Orthopedic Procedure and Packages

About orthopedics & orthopedic treatments

Orthopedics is a branch of medicine, which focuses on the treatment of conditions related to the musculoskeletal system. The musculoskeletal system is made up of bones, muscles, joints, ligaments, and tendons. A person who has a specialization in orthopedics is called an orthopedist. They use both nonsurgical and surgical approaches to treat a wide variety of musculoskeletal problems, such as sports injuries, back problems, and joint pain. During the first appointment with an orthopedist, they will work to diagnose the patient’s condition. Sometimes, an orthopedist uses an in-office procedure like an injection to help diagnose or treat the condition. Some common orthopedic procedures are total joint replacement, arthroscopic surgery, fracture repair surgery, bone grafting surgery, and spinal fusion.

Tips for Choosing a Great Orthopedic Surgeon

Choosing the right orthopedic surgeon is extremely crucial for quality orthopedic treatment. Researching the surgeon’s credentials helps you know whether the surgeon has the necessary certifications, training, as well as experience to treat you. You must be able to communicate openly with the surgeon. Also, the surgeon should have good communication skills to discuss your medical condition with you. Going through surveys as well as reviews about the surgeon will help you to choose the best one.

Orthopedic Surgery Packages Covering Orthopedic procedures

Common Types of Orthopedic Surgery Procedures are:

Anterior cruciate ligament reconstruction (ACL) Surgery Package

ACL injury and its cause

An ACL injury is a tear of the anterior cruciate ligament (ACL), a band of tissue that connects your thigh bone to your shinbone. ACL injuries are most commonly incurred during sports, which involve sudden stops and changes in direction, landing, and jumping. Depending on the severity of an ACL injury, treatment might include rehabilitation exercises and rest to help you regain stability and strength, or surgery in order to replace the torn ligaments followed by rehabilitation. ACL injuries often result during sports as well as fitness activities, such as pivoting with the foot firmly planted, suddenly slowing and changing direction, landing awkwardly after a jump, getting a direct blow to the knee, and stopping suddenly.

When do doctors recommend ACL reconstruction surgery?

ACL reconstruction is usually recommended if an athlete wants to continue in their sport, particularly, if the sport involves pivoting, jumping, or cutting. It is also suggested when you have more than one ligament injured or a torn meniscus, which requires repair.

ACL reconstruction surgery steps

During ACL reconstruction, the surgeon removes the damaged ligament and then replaces it with a segment of the tendon. The replacement tissue is known as a graft and this comes from another part of the tendon or a knee from a deceased donor.

The surgeon drills sockets or tunnels into the thigh bone and shinbone in order to accurately position the graft, and then it is secured to your bones with the help of screws or other devices. Finally, the graft serves as scaffolding on which the new ligament tissue will grow.

Common ACL surgery cost vs ACL reconstruction surgery package cost 

The cost of ACL surgery starts from $4000. The cost can vary from person to person depending on a number of factors, such as the type of surgery, the experience of the surgeon, the type of the hospital, the age of the patient, post-surgery complications, etc. If you are looking for affordable treatment, choosing an ACL reconstruction surgery package is the best option. You can save a lot with the package and also receive complete assistance during your medical journey. Our ACL reconstruction surgery package costs around $3200 and includes additional benefits.

The success rate of ACL repair

ACL reconstruction has been a successful surgery, with a satisfactory outcome in 75%-97% of patients. With a minimally invasive surgery, the results have increased well past 95%. Moreover, the new graft can restore flexibility and strength to the knee. But, the success rate depends on the physical therapy routine before and after surgery. Taking an appropriate approach to surgery would increase the chances of success and a timely return to activities.

Is the ACL reconstruction procedure painful?

Your knee would feel numb and less painful just after surgery due to the medication injected into it. It will wear off later and the pain will increase. The most severe pain generally lasts for 1-2 days and then gradually decreases.

Time is taken to start walking after ACL

After 2-3 weeks, you will be able to walk without the help of crutches. Specific exercises and activities that don’t put much weight on the knee might also be recommended, such as cycling and swimming.

