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Эндопротез голеностопного сустава цена

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17 августа 2019

Проведение операции эндопротезирования голеностопа возможно по трем программам:

  • бесплатное лечение по полису ОМС (обязательного медицинского страхования);
  • операция по квоте ВМП (высокотехнологической медицинской помощи);
  • платное лечение в государственных и частных клиниках.

Стоимость и состав программ госпитализации

Программы лечения ОМС ВМП Платное лечение
госпитализация и медикаментозное обеспечение бесплатно бесплатно 3 000 руб.
в день
операция бесплатно бесплатно от 25 000 руб.
анестезиологическое обеспечение бесплатно бесплатно 8 000-19 000 руб.
эндопротез оплачивается пациентом бесплатно от70 000 руб.
(зависит от
типа протеза)
многоместная палата бесплатно бесплатно бесплатно
двухместная палата
(одно место)
1 500 руб. в день 1 500 руб. в день 1 500 руб. в день
одноместная палата 2 400 руб. в сутки 2 400 руб. в сутки 2 400 руб. в день
люкс палата 4 500 руб. в сутки 4 500 руб. в сутки 4 500 руб. в день
необходимость ожидания от 2 недель от 4 недель
до нескольких месяцев
не более
1 недели
итоговая стоимость
(многоместная палата)
бесплатно
оплачивается ТОЛЬКО эндопротез
бесплатно от 270 000 руб.

Полис ОМС

Полис ОМС (обязательного медицинского страхования) имеет каждый гражданин РФ. Обратиться в ГКБ №17 за лечением возможно, имея только паспорт, полис и направление из поликлиники.

При наличии показаний к эндопротезированию, операция и все лечение (госпитализация, нахождение в больнице, лекарства, реабилитация) оплачиваются вашим полисом.

Имплантаты, в большинство случаев, оплачиваются пациентами за счет личных средств. Стоимость имплантатов очень различна, зависит от особенностей поражения сустава и выбирается индивидуально для каждого пациента.

Квота ВМП

В случае необходимости выполнения эндопротезирования голеностопного сустава в ГКБ №17 можно оформить необходимые документы для получения квоты. В этом случае все бесплатно, в том числе и лечение, и имплантат.

Однако надо знать, что получение квоты сопряжено определенным сроком ожидания операции, поскольку, как правило, во всех клиниках, где выполняются операции по квоте, имеется определенная очередь.

Время ожидания очень сильно варьируется и зависит от количества выделенных квот в каждом году.

Платное лечение

Стоимость платного эндопротезирования плечевого сустава варьируется в зависимости от лечебного учреждения.

Платные услуги ГКБ №17

При желании, или если нет возможности ждать, можно воспользоваться платными услугами ГКБ№17.

Стоимость лечения зависит от срока пребывания в больнице, включения реабилитационных процедур в курс лечении, от условий комфортности – одно или двухместные палаты, необходимости предоперационного обследования в клинике и рассчитывается индивидуально для каждого пациента.

Имплантат оплачивается отдельно, его цена варьирует в широком диапазоне. Большинство распространенных стандартных эндопротезов стоят в пределах 170-220 тысяч рублей.

В целом, стоимость услуги по эндопротезированию тазобедренного сустава в условиях ГКБ №17 составляет от 270000 рублей.

Операция в частной клинике

Стоимость напрямую зависит от цены эндопротеза – она варьирует в широком диапазоне: от 170 до 220 тысяч рублей. Выбор подходящего эндопротеза является важнейшим фактором для успеха операции.

Эндопротезирование тазобедренного сустава в клинике «Союз», в целом, обойдется для вас от 350000 до 400000 рублей.

  • предоперационное обследование, анестезию, операцию, послеоперационное наблюдение;
  • эндопротез и все необходимые расходные материалы;
  • питание, обеспечение лекарствами и больничной одеждой;
  • лечение в 2-местной палате в течение 7 дней;
  • реабилитационная терапия в период нахождения в клинике.
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Стоимость растет, если:

  • увеличивается срок госпитализации;
  • требуется 1-местная палата;
  • требуется операция повышенной сложности, повторная операция;
  • необходимо дополнительное обследование;
  • нужны специальные средства реабилитации;
  • необходима установка дорогостоящего эндопротеза.

Для предварительной оценки стоимости услуги необходимо пройти очную консультацию у специалиста.

Не теряйте время и деньги! Не рискуйте своим здоровьем!

Обращайтесь к квалифицированному ортопеду при первых же симптомах заболевания. В нашей клинике мы поможем Вам быстро избавиться от вашего недуга.

