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Joint Replacement Surgery in Dnipro

Every year, over 330,000 Ukrainians face severe joint damage, most commonly affecting the knee, shoulder, and hip joints. Of these, approximately 40,000 require joint replacement surgery—implanting an artificial, mobile prosthesis to replace a damaged natural joint.

Such procedures are not new; the technique is well-researched and highly refined. In many cases, it is the only, yet highly effective, way to relieve pain and restore mobility in joint pathologies. Modern, advanced prostheses closely match the physiological parameters of natural joints, are biologically inert, and do not cause rejection. Thanks to proper rehabilitation, patients return to normal life within 1–2 months, free from movement limitations and pain.

Types of Joint Replacement

There are three types of artificial joints worldwide, differing in the material of their friction surfaces:

Metal-polymer pair: The most common option, where one part is metal and the other is made of high-density polyethylene. It is relatively affordable but wears down over time.
Ceramic implants: These allow MRI scanning, wear out minimally, but cannot withstand heavy loads and are more expensive than other options.
Metal-on-metal implants: These provide maximum durability, making them ideal for high-load joints. They are non-magnetic and do not interfere with MRI scans or set off metal detectors.

Another important aspect of arthroplasty is the extent of joint surface replacement, which can be total or partial:

Total joint replacement: The entire joint is replaced, including all articulating surfaces (common for hip replacements).
Partial joint replacement: Only one joint surface is replaced (often performed on the knee, such as the patella or part of the femur).

Fixation Methods in Joint Replacement Surgery

There are two types of fixation methods used in arthroplasty:

Cemented fixation: The artificial joint is secured using a strong polymer adhesive (bone cement). This is ideal for older patients with low bone density or osteoporosis.
Cementless (press-fit) fixation: The implant's surface is coated with a material that stimulates bone growth, allowing the bone to naturally integrate with the prosthesis. This method is suitable for younger, physically active individuals (up to 40–50 years old).

Types of Arthroplasty by Purpose

Primary arthroplasty: The replacement of a damaged joint with an artificial prosthesis.
Revision arthroplasty: Surgery performed on a previously implanted prosthesis to repair or replace worn-out parts.

The choice of arthroplasty type, implant material, and fixation method is determined individually by the doctor, considering the patient's needs, preferences, and financial options. A properly performed joint replacement can provide 15–20 years of pain-free function, as modern prostheses are highly durable.

When Is Joint Replacement Needed?

Severe joint dysfunction making movement impossible.
Persistent pain unrelieved by conservative treatments.
Stage 3 or 4 osteoarthritis (based on X-ray findings).
Severe joint damage due to rheumatoid conditions or arthritis.
Joint surface destruction from aseptic bone necrosis.
Joint deformation, protrusion, or valgus/varus deformity of the limb.
Contractures or ankylosis (joint stiffness or fusion).
Fractures, trauma, or infections leading to significant joint dysfunction.

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How Joint Replacement Surgery is Performed at Helyos Clinic in Dnipro

Arthroplasty is a complex, invasive procedure that requires skilled surgeons and advanced medical equipment. At Helyos Clinic in Dnipro, we have created the ideal conditions for successful joint replacement, from the initial consultation to full rehabilitation.

Steps of the Procedure:

Consultation with an experienced orthopedic surgeon to assess complaints, medical history, and probable causes of joint damage.
Comprehensive diagnostics, including ultrasound, X-rays, CT, MRI, and laboratory tests.
Evaluation of indications and contraindications for surgery and selection of the optimal surgical approach.
Detailed discussion with the patient regarding expected outcomes, costs, and available options.
Scheduling the surgery at a convenient time.
Hospitalization and preoperative preparations, including consultations with an anesthesiologist.
Surgery using minimally invasive techniques to minimize tissue trauma.
Postoperative care and rehabilitation for optimal recovery.

Our specialists prioritize minimally invasive techniques with small incisions to reduce surgical trauma. The average surgery time is 1–2 hours.

Doctor’s Statement

"We believe in open communication with our patients. Every patient receives a detailed explanation of why joint replacement is necessary, the best approach for their case, and what to expect during recovery. We answer all questions and provide ongoing support even after hospital discharge."

Contraindications to Joint Replacement Surgery

While joint replacement can significantly improve quality of life, it is not always possible due to certain medical conditions:

Severe cardiovascular diseases.
Advanced chronic respiratory failure.
Chronic kidney disease (stage III or higher).
Liver failure (stage II-III).
Uncontrolled endocrine disorders (e.g., severe diabetes).
Serious psychiatric conditions.
Active infections in the surgical area.
Severe osteoporosis preventing implant fixation.
Paralysis of the affected limb.

Some conditions require individual assessment before surgery, as they increase the risk of complications:

Severe obesity (BMI >40).
Uncontrolled chronic illnesses.
Recent acute illness.
Hormonal osteoporosis.

Is Age a Limitation?

No! In fact, for patients over 60 years old, joint replacement is often the preferred treatment for severe joint disorders.

How to Prepare for Arthroplasty?

24 hours before surgery: Avoid alcohol.
Night before surgery: Eat a light dinner.
Morning of surgery: Fast (no food or drink).
Before coming to the clinic: Take a shower.

Advantages of Arthroplasty at Helyos

At Helyos Clinic in Dnipro, we are committed to providing high-quality joint replacement surgery with a personalized approach. Our key advantages include:

Highly skilled orthopedic surgeons with expertise in modern joint replacement techniques.
Treatment for patients aged 18 to 90 years.
Comprehensive diagnostics performed on-site.
Certified high-quality implants from top global manufacturers.
Minimally invasive surgical techniques whenever possible.
Surgery scheduled at the patient’s convenience.
Compliance with Ukrainian medical standards.
Inpatient care for 2–4 days post-surgery.
Detailed post-op care instructions for wound and joint management.
Ongoing support during the recovery period.

Rehabilitation After Joint Replacement

Recovery is a crucial part of successful joint replacement. Our specialists provide:

Wound care guidance (when and how to change dressings, when to remove stitches).
Personalized rehabilitation programs with step-by-step mobility exercises.
Supervised follow-ups to monitor recovery progress.

Adhering to all post-op recommendations ensures that the implant lasts its full lifespan. If needed, our orthopedic surgeons at Helyos in Dnipro can also perform revision joint replacement with excellent outcomes.