Best countries providing affordable Anterior cruciate ligament reconstruction (ACL) packages

There are some countries that boast world-class hospitals and orthopedic surgeons. These hospitals hold a reputation for providing successful ACL reconstruction at a high success rate. Some of these countries that provide affordable anterior cruciate ligament reconstruction (ACL) packages are listed below:

• Anterior Cruciate Ligament (ACL) Reconstruction Package in Turkey starts at USD 4000
• ACL Reconstruction Packages in India start at USD 3200

Carpal Tunnel Release Surgery Package

Carpal Tunnel Release

Carpal tunnel release is a surgery performed to treat the painful condition called carpal tunnel syndrome. During carpal tunnel release, the surgeon makes a small incision in the palm over the carpal tunnel ligament and then cuts through the ligament in order to relieve pressure on the median nerves. The surgery might be done by making an incision on the palm side of your wrist, or by making many tiny incisions.

Is Carpal tunnel release the same as carpal tunnel syndrome?

No, carpal tunnel release is the name of a procedure used to treat pain in carpal tunnel syndrome. Whereas, carpal tunnel syndrome is the name of a condition that causes tingling, pain, and numbness in the hand and forearm.

When do Orthopedic surgeons recommend carpal tunnel release?

The reason that a doctor may recommend a carpal tunnel release is that nonsurgical interventions for carpal tunnel syndrome do not relieve the pain. Surgery can be appropriate if symptoms are more severe and do not show a response to other treatments. The aim of carpal tunnel surgery is to release pressure by just cutting the ligament pressing on your median nerve.

Steps in carpal tunnel procedure

• The patient will be asked to remove their clothing and wear a hospital gown. A local anesthetic is generally used for the procedure to numb the wrist and the hand.
• In case of an open-release surgery, surgeons cut around a 2-inch incision on the wrist. In endoscopic carpal tunnel release, the surgeon makes two small incisions. One on the wrist and the other on the palm.
• Then a camera attached to a narrow tube is inserted into one of the incisions. The camera guides the doctor as they insert the instruments and cut the ligament through the other incision.
• The surgeon will then stitch the incisions. The hand and the wrist are placed in a splint to keep the patient from moving the wrist.

Pain after carpal tunnel surgery

The patient can experience swelling, pain, and stiffness after the surgery. The doctor will prescribe certain medicines to relieve pain. You may have some soreness that may last a few weeks to 1-2 months after surgery. The bandage will remain there for 1-2 weeks.

The average cost of carpal tunnel surgery vs carpal tunnel release package cost

The cost of a Carpal Tunnel Release starts from $5500. The cost can vary depending upon a wide range of factors like facilities available at the hospital, experience of the surgeon, post-surgery complications, tests required, etc. The Carpal tunnel release package cost is affordable and costs about $4500 in India.

Carpal tunnel release recovery

Carpal tunnel surgery recovery time may vary from person to person. Health factors, age, and your ability to adhere to post-surgical care guidelines can affect your recovery time. Other factors that may lead to longer recovery times include pre-existing conditions like arthritis or tendonitis, which can also be contributing to pain as well as stiffness. Grip and hand strength generally return within 2-3 months after surgery.

How long does carpal tunnel release surgery take?

The surgery generally takes around 15 minutes. However, the patient, in most cases, spends nearly 45 minutes in the operating theatre while equipment is being set up and anesthesia administered.

What can you expect to change after carpal tunnel release surgery?

Most people who have undergone carpal tunnel surgery reveal that their symptoms get cured up to great extent and do not come back. If you have a severe case, then the surgery could still help, but you may still feel tingling, numbness, or pain with time.

Popular countries providing carpal tunnel release surgery packages

Below-listed countries provide affordable carpal tunnel release surgery packages:

• Carpal Tunnel Release surgery packages in India at USD 4500

Knee Arthroscopy Packages

Knee arthroscopy and its benefits

Knee arthroscopy is a surgical procedure used to diagnose as well as treat problems in the knee joint. In the procedure, the surgeon makes a tiny incision and then inserts a camera known as an arthroscope into the knee. This allows the surgeon to see the inside of the joint. The surgeon then investigates a problem with the knee and, if required, corrects the problem using a small instrument attached to the arthroscope. Some benefits of knee arthroscopy are smaller incisions, lower infection rate, minimal soft tissue trauma, faster healing time, and less postoperative pain.