Видеоотзывы

Эндопротезирование голеностопного сустава

Эндопротезирование голеностопного сустава – это операция, в процессе которой поврежденный сустав заменяется искусственным имплантатом. Такое хирургическое вмешательство позволяет восстановить функцию сочленения почти в полном объеме и избавить человека от боли.

Показания к эндопротезированию голеностопного сустава

Операция показана в первую очередь пациентам с запущенным артрозом голеностопа. Кроме этого, эндопротезирование голеностопного сустава в Германии проводится при следующих состояниях:

  • обездвиживание сочленения вследствие травматических повреждений или ожога мягких тканей голени в области голеностопа;
  • функционально невыгодное сращение суставных поверхностей, сопровождающееся болью;
  • посттравматическое разрушение кости и хряща;
  • ревматоидный артрит;
  • поражение голеностопа при системных заболеваниях соединительной ткани.

Названные патологии приводят к необратимым изменениям в анатомическом строении сустава. Восстановить его работоспособность в таких случаях возможно при условии, если будет проведена замена голеностопного сустава на имплантат.

Определяя показания к замене сустава искусственным приспособлением, немецкие врачи учитывают длительность заболевания и неэффективность консервативного лечения в течение последнего года, что определяется согласно представленной медицинской документации.

Виды эндопротезирования

Эндопротезирование голеностопного сустава в Германии бывает двух видов: частичное и тотальное. В первом случае объем костной ткани сохраняется почти целиком. Это малоинвазивное хирургическое вмешательство с сокращенным послеоперационным периодом. Однако эндопротезирование в Германии может проводиться таким способом только в том случае, если костная ткань находится в хорошем состоянии.

Тотальное эндопротезирование голеностопа в Германии подразумевает полную замену сустава протезом. Решение о том, какой вид имплантата установить, остается за врачом. Каждый протез состоит из трех элементов, которые подбираются с учетом конституциональных данных пациента, индивидуальных особенностей строения его голеностопа, а также тяжести поражения.

Варианты протезов

Первым поколением имплантатов стали искусственные приспособления, состоящие из двух частей. Они имели цементную фиксацию. Цемент мог выдавливаться за границы имплантата, поэтому кость сильно резецировали, чтобы этого избежать. Потом в практике эндопротезирования стали использоваться эти же протезы, но с бесцементным креплением.

В настоящее время в медицинской практике применяется 3 типа имплантатов:

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Такие протезы могут включать в себя два или три компонента. В зависимости от устройства имплантата, он имеет разные способы фиксации:

  • в виде длинных или коротких ножек;
  • в виде ребер;
  • с костным цементом;
  • бесцементный.

В настоящее время в Германии врачи используют самые современные искусственные заменители голеностопного сустава для протезирования. Наиболее распространенными являются имплантаты из керамики или легированного кобальтохромового сплава со специальным напылением, которое обеспечивает безопасную фиксацию.

Тотальные имплантаты последнего поколения отличаются устойчивостью, легкостью, комфортностью и стабильностью. Такие искусственные заменители голеностопного сустава не мешают ходить, заниматься спортом и управлять транспортными средствами. Они состоят из трех компонентов:

  • закругленного покрытия на головку таранной кости;
  • металлической пластины для покрытия нижнего плоского торца большеберцовой кости;
  • ядра из полиэтилена, позволяющего двум другим компонентам подвижно опираться друг на друга и не соскальзывать.

Благодаря подобной конструкции имплантат надежно защищает все линии взаимных соприкосновений и подвижных взаимодействий голеностопа.

Методика проведения эндопротезирования голеностопного сустава

Перед проведением хирургического вмешательства пациентам в немецких клиниках проводят обследование, которое включает в себя:

  • общий осмотр;
  • осмотр опорно-двигательного аппарата;
  • рентгенологическое исследование;
  • ЭКГ;
  • лабораторные анализы.

Планируя операцию, врачи подбирают сегменты имплантата, используя стандартные шаблоны, которые накладываются на рентгеновский снимок. Подготовка к хирургическому вмешательству заключается в проведении ряда физиотерапевтических процедур, способствующих улучшению кровоснабжения, а также в наложении специальных повязок, которые после операции позволяют поддерживать усиленное кровоснабжение области голеностопа.

Эндопротезирование голеностопного сустава проводится с соблюдением всех правил стерильности. Правильная предоперационная подготовка и подбор оптимального вида эндопротеза позволяют предотвратить возможные послеоперационные осложнения.

Операция начинается с того, что хирург делает передний разрез вдоль голеностопного сустава и отодвигает в сторону сосуды, нервы и сухожилия. Он открывает суставную чашечку и резецирует разрушенные части сустава, а также хрящи берцовой и таранной костей. После этого удаленные ткани меняются на искусственный материал.

