One-day care center / Orthopedics
Make an appointment 272 744 000
Operating hours:
Monday - Friday from 7:00 AM to 3:30 PM Are you trying to reach us outside operating hours? We record your missed calls and will actively contact you on the next business day.
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Orthopedics

Start a short presentation of the Arthroscopy Centre
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The Arthroscopy Centre of the Rehabilitation Hospital Beroun is one of the best centres of its kind in the Czech Republic. In addition to the state-of-the-art instrumentation and a team of experienced specialists, the possibility to immediately start early and comprehensive post-operative rehabilitation is also important for patients.

 

Arthroscopic Centre

The Centre currently uses five state-of-the-art operating theatres, whose equipment meets all the requirements for modern surgery and anaesthesia.

Every year, doctors perform more than 5,000 operations here.

In the Day Care Unit, patients have access to high-quality bed facilities with modern reclining beds, sanitary facilities, TV and internet access.

 

What is arthroscopy?

Arthroscopy is a procedure that looks inside the joint, at the condition of its mucous membranes, its cartilage, ligaments and, in the case of the knee joint, the menisci and other structures. No other examination method (X-ray, CT or MRI) allows such a view. It is a modern diagnostic and surgical method, allowing both accurate diagnosis and the performance of a number of procedures associated with treatment and reconstructive procedures for joint disorders.

 

What are the advantages of arthroscopy?

A major advantage of arthroscopy is that these procedures are performed from only centimeter-long incisions in the skin and subcutaneous tissue. It is therefore a minimally invasive operation, which means a much gentler tissue intervention for the patient compared to conventional open surgery.

The gentleness of the procedure is then associated with less pain, much shorter healing time, no or minimal hospitalisation, shorter period of incapacity for work and a significantly faster return to normal life or even to sport.

Spectrum of procedures

Knee arthroscopy

 

Shoulder and wrist arthroscopy

 

Knee and hip replacement

 
More information ➤

Performance spectrum

We specialize in a wide range of orthopedic surgeries that help restore joint function and relieve pain. We use modern methods with an emphasis on a gentle approach and fast recovery.

Knee arthroscopy

When we use knee arthroscopy

It is mainly used to diagnose damage to soft structures, to take biopsies when a tumour is suspected (e.g. in rheumatoid disease) and for post-traumatic haemarthrosis with suspected anterior cruciate ligament injury.

Meniscal injuries (meniscectomy and meniscal suture)

  • Arthroscopic resection of the meniscus is usually partial and removes only the damaged parts. A complete meniscectomy is only performed for extensive or repeated damage, with the risk of more rapid development of arthrosis.
  • Meniscus suture is mainly suitable for longitudinal ruptures within 8 weeks of injury. Modern all-inside methods allow for faster performance with less risk of nerve injury.
  • After meniscectomy, the patient relieves the limb for 10-14 days, then gradually full weight-bearing and exercise on a treadmill. Sport is usually possible after 4-6 weeks. Suture requires longer relief and more demanding rehabilitation.

Replacement of the anterior or posterior cruciate ligament

  • During surgery, the remnants of the ligament are removed and an autograft fixed with screws or pins (titanium or absorbable) is inserted.
  • Often the m. semitendinosus and gracilis tendons are used, providing a gentler procedure with less pain and faster rehabilitation.

Treatment of cartilage defects and disorders of the femoropatellar joint

  • Arthroscopy tends to be used for palliative treatment in older patients and for deeper defects in younger patients.
  • Current trends include mosaicplasty, juvenile cartilage transplantation and collagen substitutes.

Synovectomy and free-body extraction

  • Synovectomy (removal of the joint lining) is mainly performed for synovialitis in rheumatoid arthritis, especially in the early stages.
  • Extraction of loose bodies ("joint mice") restores mobility and protects the cartilage.
  • Arthroscopy is a gentle and effective method in both cases.

 

Arthroscopy of the shoulder and wrist

Shoulder arthroscopy

  • Shoulder arthroscopy is a modern surgical technique that allows accurate diagnosis and treatment of problems in the shoulder joint. Using special instruments and small incisions, the surgeon accesses the affected areas, minimizing damage to surrounding tissues.

