Joint Replacement and Arthroscopy

Dr. Esther Lipsker

Head of the Hand Surgery Department

In the orthopedic department of the Top Ichilov clinic in Israel, arthroscopic surgeries are performed and effective joint replacement techniques are applied, covering all types of joint replacement surgeries. Every year, experienced doctors help thousands of patients get back on their feet. The surgeries are conducted in state-of-the-art operating rooms equipped with the latest technology.

Joint prostheses are selected according to the individual characteristics of the patient and medical indications. The doctors at the Top Ichilov clinic have access to high-quality prostheses from leading global manufacturers, made from premium materials.

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30%

of diagnoses made in CIS countries are found to be incorrect at the Top Ichilov clinic

82%

successful cases of treatment with conservative methods

1230

procedures using the modern "Da Vinci" system

Table of Contents

Reviews

Methods

Stages

Diagnosis

One hour after surgery at Top Ichilov, the patient stood up (treatment in Israel – video review)

Types of Joint Replacement at Top Ichilov

In the orthopedic department of the Top Ichilov clinic, surgeries for the replacement of the following types of joints are regularly performed:

• knee joint replacement
• hip joint replacement
• ankle joint replacement
• elbow joint replacement
• treatment of the meniscus of the knee
• shoulder joint replacement

Arthroscopy is a modern minimally invasive method for examining and treating joints using mechanical and optical devices. A distinctive feature of arthroscopy is its low trauma level. During the surgery, the patient undergoes micro-incisions through which the arthroscope and surgical instruments are inserted. There is no need for full joint exposure during arthroscopy. This method is used for diagnosing joint diseases as well as for therapeutic purposes.

Foreign patients who come to the Top Ichilov clinic have the opportunity to undergo accurate diagnostics on modern equipment, receive a consultation from an orthopedic doctor, and undergo treatment in Israel. Arthroscopy is performed according to global standards by highly qualified medical staff.

Joint Replacement and Arthroscopy: Top Ichilov Restores Mobility, Relieves Pain

Joint replacement is a surgery to replace elements of the musculoskeletal system. The surgery is performed through small incisions using an endoscope, a special tube a few millimeters in diameter. An arthroscope is a type of endoscope. Indications for surgery may include fractures, false joints, degenerative arthritis, rheumatoid arthritis, avascular necrosis of the femoral head, and other diseases. Arthroscopy in Israel is advancing every day, supported by high-tech equipment and the extensive experience of Israeli doctors.

To minimize the likelihood of repeat surgeries, confirm the correct placement of the prosthesis, restore the biomechanical axis of the limb, and achieve ligament balance in the joint, orthopedic surgeons at Top Ichilov use a high-precision X-ray navigation system, O-ARM.

The day after the surgery, the patient, under the guidance of experienced rehabilitation doctors and physiotherapists, begins to load the joint, and on the 5th-6th day after the surgery, they can be discharged.

When selecting joint prostheses, medical indications, physiological characteristics, the degree of physical activity of the patient, their weight, and age are taken into account.

The Key to Successful Surgery – Accurate Preliminary Diagnosis

First Day – Consultation

Almost immediately after arriving at the clinic, the patient receives a preliminary consultation from a leading Israeli orthopedic surgeon specializing in the treatment of one of the joints. The specialist examines the patient, studies the X-ray images if the patient brought them, selects the type of artificial joint, and provides a referral for further preliminary diagnostics.

Second Day – Diagnostics

On the second day, the patient undergoes all basic diagnostic procedures. If the doctor does not find it necessary to prescribe additional procedures, the examination stage will conclude here. Usually, the following procedures are performed:

• Comprehensive blood tests (general, biochemistry)
• Urine analysis
• X-ray of the joint
• In some cases, MRI (magnetic resonance imaging) is necessary. The examination is performed using the latest devices with the highest resolution available today - 3 Tesla.
• If there is a rheumatological background, an analysis of joint fluid is performed.

Third Day – Treatment Plan

The treatment plan is developed collaboratively by the doctors in the expert group, which is created individually for each patient. The doctors carefully study the test results and formulate a treatment and subsequent rehabilitation plan, then closely monitor the treatment outcomes and adjust it if necessary.