Operation of the shoulder joint replacement is required when the "native" joint is worn or damaged to such an extent that the slightest movement of your arm hurts. The most common cause of such problems is a joint osteoarthritis or shoulder injury. The need arises in the endoprosthesis when the damage can not be eliminated by sparing surgery.

Unique advantages en.thebestmedic.com and shoulder prosthesis in Israel

Tlv.Hospital Coordination Center offers its patients who have decided to spend arthroplasty in Israel, the following advantages:

  1. world-class, competitively priced availability of surgical services.
  2. Comfortable clinical setting and temperate climate promote easy and rapid recovery.
  3. World health standards specialized clinics. Israel has played a leading role in terms of medical education, medical standards and quality management of hospitals. Israeli medical research and innovative technology to meet the highest standards.
  4. You do not have to wait in line at the shoulder joint prosthesis.
  5. Replacement of the shoulder joint in Israel is closely monitored at all stages, thus avoiding any possible risk to the patient.
  6. Due to the long and special education, the Israeli orthopedic surgeons have a unique set of skills. In addition, they are well versed in the biomechanics of the joints, artificial limbs and mobility, as well as non-surgical physical therapy and osteopathic therapy. Together, all these knowledge and skills allow Israeli orthopedic surgeon to preserve as much as possible "native" of bones and tissues of the patient. This means not only the rapid recovery after surgery, but also increases the chances of saving the natural mobility of the joint.


Types of diagnosis in replacement of the shoulder joint in Israel

For successful joint replacement of the shoulder joint in Israel is required to conduct a thorough diagnosis, to determine the most appropriate prosthesis for each specific case, and to assess the scope of the forthcoming operation.

Orthopedic clinic and department clinics in Israel offer the most modern and high-quality services, by ultrasound and digital radiography to MRI imaging.

1. Digital X-ray. Modern X-ray SIEMENS system provides the following features:

- Instant access to digital images.

- an immediate demonstration and explanation of the results for the patient.

- an accurate diagnosis on the basis of clear images.

- low radiation burden.

2. Sonography. Ultrasound examinations of the musculoskeletal system are an integral part of an orthopedic diagnosis. They are a useful addition to radiology, CT and MRI, and are particularly important for surveillance and monitoring of the effusion of the joints and arthritis.

These studies are interpreted by a competent physician who specializes in the joints. Then the patient is invited to the most appropriate method of treatment: complete replacement prosthesis for a total shoulder or shoulder arthroplasty.

In addition to Israeli hospitals apply a comprehensive approach to treatment, that is, the focus is not only painful joint, but also people in general - with past illnesses, occupation, etc. Therefore, analyzes, and other types of research may additionally be assigned as needed. Extensive experience of Israeli orthopedic surgeons and neurosurgeons combined with modern diagnostic equipment to determine the true causes of patient discomfort.

Endoprosthesis of the shoulder joint in Israel: the main types of

The main purpose of the operation of the shoulder joint replacement in Israel is to reduce the pain in the affected shoulder and restore maximum mobility. There are three types of shoulder replacement operations :

Total arthroplasty or total shoulder arthroplasty. The operation involves replacing a damaged shoulder heads (articular or "ball"), a metal ball and a new smooth plastic coating on the glenoid surface (called "jack"). The metal ball is attached to the remainder of the humerus. Metal to plastic surfaces (metal and not on the metal) are a hallmark of virtually all systems with replacement implant shoulder.

Hemiarthroplasty. This is a partial joint replacement. The word "arthroplasty" means "joint replacement" and "hemi" means "half." In this case, only replaced with an artificial joint "ball" in the course of surgery. This method is suitable in cases where the muscles surrounding the joint is not damaged, and the shoulder socket (glenoid) are practically no signs of wear.

The reverse shoulder prosthesis. In some cases, such as when damaged muscles surrounding the joint (so-called rotator cuff), or if the other shoulder replacement operation is ineffective, the reverse humeral prosthesis used. As the name implies - ball and socket joint are reversed: a metal ball attached to the patient's socket and plastic socket - the upper part of the humerus.

implant materials

There are many different types of implants are used to replace the anatomic shoulder. However, they all have the same basic components: a metallic ball which rests in a plastic (polyethylene) slot. The plastic part of the prosthesis often is adhered to the surrounding bone, the second part of the prosthesis - metal ball has a stem which is typically placed within the humerus. In most cases, the new prosthesis fitted with rod special design that allows bone ingrowth into the prosthesis, ie the need for cementing disappears. Among the new developments - a constructive opportunity to customize the ball component to a new joint is fully consistent with the patient's anatomy.

The most common causes of shoulder replacement

  • Progressive shoulder joint arthritis (osteoarthritis).
  • Complex shoulder fractures (fracture of the glenoid).
  • Changes in blood flow to the head of the humerus, leading to necrosis.
  • Rheumatic diseases.
  • Frequent dislocations of the shoulder.
  • Severe infections of the joints.

Possible complications after shoulder replacement

Most people after the operation is completely returned to the familiar daily life. But, as with any surgery, there is a possibility of complications. They may include:

  1. Infection or bleeding in the joint. To reduce the chance of infection after the operation you will be assigned antibiotics.
  2. The ball portion of the prosthesis may slip out of the slot.
  3. Nerves located in the shoulder, can be damaged during the operation, but usually, they are restored independently.
  4. As one of the most serious complications of prosthesis infection is considered, it is important that the patient prior to surgery reported any ailments.

Rehabilitation after shoulder joint replacement in Israel

For complete recovery except important successful operation competent rehabilitation. Approximately six weeks after the operation will focus on special exercises for the development of the usual range of motion in the joint. Also important physiotherapy, a course where you can go in Israel, including in sanatoriums on the unique Dead Sea.

Approximate dates of treatment and rehabilitation

• Patient Treatment: 5 days.

• Rehabilitation treatment: 28 days at home (with a bandage Gilchrist 24/7).

• 14 days of outpatient rehabilitation (with Gilchrist bandage at night).

• The earliest flight home: 10 days after surgery.

• Recommended flight home: 14 days after surgery.

• The recommended rest time: 6 weeks.

• Before driving time: 6 weeks.

• A return to normal life, and such sports as swimming, cycling, etc:. 12-24 weeks.

Who to contact?

  1. Vadim Benkovich - leading Israeli orthopedic surgeon with over 20 years of experience who specializes in joint replacement. He spends about five hundred such operations annually. It uses computer technology by which implants are ideally matched to the anatomy of the individual patient.
  2. Professor Alex KOLGANOV - English-speaking surgeon orthopedic surgeon, trained in the best clinics in Europe. Brilliantly performed operations in joint replacement. On his account about four thousand such operations.
  3. Professor Shmuel Dekel - the most famous and respected surgeon - endoprotezist in Israel. He uses in his practice the most advanced techniques and technologies in this field. During his years of practice, he spent 7,000 successful operations to replace large joints.
  4. Gabriel Moses - a leading podiatrist in Israel with more than 30 - years experience, specializing in shoulder surgery. He helped to cope with the severe injuries and problems of the shoulder joints of thousands of patients.