ГУ “Республиканский научно-практический центр травматологии и ортопедии”

Министерство здравоохранения Республики Беларусь

Республиканский научно-практический центр травматологии и ортопедии

  • Оказание высококвалифицированной специализированной травматолого- ортопедической помощи населению республики
  • Разработка и внедрение новых, наиболее эффективных методов диагностики, лечения и профилактики.
  • Обеспечение всего объема специализированной медицинской помощи, как для детей, так и для взрослых, включая заболевания и повреждения костей скелета, суставов и позвоночника.

Острые респираторные инфекции (ОРИ)  и грипп -

14 октября 2017 г. исполнилось 60 лет Белецкому Александру Валентиновичу,

На базе РНПЦ травматологи и ортопедии открыт Образовательный центр. 

19 декабря 2017 г. будет проведена межведомственной конференции с международным участием «Профилактика детского травматизма в Республике Беларусь». Прием тезисов и статей продлен до 28 ноября 2017 г.

КОНГРЕСС  ESSKA - Глазго 2018 год. Курсы по артроскопии ESSKA на 2017 год

19 мая 2017 г. проведена международная научно-практическая конференция по артроскопии плечевого сустава

Медицинские услуги

Эндопротезирование

Артроскопическая хирургия

Остеосинтез при переломах

Хирургия позвоночника

Детская ортопедия и вертебрология

Восстановительно- реабилитационное лечение

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Endoprosthesis Surgery

 The Republican Scientific and Practical Centre for Traumatology and Orthopedics has more than twenty years of experience performing endoprosthesis replacement of large joints.

Every year the clinic performs more than 600 hip replacements and 300 replacements of knee joint, arthroplasty of shoulder, elbow and ankle joints.

Total hip arthroplasty

In our clinic hip artroplaty is performed under the entire spectrum of possible pathologies: primary coxarthrosis, dysplastic coxarthrosis with the presence of subluxation or congenital high dislocation of the femoral head, avascular necrosis of the femoral head, rheumatoid arthritis, a false hip joint, delay hip fracture-dislocations and others.

All employees involved in joint replacement surgery have the highest qualification category.

Conditions of stay

Single and double rooms of higher comfort with a bathroom and a shower, equipped with TV and refrigerator are provided for better accommodation of patients.

Preoperative preparation

The reguired clinical tests (general blood and urina analysis, biochimical blood analysis, coagulogram, blood group and rhesus factor analysis, HIV analysis, hepatitus analysis ) are performed to assess the patients health status and to adequately plan of the surgical intervention. The electrocardiogram is performed, the patient is examined by a therapist.

  To select the required size of the prosthesis radiographs of the hip joint, and, if necessary, computed tomography are performed. During the inspection, the anesthesiologist determines the type of anesthesia (general or spinal anestesia). Patient’s examination and preparation for surgical intervention takes 1 - 2 days.

Used implants: 

 

рис1эндопротез 1111

In our clinic, endoprostheses of cement-free and cement fixation of the following manufacturers are applied:
  • Waldemar Link
  • DePuy
  • Smith & Nephew
  • Medacta
  • Altimed

 

 

For younger patients we prefer to use cementless systems with a pair of friction: ceramic-ceramic or ceramic-polyethylene of high-strength with the size of the prosthests head equal  36 to 40 millimeters. Endoprostheses of cement fixation with a pair of friction: ceramic-on-polyethylene, metal-on-polyethylene, are more often implanted in elderly patients.

Surgery

The operation is performed from the anterior or posterior surgical approach(depending on the surgeon’s preference and the patient’s status). The time of surgery is: from 50 min to 1 hour and 20 min. We apply systems for return of  blood lost in the drainages in the immediate post surgery period, such systems allows to avoid donor blood transfusions. The patient stays in the intensive care unit during the first day after surgery.

After surgery period

From the first day after surgery physical therapy under the supervision of an instructor and physician is carried out. On the 2-3 day after surgery the patient begins to walk with crutches. In the post surgery period the required medical  therapy is carried out (antibiotics, analgesus, low molecular weight heparins for trombosis prophilaxis, intravenous infusion and others).

The time spent in hospital is: 5 to 12 days after surgery.

Rehabilitation

Rehabilitation of patients after arthroplasty can be performed either at the State Institution «Republican scientific and practical centre for traumatology and orthopedics» (Department of physical therapy and medical therapy), or at the Republican clinical hospital of medical rehabilitation.

Routine medical examinations of patients in the dynamics are directly operated by the surgeon throughout the period of observation.