Does knee arthroscopy mean arthroscopic knee replacement?

No, knee arthroscopy and arthroscopic knee replacement are not the same.

Knee arthroscopy is surgery, which uses a small camera to look inside the knee. The surgeon makes small cuts to insert the camera and tiny surgical tools into the knee for the procedure. Arthroscopic knee replacement is an orthopedic procedure in which an arthroscope is used to replace the damaged and worn surfaces of the knee.

When does an orthopedic doctor suggest arthroscopic knee surgery?

Your doctor might suggest that you undergo a knee arthroscopy if you are having knee pain. Your doctor may have already diagnosed the condition that is causing the pain, or they may order an arthroscopy in order to diagnose the causing agent. In both cases, arthroscopy is useful for the doctor to find out the source of knee pain and then treat the problem. Arthroscopic surgery can treat several types of knee injuries, such as torn anterior/posterior cruciate ligaments, patella that is out of position, torn meniscus, fractures in the knee bones, and torn cartilage that are too loose in the joint, and swollen synovium.

Types of knee arthroscopy surgery

There are various types of knee arthroscopy surgeries depending on the approach used.

• The anterolateral approach involves making a lateral capsular incision of about 8 cm proximal to the patella.
• The anterior technique provides more exposure and is useful for knee replacement and fixation of an intra-articular fracture.
• The peripatellar incision approach of knee arthroscopy has the advantage of being quite easy for the surgeon and provides good exposure to the knee.

Steps include in knee arthroscopy procedure

• The surgeon gives the patient an anesthetic before the knee arthroscopy.
• The surgeon makes a few small incisions in the knee.
• Sterile salt water will be pumped in to expand the knee. It helps in making it easier for your surgeon to see inside your joint.
• The arthroscope is inserted through one of the cuts and then the surgeon looks in your joint using a small camera. The surgeon will display the images produced by this camera on a monitor in the operating theatre.
• As soon as the surgeons locate the issue in the knee, they will insert small tools through incisions to fix the issue.
• After the surgery, the surgeon drains out the saline from the joint and closes the cuts with stitches.

Pain after arthroscopic knee surgery

Pain is very common in this procedure, generally in those areas where the patient had pain before the surgery. The pain settles generally within 2-3 weeks but may take up to six weeks depending on the age of the patient and preexisting condition.

Arthroscopy knee surgery cost vs Knee Arthroscopy package cost

Arthroscopy knee surgery cost starts from $3500. The cost might vary with cities, type of hospital, age of the patient, type of surgery, the experience of the surgeon, pre-existing conditions, facilities available, etc. The cost of the Knee Arthroscopy package starts from $1700 in India. We offer packages at reasonable pricing, which includes a range of additional advantages.

Knee scope recovery rate after Surgery

After surgery, the patient moves to the recovery room and will be able to go home within 1-2 hours. It is necessary that the patient is accompanied by someone with him/her to drive them home. While recovery from knee arthroscopy is quicker than recovery from any traditional open knee surgery, it is crucial to follow the doctor’s instructions very carefully after returning home.

What can you expect to change after arthroscopic knee surgery?

Every individual responds to arthroscopy knee surgery differently. Your healthcare provider might recommend waiting for a few weeks before doing more strenuous activities. Sometimes, you need to make changes to your lifestyle and activity levels. Some sports (particularly those that require jumping or running) can damage the knee. You need to talk to your doctor about choosing lower-impact activities and sports that are easier on the knee.

Popular countries providing Knee Arthroscopy packages

Some countries providing affordable Knee Arthroscopy packages are given below:

Shoulder Arthroscopy

About Shoulder Arthroscopy

Shoulder arthroscopy, a minimally invasive procedure, is used to diagnose as well as treat shoulder problems. You may have arthroscopy for shoulder impingement or rotator cuff tears. Minimally invasive surgery requires smaller incisions than traditional surgery. The incisions are about the size of a keyhole. The surgeon inserts a small camera known as an arthroscope through a small incision in the skin. This camera takes pictures of the shoulder joint and projects them onto a video screen. The surgeon looks at those images to find the cause of the injury. If you require a shoulder repair, the doctor uses miniature surgical instruments in order to restore the shoulder’s mobility.

