الأوروبية التراكمية

Adult reconstructive orthopaedics is the subspecialty that rebuilds worn out or damaged hips, knees and other large joints in adults. Its core work is first time joint replacement, revision of failed replacements, and joint preserving surgery such as osteotomy for younger people.

It also covers complex joint reconstruction: replacing joints deformed by childhood hip disease, old fractures or bone loss, and treating infected or loosened implants. These cases need detailed planning, special implants and a team that does them regularly.

Conditions this service looks after

• Hip and knee osteoarthritis
• Avascular necrosis of the femoral head
• Arthritis after hip dysplasia or Perthes disease
• Post traumatic arthritis and malunited fractures around joints
• Rheumatoid and other inflammatory joint destruction
• Loosened, worn or unstable joint replacements
• Infection around a joint implant
• Fractures around an implant (periprosthetic fractures)
• Stiff knee replacement

Tests you may be offered

• Standing long leg and pelvic X-rays: Measure alignment and leg length and allow implant templating.
• CT scan: Assesses bone loss, implant rotation and deformity; used for 3D planning.
• MRI with metal artefact reduction: Looks for soft tissue reactions or tendon damage around an implant.
• Blood tests (CRP, ESR) and joint aspiration: Essential to confirm or exclude infection before any revision.
• Bone scan or SPECT CT: Sometimes helps locate loosening.
• Medical and anaesthetic assessment: Heart, lungs, diabetes control, anaemia and dental check before major surgery.

Treatments available

• Primary hip and knee replacement: For end stage arthritis.
• Partial knee replacement: When only one compartment is worn.
• Osteotomy around the knee or hip: Realigns the limb or deepens socket coverage to preserve the natural joint in younger adults.
• Revision joint replacement: Exchanges failed components, using stems, cones, augments or hinged designs to bridge bone loss.
• Two stage revision for infection: Implant removal with an antibiotic spacer, several weeks of antibiotics, then re-implantation.
• Complex primary replacement: Custom or modular implants for dysplasia, deformity, previous fusion or retained metalwork.
• Manipulation or arthrolysis: For a stiff replaced knee.

When to ask for a specialist opinion

• Joint pain that limits walking or sleep despite non-surgical treatment
• A replaced joint that has become painful, unstable or swollen
• You have been told your case is complex or that revision is needed
• You are under 55 with arthritis and want to know about joint preserving options
• A wound over a joint replacement that leaks or stays red

Travelling to Türkiye for this care

Planned first time hip or knee replacement fits a stay of about 2 weeks. Revision surgery is a bigger undertaking: allow 3 weeks, expect possible blood transfusion and a longer hospital stay, and send all previous operation notes and implant labels in advance. Two stage treatment for infection spans 2 to 3 months with intravenous antibiotics, so it requires either a long stay or firm shared care with an infection team at home. Routine yearly implant checks are best done locally.

Send your reports, scans and a short history and a Clinic-Y coordinator replies within 24 hours with suitable teams and written, all-inclusive proposals side by side. Reviewing your case is free.

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