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Upper extremity
Carpal tunnel release is a surgery used to treat and potentially heal the painful condition known as carpal tunnel syndrome. Doctors used to think that carpal tunnel syndrome was caused by an overuse injury or a repetitive motion performed by the wrist or hand, often at work. They now know that it’s most likely a congenital predisposition, some people simply have smaller carpal tunnels than others. Carpal tunnel syndrome can also be caused by injury, such as a sprain or fracture, or repetitive use of a vibrating tool. It’s also been linked to pregnancy, diabetes, thyroid disease, and rheumatoid arthritis.
The median nerve and tendons that allow your fingers to move pass through a narrow passageway in the wrist called the carpal tunnel. The carpal tunnel is formed by the wrist bones on the bottom and the transverse carpal ligament across the top (or inside) of the wrist. When this part of the body is injured or tight, swelling of the tissues within the tunnel can press on the median nerve. This causes numbness and tingling of the hand, pain, and loss of function if not treated. Symptoms usually start slowly, and may get worse over time. They tend to be worse on the thumb side of the hand.
Your wrist will likely be in a heavy bandage or a splint for 1 to 2 weeks. Once the splint is removed, you will likely begin a physical therapy program. The physical therapist will teach you motion exercises to improve the movement of your wrist and hand. These exercises will speed healing and strengthen the area. You may still need to sometimes use a splint or brace for a month or so after surgery.
The recovery period can take anywhere from a few days to a few months.
De Quervain’s tenosynovitis is a condition in which inflammation in tendons in the thumb cause pain in the thumb and hand.
The symptoms of De Quervain’s tenosynovitis may start suddenly (rare) or may come on gradually (more common).
Symptoms of De Quervain’s tenosynovitis can include:
- Pain and tenderness at the base of the thumb and/or on the side of the wrist closest to the thumb
- Stiffness in the thumb
- Pain that gets worse when moving the wrist, picking up an object, or making a fist
- Pain that’s triggered by playing sports that involve extensive wrist motion, such as golf, tennis, or rowing
- Swelling on the thumb-side of the wrist
- Numbness in the thumb or index finger
- A sensation of catching or popping when moving the thumb
Dupuytren’s contracture (also called Dupuytren’s disease) is an abnormal thickening of the skin in the palm of your hand at the base of your fingers. This thickened area may develop into a hard lump or thick band. Over time, it can cause one or more fingers to curl (contract), or pull sideways or in toward your palm.
The ring and little fingers are most commonly affected. In many cases, it affects both hands. Rarely, feet may also be affected.
Dupuytren’s contracture is believed to run in families (be hereditary). The exact cause is not known.
It may be linked to cigarette smoking, alcoholism, diabetes, nutritional deficiencies, or medicines used to treat seizures.
The rotator cuff consists of muscles and tendons that hold the shoulder in place. It’s one of the most important parts of the shoulder. It allows you to lift your arm and reach up. An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand or develop over time due to repetitive activities. Rotator cuff degeneration and tears may also be caused by aging.
If your rotator cuff is injured, you may need to repair it surgically. This may include shaving off bone spurs that are pinching the shoulder, or repairing torn tendons or muscles in the shoulder. Surgical techniques that may be used to repair a tear of the rotator cuff include arthroscopy, open surgery, or a combination of both. The goal of rotator cuff repair surgery is to help restore the function and flexibility of the shoulder and to relieve the pain that can’t be controlled by other treatments.
What is cubital tunnel syndrome?
Cubital tunnel syndrome happens when the ulnar nerve, which passes through the cubital tunnel (a tunnel of muscle, ligament, and bone) on the inside of the elbow, is injured and becomes inflamed, swollen, and irritated.
The ulnar nerve begins in the side of your neck and ends in your fingers.
What causes cubital tunnel syndrome?
Cubital tunnel syndrome may happen when a person bends the elbows often, leans on their elbow a lot, or has an injury to the area.
Arthritis, bone spurs, and previous fractures or dislocations of the elbow can also cause cubital tunnel syndrome.In many cases, the cause is not known.
Lower extremity
What is the anterior cruciate ligament?
The knee is a hinge joint held together by four ligaments. A ligament is a structure in the knee that holds the bones together and helps to control joint movement or motion. There is a ligament on each side of the knee (the collateral ligaments) and two ligaments deep inside the knee. The two ligaments inside the knee that “cross” each other are called the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). Both ligaments attach on one side to the end of the thighbone (femur) and on the other to the top of the shinbone (tibia).
During activity, the ACL controls how far forward the tibia can “slide” relative to the femur: it essentially acts to prevent too much forward movement. While some degree of motion or sliding is normal and is required for knee function, too much motion may damage other structures in the knee which can lead to long term problems in some patients.
ACL Repair Surgery
If you choose to have ACL reconstruction surgery, the surgeon will replace the damaged ligament with a tendon, which is called a graft. This may be an autograft (using a tendon from your own knee) or an allograft (using a donor tendon).