When and why does a person require shoulder arthroscopy?

Shoulder arthroscopy is recommended for those whose pain isn’t responsive to non-surgical treatment modalities like medication, physical therapy, exercise, injections, or rest to reduce inflammation. Inflammation is a physical response to any condition or injury. Shoulder joints that are injured or sore are inflamed in the form of stiffness, pain, and swelling. Most shoulder problems result from injury, overuse, and age-related wear. Shoulder arthroscopy helps relieve pain symptoms from various issues that damage the articular cartilage, labrum, rotator cuff tendons, and other soft tissues around the joint. Some problems which require shoulder arthroscopy are torn ligament, shoulder instability, damaged bicep tendon, inflammation around the rotator cuff, frozen shoulders, and stiff shoulders.

What happens in shoulder arthroscopy procedures?

During shoulder arthroscopy, the surgical team will shave hair, if required, and clean the skin with an antiseptic solution. The doctor may inject fluid into the patient’s shoulder. The fluid inflates the shoulder joint, which makes it easier for the surgeon to examine. The surgeon makes a minute hole, in the shoulder. A tiny camera called an arthroscope is inserted into this incision. The camera projects images of the shoulder to a video screen. The images help the surgeon find the issue with the shoulder. Then, the surgeon makes other small cuts in the shoulder and inserts small instruments.

Once the medical team is done with the surgery, they will close the incisions. The patient may have stitches or small bandages.

Shoulder arthroscopy surgery time 

Shoulder arthroscopy is an outpatient procedure where the patient is able to go home the same day. The entire procedure generally takes less than an hour. The patient needs to recover for 1-2 hours at the hospital after surgery. The doctor will offer pain medication if required.

Is arthroscopic shoulder surgery painful?

Like most surgical procedures, shoulder arthroscopy also causes some pain. During shoulder arthroscopy, nerve blocks are injected into the neck or shoulder of the patient. These nerve blocks numb the shoulder and arm. These chemicals also help to relieve pain after surgery. In certain cases, the patient may have general anesthesia, where they are asleep during the surgery.

What things are to be taken care of after shoulder arthroscopy?

In almost all shoulder arthroscopy cases, the shoulder surgeon will instruct you to wear a sling just after shoulder surgery. The sling will limit the shoulder’s range of motion which allows the surgical site to fully integrate and heal. In certain cases, the repaired area should be protected. The patient should drink more water with electrolytes after the surgery because medications and anaesthesia used during the surgery dehydrate the body. Prescribed pain medicine should be used as prescribed by the doctor. The use of ice bags is suggested to get relief from pain and swelling after the surgery. Most surgeons suggest that the patient should sleep in a reclined position after surgery.

Time is taken to recover from Shoulder Arthroscopy

The shoulder joint usually takes weeks to months to fully heal after shoulder arthroscopy. The patient may experience pain and swelling for several weeks. Pain medication and ice can help with pain relief. A rehabilitation plan includes physical therapy and gentle exercise. It can increase your shoulder strength and movement.

General arthroscopic shoulder surgery cost in comparison to Shoulder Arthroscopy package cost

Arthroscopic shoulder surgery cost starts from $3500. This cost, however, can vary depending upon numerous factors, such as type of surgery, facilities availed, the experience of the surgeon, etc. The Shoulder Arthroscopy package cost starts from $2600 in India, which is much more affordable than getting the treatment directly from the hospital. Also, there are several additional benefits that come with a shoulder arthroscopy package.

Popular countries providing the best shoulder Arthroscopy packages

There are some countries where the best shoulder arthroscopy packages are offered. These countries have world-class hospitals, highly experienced doctors, and state-of-art infrastructure. Below is the list of the countries where you find the best shoulder arthroscopy packages:

• Shoulder Arthroscopy Packages in India, Starting price is USD 2600
• Shoulder Arthroscopy Surgery Packages in Turkey, Starting price is USD 3500

Few more packages are also available for Shoulder Repair and Shoulder Replacement

• Shoulder Replacement surgery package in India costs around USD 8600 (average start price)
• Shoulder Tendon Repair-Rotator Cuff Surgery Package in United States starts at USD 13000

Total Hip Replacement (UL/BL)

About Total Hip Replacement

Hip replacement also known as Hip Arthroplasty is a surgical procedure where a hip joint is replaced by a prosthetic implant. The surgery can be performed as a total replacement or a half replacement. Also, such joint replacement surgery is usually conducted in order to relieve arthritis pain and in hip fractures. A total hip replacement consists of replacing both the femoral and acetabulum head while hemiarthroplasty only replaces the femoral head. Moreover, hip replacement is a common orthopedic operation. Approximately 58 percent of total hip replacements last 25 years.