When we approach the method of shoulder arthroscopy

  • This method is often used to diagnose and treat so-called rotator cuff injuries, SLAP lesions, subacromial impingement and other shoulder disorders. Due to less tissue intervention, shoulder arthroscopy has a shorter recovery time and brings patients back to normal life faster.

Wrist arthroscopy

  • The wrist arthroscopy (AS) procedure is a minimally invasive procedure in which both diagnostic and operative procedures are performed through several well-defined inputs.

Examples of the use of wrist arthroscopy

  • Wrist arthroscopy is a minimally invasive procedure in which both diagnostic and operative procedures are performed through several well-defined inputs. This approach offers significant advantages, particularly in less interference with the soft tissues of the hand, ultimately leading to faster recovery and better postoperative outcomes.

 

Knee and hip replacement

When surgery is appropriate

  • Total joint replacement is performed when there is irreversible damage (most commonly arthritis, rheumatic destruction, cancer, aseptic necrosis, congenital defects or post-traumatic changes).
  • The main reason for this is severe pain and significant limitation of mobility, sometimes even tumour involvement, when the operation must be performed without significant pain.

Indications

  • Arthrosis unresponsive to conservative therapy
  • Rheumatic destruction of the joint
  • Tumour disease of the joint
  • Fracture of the neck or femoral head (hip)
  • Post-traumatic changes (knee)
  • Aseptic necrosis
  • Congenital defects or systemic diseases (e.g. haemophilia)

Contraindications

Surgery is not appropriate in the presence of infection anywhere in the body, severe cardiopulmonary or vascular disease, advanced atherosclerosis, CNS impairment preventing cooperation, lack of compliance or in patients with addiction.

Outcome of surgery

An artificial joint provides patients with significant pain relief, improved function and the ability to return to an active life.

 

Practical information

Here you will find practical tips on how to make an appointment, what to bring for your first visit, as well as your FAQs and downloadable documents.

Ordering

By phone on 272 744 000

By e-mail at ortopedie@1pece-akeso.cz

Via the contact form

Opening hours:
monday - Friday from 7:00 a.m. to 3:30 p.m

Trying to reach us outside of office hours? We record your missed calls and will proactively contact you the next working day.

What to deliver:

  • A physician's note, if your physician has issued one
  • Medical reports related to the medical problem, or X-ray, MRI if available

Pre-operative care

Before the actual surgical procedure, it is essential to have a pre-operative examination.

In order to provide you with maximum comfort and save time, we will provide you with a complete pre-operative examination within our clinics.

If you choose to have a checkup with your general physician, we recommend scheduling it approximately three weeks prior to your surgery date.

When you schedule your surgery, we will provide you with a list of necessary collections and tests, including detailed instructions. You must bring the results with you on the day of surgery.

Follow-up for rehabilitation care

After the surgery, the next phase of treatment - rehabilitation at the Rehabilitation Hospital Beroun - follows smoothly .

Thanks to the close cooperation between our surgical team and the specialists at the Rehabilitation Hospital Beroun, we ensure continuity of care, which is crucial for a quick and safe recovery.

Therapy is individually adjusted according to the type of surgery and the patient's current state of health. Rehabilitation takes place on an outpatient basis or in the form of an intensive programme, as recommended by the physician.

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Make an appointment

272 744 000

ortopedie@1pece-akeso.cz

Operating hours:
Monday - Friday from 7:00 AM to 3:30 PM

Are you trying to reach us outside operating hours? We record your missed calls and will actively contact you on the next business day.

www.1pece-akeso.cz

AKESO POLICLINIC in Prague

Bucharova 1281/2
158 00 Prague 13 - Nové Butovice
Coral Office Park www.akeso-poliklinika.cz

Hořovice Hospital

K Nemocnici 1106/14
268 31 Hořovice www.nemocnice-horovice.cz

Rehabilitation Hospital of Beroun

Prof. Veselého 493
266 56 Beroun www.nemocnice-beroun.cz
Home Surgery

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