Orthopedics

Arthroscopy Center

The center currently operates seven state-of-the-art operating rooms, whose equipment meets all requirements for modern surgery and anesthesia.

Physicians perform more than 6,000 surgeries here each year.

In the same-day care unit, patients have access to high-quality accommodations featuring modern adjustable beds, private bathrooms, a television, and internet access.

What is arthroscopy?

Arthroscopy is a procedure that allows doctors to view the interior of a joint, including the condition of its synovial membranes, cartilage, and ligaments; in the case of the knee joint, it also allows examination of the menisci and other structures. No other imaging method (X-ray, CT, or MRI) provides this level of detail. It is a modern diagnostic and surgical method that enables both precise diagnosis and the performance of a range of procedures related to treatment and reconstruction in cases of joint disorders.

What are the advantages of arthroscopy?

A major advantage of arthroscopy is that these procedures are performed through incisions in the skin and subcutaneous tissue that are only a few centimeters long. It is therefore a minimally invasive surgery, meaning a much gentler intervention on the patient’s tissue compared to traditional open surgery.

The minimally invasive nature of the procedure results in less pain, a much shorter healing time, no or minimal hospital stay, a shorter period of sick leave, and a significantly faster return to normal daily life—and even to sports.

Range of Procedures

Knee Arthroscopy

Shoulder and Wrist Arthroscopy

Knee and Hip Replacement

More information ➤

Range of Services

We specialise in a wide range of orthopaedic operations designed to restore joint function and relieve pain. We use modern techniques, with an emphasis on a minimally invasive approach and a speedy recovery.

Knee arthroscopy

When do we use knee arthroscopy?

It is mainly used to diagnose damage to soft tissues, to take a biopsy when a tumour is suspected (e.g. in rheumatoid disease) and in cases of post-traumatic haemarthrosis where an anterior cruciate ligament injury is suspected.

Meniscus injuries (meniscectomy and meniscus repair)

Arthroscopic meniscal resection is usually partial and removes only the damaged sections. Complete meniscectomy is performed only in cases of extensive or recurrent damage, where there is a risk of accelerated progression of osteoarthritis.
Meniscal suturing is particularly suitable for longitudinal tears within 8 weeks of the injury. Modern ‘all-inside’ techniques allow for faster procedures with a lower risk of nerve injury.
Following a meniscectomy, the patient keeps the limb off for 10–14 days, after which they gradually resume full weight-bearing and exercise on an exercise bike. Returning to sport is usually possible after 4–6 weeks. Meniscus suturing requires a longer period of weight-bearing restriction and more intensive rehabilitation.

Anterior or posterior cruciate ligament reconstruction

During the operation, the remaining ligament is removed and an autograft is inserted, secured with screws or pins (titanium or absorbable).
The tendons of the semitendinosus and gracilis muscles are often used, as they ensure a gentler procedure with less pain and faster rehabilitation.

Treatment of cartilage defects and disorders of the patellofemoral joint

In older patients, arthroscopy is used primarily for palliative treatment, whilst in younger patients it is used to address deeper defects.
Current trends include mosaic cartilage repair, juvenile cartilage transplantation and collagen substitutes.

Synovectomy and removal of loose bodies

Synovectomy (removal of the synovial lining) is mainly performed for synovitis associated with rheumatoid arthritis, particularly in the early stages.
The removal of loose bodies (‘joint mice’) restores mobility and protects the cartilage.
Arthroscopy is a minimally invasive and effective method in both cases.

Arthroscopy of the shoulder and wrist

Shoulder Arthroscopy

Shoulder arthroscopy is a modern surgical technique that enables the precise diagnosis and treatment of problems in the shoulder joint. Using specialised instruments and small incisions, the surgeon gains access to the affected areas, thereby minimising damage to surrounding tissues.

When do we use shoulder arthroscopy?

This method is often used to diagnose and treat injuries to the rotator cuff, SLAP lesions, subacromial impingement and other shoulder conditions. Thanks to the minimal invasion of the tissue, shoulder arthroscopy results in a shorter recovery period and enables patients to return to their normal lives more quickly.

Wrist arthroscopy

Wrist arthroscopy (WA) is a minimally invasive procedure during which both diagnostic and surgical procedures are carried out via several precisely defined access points.

Examples of the use of wrist arthroscopy

Wrist arthroscopy is a minimally invasive procedure during which both diagnostic and surgical procedures are carried out via several precisely defined access points. This approach offers significant advantages, particularly in terms of minimising disruption to the soft tissues of the hand, which ultimately leads to a faster recovery and better post-operative outcomes.

Knee, shoulder and hip joint replacement

When is surgery appropriate

Total joint replacement is performed in cases of irreversible damage (most commonly osteoarthritis, rheumatic destruction, cancer, avascular necrosis, congenital defects or post-traumatic changes).
The main reason is severe pain and significant restriction of movement; in some cases, it is due to cancer, in which case the operation must be carried out even in the absence of significant pain.

Indications

Osteoarthritis unresponsive to conservative treatment
Rheumatic destruction of the joint
Malignant tumours of the joint
Fracture of the femoral neck or head (hip)
Post-traumatic changes (knee)
Aseptic necrosis
Congenital defects or systemic diseases (e.g. haemophilia)

Contraindications

The operation is not suitable in cases of infection anywhere in the body, severe cardiopulmonary or vascular diseases, advanced atherosclerosis, CNS impairment preventing cooperation, insufficient compliance, or in patients with substance dependence.

Outcome of the operation

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

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.