Is Hip Replacement the same as hip arthroplasty?

Yes, they are the same. Both hip replacement and hip arthroplasty refer to a surgical procedure in which the surgeon removes the damaged part of the hip joint and then replaces them with implants generally constructed of ceramic, metal, and very hard plastic.

When do doctors recommend Total Hip Replacement Surgery?

When your quality of life is hampered due to hip pain, your doctor may recommend total hip replacement surgery. Some signs of declining quality of life include difficulty doing simple tasks, inability to get restful sleep due to pain, and inability to participate in the activities you enjoy. At first, the doctor may suggest other treatments like medicine for pain and inflammation, joint injections, walking aids, and physical therapy. If these measures don’t relieve pain and stiffness, total hip replacement surgery might be recommended to restore complete function and improve quality of life.

Types of Total Hip Replacement 

There are two types of total hip replacement based on surgery – the posterior approach and the anterior approach.

• Posterior double hip replacement surgery (also known as Bilateral Hip Replacement) is a minimally-invasive approach in which the surgeon makes a small incision at the back of your hip near the buttocks.

• In an anterior hip replacement surgery(also called Unilateral Hip Replacement), the surgeon makes a small incision close to the front of the hip to enable the removal of damaged bone as well as cartilage, followed by implantation of an artificial hip without affecting the surrounding muscle & tendons.

The material used for hip implant & hip joint replacement

These days hip joint implants are made from ceramics, metals, and plastic materials. The most used are special high-strength alloys, alumina, titanium alloys, stainless steel, zirconia toughened alumina, zirconia, and UHMWPE.

Time is taken to perform Hip Replacement surgery

Generally, hip replacement surgery takes about two hours. But, your operation’s time frame depends upon the severity of the patient’s condition and complications that might arise during the surgery. It also depends on the age of the patient.

Cost of hip replacement surgery packages 

The cost of the hip replacement surgery package starts from $4500, which is much more affordable compared to the cost offered by hospitals. The general cost of hip replacement surgery starts from $6000.

Does every package follow an anterior approach for hip replacement?

No, treatment packages offer both anterior and posterior approaches for hip replacement surgery. A package is chosen based on the requirement of the patient and the overall budget. The cost of the package may vary depending upon the approach chosen.

Recovery time for Total Hip Replacement Surgery

Generally, hip replacement recovery could take about two to four weeks, but it may vary as everyone is different. It depends on several factors, including the patient’s age, nutrition, how active they were before their surgery, pre-existing conditions, and other lifestyle and health factors.

The success rate of the Total Hip Replacement Procedure

Total hip replacement surgery has success rates of around 90-95%. Some factors that can affect the success rate are the experience of the surgeon, techniques, and infrastructure used at the hospital, type of surgery, etc. About 90% of patients who experienced moderate pain before the first surgery saw mild or no pain at all after five years.

List of countries providing the best packages for Total Hip Replacement (U/L & B/L)

You can find the best packages for Total Hip Replacement in the below-listed countries. These countries have world-class hospitals, highly experienced doctors, and state-of-art infrastructure. The packages are much more affordable compared to the cost of treatment offered by hospitals. These packages also come with attractive discounts and facilities.

Total Knee Replacement (U/L & B/L)

About Total Knee Replacement 

Total knee replacement involves the replacement of both sides of the knee joint. It is a common orthopedic surgery, which involves replacing the articular surfaces of the knee joint with smooth metal and plastic. The procedure aims to improve the overall quality of life of patients with end-stage osteoarthritis by just reducing pain as well as increasing function. The number of total knee replacement surgeries has gone up in developed countries.

