replacement. They all operate on a commercial basis. However, even there you can have the surgery for free.

You can make an operation in Moscow for a fee or for free, that is, according to a quota. Private clinics have signed an agreement with the state to provide citizens of the Russian Federation with High-tech Medical Care at the expense of budget funds. Every Moscow resident can be operated on for free in almost any clinic. However, for this he needs to hurry up with the registration of the quota and wait in line for 5-8 months.

Paid surgeries can be performed in any clinic that deals with endoprosthetics. The cost of various surgical procedures ranges from 50,000 to 400,000 rubles. The cost of the operation depends on the volume of the intervention, the quality of the implant, the level of the medical institution and the qualifications.

Applied methods and technologies

In Russia, they use practically the same instruments and equipment for monitoring the patient's condition as they do all over the world. If you operate on a quota, most likely, you will receive the cheapest domestic prosthesis.

Table 1. Types of knee arthroplasty.

Partial technology video animation:

Before endoprosthetics, each patient undergoes examination and passes a series of tests. This allows you to identify serious diseases that can cause the development of intra- or postoperative complications. During surgery, the medical staff of any clinic or hospital carefully observes all the rules of asepsis and antiseptics. In order to avoid undesirable consequences, doctors carry out prophylaxis of infectious and thromboembolic complications to the patient.

Video animation of total technology:

Knee replacement surgery usually takes 45-60 minutes. If the patient has large defects of the condyles that require bone grafting, the surgical intervention may take 2-3 hours.

The primary operation is shown on the left, revision on the right. Pay attention to the difference in implant size.

If the operation is successful, the patient begins to move the operated limb and perform special exercises the very next day. A few days later, he begins to get out of bed and walk with special walkers or crutches. The patient is discharged from the hospital for 5-10 days. The stitches from the postoperative wound are removed on the 10-14th day. After that, the patient is given recommendations and allowed to go home.

Pros and cons of treatment in Moscow

The advantage of endoprosthetics in Moscow is the ability to replace the knee joint free of charge, that is, according to a quota. Insurance medicine has its drawbacks - the inability to choose a prosthesis. The state will provide you with the implant that is available, and not the one that suits you best.

An example of knee implant wear.

For cash, you can choose any clinic and traumatologist. The best quality imported prosthesis will be selected for you, which will serve you for many years. But in a few days after the operation you will be discharged from the hospital and sent to "free swimming". Unfortunately, you will not receive the entire rehabilitation package.

Comparison of the wear of the metal and ceramic femoral component of the implant.

Let's try to understand more thoroughly all the pros and cons of paid and free endoprosthetics.

The principle of obtaining a quota

Obtaining a quota allows people who do not have sufficient funds for treatment to receive it for free. Perhaps, endoprosthetics at the expense of the Mandatory Health Insurance funds is somewhat inferior as a paid operation. However, it is the only salvation for many citizens of the Russian Federation.

Cons of arthroplasty on a quota:

• Long-term registration of a quota... To get a coupon for the provision of VMP, you will need to collect all the necessary documentation and go through as many as three medical commissions.
• Waiting for your turn for a long time... After receiving a coupon for free endoprosthetics, you will need to take it to the hospital. There you will be put in a queue, the waiting for which can drag on for six months or more.
• Inability to choose a prosthesis... Since the number of people who want to undergo surgery for free is very large, the state is not able to provide everyone with imported prostheses.
• Inability to choose a doctor... 99% of the success of the operation depends on the qualifications and skill of the operating surgeon.
• Lack of proper rehabilitation... After the operation, you will stay in the hospital for several days, then you will be sent home. To undergo further rehabilitation, you will have to pay for it out of your own pocket.

Fact! It is possible to obtain a HMP on a quota only at the place of residence. You will most likely be sent to the nearest hospital to be operated on. However, you can choose the clinic yourself. To do this, it must agree to operate on you on the quota and issue a quota decision.

Paid treatment

With a paid operation, you free yourself from lengthy paperwork, standing in lines and months of waiting. Arriving at a private clinic, you can safely choose a doctor and the time of the operation and the implant.

Many more and more often go to the Czech Republic to be operated on. There you can have endoprosthetics and complete rehabilitation. Naturally, such treatment helps to recover faster and return to the usual way of life.

The importance of rehabilitation

The success of endoprosthetics depends not only on the performance of the operation, but also on the patient's behavior in the postoperative period. It is good rehabilitation that helps a person restore normal knee mobility.

The rehabilitation period after knee replacement lasts about 4-5 months. All this time, the patient must be engaged in medical gymnastics and receive physiotherapy treatment.

19.02.2015, 21:56

Hello everyone. The problem is this: my father needs a hip replacement. Is it possible to do it on a quota. We are sent to MONIKI for examination and to stand in line. In our hospital they said that it would be necessary to buy a prosthesis ourselves - 160,000 rubles. Maybe someone knows something?

19.02.2015, 23:02

You can do it according to the quota.
If the father has a disability, it is necessary that the prosthesis be entered into the IPR (individual rehabilitation program), then they will either give what they have, or partially or completely compensate for the independently acquired one. Payments in Moscow and Moscow Region are much better than elsewhere, so everything is real. You need to find out the FSS phone number and call them on the hotline - they always answer in detail and tell how to proceed and who is supposed to.

19.02.2015, 23:51

According to the quota, you can do it, but not all hospitals do and the queue is always large. We were told that either you are doing in another hospital that works on a quota and waiting in line, or from us. The prosthesis was bought for 100t.r and the operation was done free of charge. My father had a disability. The operation was paid for by Good.