Clinical examples:

Клинические примеры

Рентгенограммы пациента с аваскулярными некрозами головок бедер Рентгенограммы пациента с аваскулярными некрозами головок бедер

Radiographs of a patient with avascular necrosis of the heads femoral.

 

6 years after arthroplasty with the use of press-fit cups, anatomical shape of the leg with a friction pair ceramic-on-ceramic bearings.

 

Рентгенограммы пациента с посттравматическим коксартрозом IV ст. Рентгенограммы пациента с посттравматическим коксартрозом IV ст.

Radiographs of a patient with post-traumatic coxarthrosis, grade IV.  

5 years after arthroplasty using the method of autoplasty of acetabular defects with a bone graft and reinforcing mesh. Cup of cement fixation, cementless stem, a pair of friction: metal-on-polyethylene.

Рентгенограммы пациентки с коксартрозом III ст.Рентгенограммы пациентки с коксартрозом III ст.

Radiographs of patient with coxarthrosis, degree III.

Arthroplasty with the use of press-fit cups stems with hydroxyapatite coating and a pair of friction: ceramic-on-polyethylene.

Рентгенограммы пациентки с двухсторонним диспластическим коксартрозом, высокими врожденными вывихами обоих бедер, левосторонним гонартрозом с вальгусной деформацией и связочной нестабильностью коленного сустава. Рентгенограммы пациентки с двухсторонним диспластическим коксартрозом, высокими врожденными вывихами обоих бедер, левосторонним гонартрозом с вальгусной деформацией и связочной нестабильностью коленного сустава. Рентгенограммы пациентки с двухсторонним диспластическим коксартрозом, высокими врожденными вывихами обоих бедер, левосторонним гонартрозом с вальгусной деформацией и связочной нестабильностью коленного сустава. Рентгенограммы пациентки с двухсторонним диспластическим коксартрозом, высокими врожденными вывихами обоих бедер, левосторонним гонартрозом с вальгусной деформацией и связочной нестабильностью коленного сустава. Radiographs of a patient with bilateral dysplastic coxarthrosis, high congenital dislocation of  both hips, left gonarthrosis with valgus deformity and ligamentous instability of the knee joint. Hip arthroplasty with the use of a reconstruction ring (implantation in the true acetabulum), the legs cement fixation. After a month knee arthroplasty with the limb axis correction.

 

Total knee arthrolasty

 

Тотальное эндопротезирование коленного сустава

In the State Institutsion «Republican scientific and practical centre for traumatology and orthopedics» knee replacement is performed under the entire spectrum of possible pathologies: primary osteoarthritis of the knee, degree III-IV: aseptic necrosis of the  femur condyles; osteoarthritis of the knee with severe axial deformities and contractures of the joint and so on.

Revision arthrolasty surgery for instability of the previously installed implants, is also perfomed at the clinic.

Used implants:

Эндопротезирование в РНПЦ травматологии и ортопедии

 

In our clinic, we use implants from the following manufacturers:

 

 

Depending on the degree of deformation of the knee joint, viability ligaments, the possible presence of  bone defects we perform the implantation of both the primary non-linked types of implants and posterior-stabilized, rotating-linked and loop structures of the implants. Fixation of the implants is accomplished with the use of bone cement.

Surgery

The operation is performed from the front longitudinal surgical approach. The operation time is about 1 hour 30 minutes. We use the system to return the blood lost in the drains in the immediate postoperative period that allows to minimize the need for blood transfusions. The first day after surgery, the patient is in the intensive care unit.

Эндопротезирование в РНПЦ травматологии и ортопедии Эндопротезирование в РНПЦ травматологии и ортопедии Эндопротезирование в РНПЦ травматологии и ортопедии

 

 

The cost of treatment for foreign citizens

The cost of treatment depends on the duration of stay in hospital, the type of the installed endoprosthesis, the amount of drug therapy and is agreed with the patient at the time of concluding the contract.

The estimated cost of  hip or knee joint arthroplasty is from 4,000 to 6,000 $ taking into account the cost of the prosthesis.

Payment of stay and treatment is made with 100% advance. The final settlement in case of cash payment is fulfilled on the day of discharge on the basis of medical history, in case of non-cash payment - within 10 days.

If You decide to contact our Centre for surgery, please contact us by phone 8-017-279-78-03 (registry of paid services) or by email: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра..

For obtaining preliminary advice you can send your x-rays, extracts from medical charts and other documents to our email address.

We are ready to answer your questions.

Translation from Russian  by Murzich А., Sirotkin R.

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