Is Total Knee Replacement the same as total knee arthroplasty

Total knee replacement is the same as total knee arthroplasty and is interchangeably used with each other. Both refer to surgery done to replace both knee joints with a man-made artificial joint.

Types of total knee replacement

There are two types of total knee replacement –

• Minimally invasive knee replacement and lateral approach. The minimally invasive technique involves making a much smaller incision without cutting through the muscles as well as quadriceps tendons. This technique helps reduce pain by sparing muscles as well as tendons.

• The lateral approach involves the use of proprietary techniques to position the implants. A small is made that avoids any kind of trauma to quadriceps muscles and spares medial ligaments as well.

When can a doctor recommend complete knee replacement surgery?

Before recommending surgery, the orthopedic surgeon conducts a thorough examination of the knee using X-rays and an MRI to look inside it. The doctor will also review your recent medical history before deciding if surgery is necessary. If you have tested all osteoarthritis treatment options and still experience knee pain, the doctor may suggest total knee replacement. It helps reduce pain and improve your ability to move.

Materials used for knee replacement implants 

The metal parts of the knee replacement implants are made of cobalt-chromium or titanium-based alloys. The plastic part is made from medical-grade polyethene. Also, some implants are made from ceramics and ceramic/metal mixtures like oxidized zirconium.

Benefits of total knee replacement package cost over normal total knee replacement surgery cost

The key benefit of choosing a total knee replacement package is cost-effectiveness. Medical care costs have jumped significantly these days, hence, treatment packages play a crucial role in ensuring affordable treatment. Treatment packages also offer heavy discounts and provide multi-level assistance required during your treatment journey. Whereas, general knee replacement surgery cost is much higher and may not be affordable for many. The total knee replacement package cost is around $5000, whereas the normal cost of total knee replacement surgery starts from $6500.

Recovery time for total knee replacement surgery

The recovery timeline for total knee replacement generally lasts 12 weeks. Also, performing rehabilitation exercises helps improve your recovery time. The 12 weeks after surgery are crucial for recovery and rehab. Sticking to a plan will help you heal quicker from surgery and improve the chances of long-term success.

Care to be taken after total knee replacement surgery

You might experience swelling 7 to 10 days after the surgery. Raise your leg slightly above the level of your heart by putting a pillow under your ankle or calf, not your knee. Also, apply ice for about 20 minutes, 3-4 times a day in order to help reduce swelling. Contact your surgeon immediately if you experience an increase in calf pain.

List of countries providing the best packages for Total Knee Replacement (U/L & B/L)

The countries providing the best packages for Total Knee Replacement (U/L & B/L) are listed below:

How are Orthopedic Procedure Packages Beneficial?

Medical care costs have gone up significantly and cannot be afforded by many. If you want to have an orthopedic procedure within your budget, choosing a treatment package is the best option. Traveling to other countries for medical treatment involves various requirements, such as choosing the best doctors and hospitals, airport transfers, securing a medical visa, accommodation, and food, appointments with doctors, etc. If you choose a treatment package, all these arrangements will be made under the package. Also, you can save much of your money and time. All necessary assistance is provided to you to make your treatment journey easy and successful.

Is there any chance of orthopedic surgeries going wrong?

Although there are very rare cases where an orthopedic surgery went wrong, such incidents cannot be denied. So, it is very important for you to know your surgeon and his credentials before you choose them for your surgery. Mistakes during orthopedic surgeries can lead to harm such as chronic pain, uneven limbs, paralysis, and even death.

Does Health Insurance cover all those Orthopedic Procedures?

Most health insurance providers cover orthopedic procedures as it is considered to be medical surgery. Not only the surgery cost but also all related expenses are generally covered by health insurance policies.

The easiest way to avail any of the Orthopedic Surgery packages I am looking for?

If you are looking for affordable orthopedic surgery, choosing a treatment package is the best option. MediGence has made it very simple for an individual to choose a suitable package according to their budget. The patient needs to send all relevant medical documents via WhatsApp or email provided on the website of MediGence. You can then choose an orthopedic surgery package according to your budget. A case manager will be assigned, who will be in close touch with you and take care of all your details from arrival to send-off.