Anatoly Capri

20.02.2015, 00:11

A quota is a queue. You must definitely get into it. All the same, even for a paid operation, you will have to collect tests. This path of fools cannot be avoided. How will the answer to the quota be decided - if the term is long - to do it for a fee, but always with full documentary registration - printing, painting, receipts. Document everything! Then, after the operation, if all this goes away with you (!) Write an application to the insurance company at your place of residence with a proposal to pre-trial reimbursement of the costs of treatment and purchase of a prosthesis, a copy to the Ministry of Health (regional / city health department) and the CHI fund. Then there is a long epic with the courts, but as a rule not nervous, formal, protecting the fat ass of the director of the insurance company and successful for the patient.

20.02.2015, 06:50

My father also has a disability.

20.02.2015, 10:50

Do not get fooled by all sorts of small offices. Endoprosthetics is a very profitable business, and everyone grabs it. They will turn it around, and then redo it. Contact the Medical and Surgical Center. Pirogova N.I.
Well, or Irkutsk, Novosibirsk, Yekaterinburg. There are quotas

Well, rehabilitation, rehabilitation, rehabilitation.

20.02.2015, 11:30

Our postoperative treatment was free.

Alexander

20.02.2015, 12:26

Guys!!! What are you talking about??? I have THREE intervertebral hernias. I'm afraid to go to the operation because there is a lot of negativity, and even from my friends. This hour it was really impatient ... I decided to be operated on. Price list in St. Petersburg from 60,000 rubles. If you want the quota, then they told me right away - you won't wait ... And so in all hospitals. I've been lying for a week. Put on a corset. It seems to be easier .... Injections. Ointments and solid mat .....
They say the truth - there are no disabled people in our state.

20.02.2015, 12:49

In contrast to the treatment of herniated intervertebral discs, surgery for problems of the hip joint is more predictable.

20.02.2015, 16:07

They did it to my father, drove it to MONIKI, according to a quota, they installed an imported prosthesis, the operations were not even delivered to the flow - to the conveyor, so there is no need to be afraid, 3 days and at home. Recovery takes place in the usual way, and quite quickly, only the stitches hurt at first and then not for long. They waited 3 months, my father was 69 at the time of the operation, now 71.

20.02.2015, 16:09

20.02.2015, 16:16

20.02.2015, 18:02

Unfortunately, you have to say a little thank you to get the quota. This is Russia, brother :-)

Well, let's just say, twice my relatives received quotas. Both times for literal thanks.

22.02.2015, 12:16

The neighbor made two hip joints according to the quota. The wait for the first was two months, the second two and a half. Now she still walks with a cane. Everything is completely free, including the joints themselves. The referral was given at the polyclinic at the place of residence.
The operations are really on stream. After the operation, after five hours or so, they are already put on a walker, a day later we will go away. Both times came from the clinic to find out how things are. The service life of the prostheses is 12 years, and the replacement is also free afterwards.

Alexander well, in general, medicine in the country is free, the announced price tag is nothing more than a bribe. Intervertebral hernia surgery does not belong to the section of paid services. With MRI data to a regional neurosurgeon, he usually takes a referral. Like joints, an operation is in-line. The only process of recovery is long and dreary. The brother took about six months to recover. In general, about 70% of MPGs do not require surgical intervention when carrying out therapeutic measures. Try it, maybe you still do not have a rupture of the annulus fibrosus.

22.02.2015, 15:13

My father rested on money, but it seems to me that he is simply afraid. Now my mother and I were tortured to persuade him. It is necessary to do something for anyone. Thank you very much to everyone who responded, I also did not calm down a lot, otherwise they already said such amounts that I wanted to sell the sled, if of course it is necessary in a moment.

22.02.2015, 22:07

Most likely afraid))) And you need to sell anything, everything is just being decided.
By the way, in my opinion, they have now begun to make a replacement in Lukhovitsy. Would you have passed and asked, in my opinion they have established operations in traumatology. All closer than MONIKI)))

19.10.2015, 21:46

My IMHO - if there is an opportunity to do it according to the quota, it is obligatory to do it. Postoperative recovery after endoprosthetics is not cheap, so it’s better to save your money for him. This should not be neglected, since even a brilliant operation can be screwed up by poor postoperative management.

Do not get fooled by all sorts of small offices. Endoprosthetics is a very profitable business, and everyone grabs it.
I agree with the author. He did endoprosthetics of the hip joint at the hospital. Mechnikov (Peter) on a quota. And I don't regret anything. The attitude of the doctors is just as good. There are quotas, the wait took a couple of months. So what your father can do according to the quota, here apparently the fear of the operation repels more. And getting a quota is quite possible.

Ekaterina002

26.01.2016, 20:32

Auntie had her second hip joint changed in 1.5 years according to the quota. The first one - at first she paid herself, after 3 months she was transferred money, for the second she was immediately transferred to the hospital. She is a simple pensioner who has no acquaintances in medicine.

Alena, please tell me where your aunt applied for compensation. My aunt has an injury, a fracture of the femoral neck, the operation is free, but we paid for the endoprosthesis, now I want to reimburse it.

28.01.2016, 05:31

Ekaterina002, my grandmother had the same situation. She was visually impaired, therefore, the hip joint prosthesis was not installed in the IPR. The social security reimbursed only the rehabilitation means (walkers). We are now trying to get compensation for the prosthesis in the form of a tax deduction, because the buyer is a working person, not a pensioner. Rehabilitation means (diapers, mattress, etc.) began to be issued only according to the new IPR, which included the injury.