Обычно такая операция в медицинских центрах Германии проводится под общей или спинномозговой анестезией. Продолжается эндопротезирование голеностопного сустава менее часа. В осложненных случаях она может занять по времени около двух часов.

Восстановление после эндопротезирования голеностопного сустава

В Германии врачи рекомендуют пациенту вставать уже в первый день после хирургического вмешательства. Через один – два дня прооперированной ноге с шиной разрешается давать полную нагрузку.

В целях профилактики осложнений, подвижность в суставе необходимо разрабатывать практически сразу после операции. Чем меньше покоя пациент дает ему в первые полмесяца после вмешательства, тем ниже вероятность того, что имплантат потеряет подвижность.

Если это все-таки произойдет, дальнейшие попытки разработать такой сустав приведут к вывиху диска между пластинами. В результате могут появиться боли при самой незначительной нагрузке на голеностоп.

Поэтому важно начинать двигать новым суставом сразу после эндопротезирования, еще в лежачем положении. В Германии все движения пациент в раннем послеоперационном периоде осуществляет под контролем врача-физиотерапевта с применением вспомогательных средств.

При поддержке, на второй день после того как будет проведена замена голеностопа в Германии, пациент встает на прооперированную ногу для того, чтобы зафиксировать протез в нужном положении. Параллельно с этим врачи проводят обезболивание и профилактику тромбоза.

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Все упражнения, которым пациента учат в немецкой клинике в начале реабилитационного периода, ему необходимо будет делать в течение продолжительного времени. Пребывание в медицинском центре после операции в среднем составляет около семи дней. Швы удаляются примерно на десятый день после оперативного вмешательства.

Период реабилитации в целом длится от полутора до двух месяцев. Шину снимают, когда врач решит, что прооперированный сустав достаточно окреп. Пациент не менее 6 недель ходит в особой ортопедической обуви, которая препятствует чрезмерной подвижности голеностопа.

Через 2 месяца после операции врачи рекомендуют начинать ходить без костылей. Затруднения при ходьбе могут возникать от трех до шести месяцев после эндопротезирования. Со временем они исчезнут, можно будет бегать и водить транспортные средства.

Почему стоит проводить эндопротезирование голеностопного сустава в Германии?

Выбирая клинику для проведения эндопротезирования голеностопа, рассмотрите немецкие медицинские центры. В этой стране медицинские услуги, в том числе и ортопедическая хирургия, находятся на высшем уровне. Координаторы Deutsche Medizinische Union помогут подобрать врачей в зависимости от Ваших индивидуальных потребностей.

Обращаясь в DMU, Вы получаете качественные медицинские услуги и страхуете себя от непредвиденных ситуаций за рубежом. Наши специалисты помогают Вам во всех организационных вопросах, связанных с лечением и пребыванием за границей.

Если Вы хотите узнать больше или не нашли интересующую Вас информацию, свяжитесь с нами

Когда целесообразно оперативное вмешательство

Лечение с применением хирургических методик эффективно решает проблемы патологических состояний, спровоцированные развитием воспалительных процессов в суставах. Другим абсолютным показанием для проведения оперативного вмешательства являются дефекты врожденного или травматического характера. Наиболее часто хирургическим методом лечатся следующие состояния:

разрыв связок голеностопа;

перелом внутри сустава;

воспалительный процесс в суставе гнойного характера;

тяжелая форма дистрофии костной ткани;

воспаления сустава хронического характера с острым болевым синдромом;

воспалительные заболевания, приводящие к деформации суставного хряща.

Основные техники оперативного вмешательства

В процессе хирургической операции на голеностопном суставе может применяться как одна методика, так и их сочетание.

Артроскопический метод. Проникновение в околосуставные ткани проводится с помощью эдоскопа и выполняется как с диагностической целью, так и для осуществления хирургических манипуляций. Микрохирургическое вмешательство совершается через разрезы размером не более 1 см.

Эндопротезирование – это имплантация искусственного сочленения, замена изношенного участка или всего сустава эндопротезом, срок службы которого в настоящее время – около 30 лет.

Артродез – это хирургическое вмешательство с целью создания искусственного анкилоза, то есть сустав полностью лишается возможности двигаться. Однако этот метод позволяет купировать постоянные боли и сохранить ноге способность на нее опираться.

Капсулотомия или артротомия – это вскрытие и обнажение сустава, которая проводится в особо сложных случаях. Однако этот вид хирургического воздействия позволяет компенсировать врожденные вывихи, удалить содержимое полости сустава и получить доступ к внутрисуставным тканям.

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