Our specialists perform the procedure arthroscopically, threading the graft through a small hole in the knee.
After surgery, rehabilitation exercises will help you regain range of motion and strengthen the muscles that support the joint. Athletes commonly return to their sport between seven and nine months after surgery.
Breast augmentation operations can be performed from the age of 18. You will spend the day of the operation in the hospital and return to your normal life in a few days. There is nothing to prevent you from walking or doing light work. You can start exercising in the 3rd week and sleep on your chest in the 4th week.
Silicone implants contain gel which does not have liquid consistency. The gel is surrounded by two layers of shell. Nothing happens to an implant when it is squeezed or bumped. However, the outer capsule of an implant may be punctured by a traffic accident or injury. Even in this case, there is nothing to be afraid of, the silicone will not leak, it may just need to be replaced.
Clinical studies have shown that silicone prostheses are not directly related to cancer. Silicone implants are biocompatible, so cases of allergies or rejection by the body are very, very rare. Implants are not a contraindication for pregnancy and breastfeeding. There are no barriers to performing examinations such as ultrasound, MRI and mammography after surgery.
Why might I need bunion surgery?
You may need bunion surgery if you have severe foot pain that happens even when walking or wearing flat, comfortable shoes. Surgery may also be needed when chronic big toe inflammation and swelling isn’t relieved with rest or medicines.
Other reasons for surgery include toe deformity, a drifting in of the big toe toward the small toe, and an inability to bend and straighten the big toe.
What happens after bunion surgery?
Your healthcare provider will advise you as to your postoperative activities. Your foot may need continuous support from dressings or a brace for 6 to 8 weeks after surgery. You may need to refrain from driving for a week or more after surgery.
Exercises or physical therapy may be recommended to help the foot recover its strength and range of motion after surgery. High heels should be avoided for at least 6 months after surgery.
What is hip replacement surgery?
Hip replacement (total hip arthroplasty) is surgery to replace a worn-out or damaged hip joint. The surgeon replaces the old joint with an artificial joint (prosthesis). This surgery may be a choice after a hip fracture or for severe pain because of arthritis.
The goal of hip replacement surgery is to replace the parts of the hip joint that have been damaged. It also helps relieve hip pain that can’t be controlled by other treatments.
Why might I need hip replacement surgery?
Hip replacement surgery is a treatment for pain and disability in the hip. Osteoarthritis is the most common reason for hip replacement surgery.
Osteoarthritis causes loss of joint cartilage in the hip. Damage to the cartilage and bones limits movement and may cause pain. People with severe pain from a degenerative joint disease may not be able to do normal activities that involve bending at the hip. These activities include walking and sitting.
Other forms of arthritis such as rheumatoid arthritis and arthritis that results from a hip injury can also damage the hip joint.
Hip replacement may also be used to treat certain hip fractures.
Knee replacement, also called knee arthroplasty or total knee replacement, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap. This surgery may be considered for someone who has severe arthritis or a severe knee injury.
Various types of arthritis may affect the knee joint. Osteoarthritis, a degenerative joint disease that affects mostly middle-aged and older adults, may cause the breakdown of joint cartilage and adjacent bone in the knees. Rheumatoid arthritis, which causes inflammation of the synovial membrane and results in excessive synovial fluid, can lead to pain and stiffness. Traumatic arthritis, arthritis due to injury, may cause damage to the cartilage of the knee.
The goal of knee replacement surgery is to resurface the parts of the knee joint that have been damaged and to relieve knee pain that cannot be controlled by other treatments.
The meniscus is a crescent-shaped disc of cartilage found between the bones of the knee (the femur and tibia). Each knee has two menisci that cushion the joint. Depending on the severity of the tear, symptoms of a torn meniscus may include pain, swelling, stiffness, clicking or locking of the knee.
Having torn your meniscus once could make you more likely to experience another knee injury. Our specialists will explain strengthening exercises and other measures to help protect your knee from further injury.
Meniscus Tear Surgery
Our specialists perform meniscus tear surgery arthroscopically, by making small cuts in the knee. After surgery, rehabilitation exercises will help you regain range of motion and strengthen the muscles that support the joint.
| HOSP. STAY (DAYS) | HOTEL STAY (DAYS) | PRICE | |
| Carpal Tunnel Synd. – open release | 0 | 4 | 3.000 EUR |
| Dupuytren – release | 1 | 4 | 4,200 EUR |
| De Quervain – release | 0 | 4 | 2,600 EUR |
| Trigger Finger – release | 0 | 4 | 2,600 EUR |
| Cubital Tunnel Synd. – release / ant. transp. | 1 | 4 | 3,500 EUR |
| 1. CMC Arthritis – interpositional artropl. | 1 | 4 | 4,500 EUR |
| Ganglion – excision | 0 | 4 | 2,900 EUR |
| Arthroscopy – wrist | 0 | 4 | 3,500 EUR |
| Arthroscopy – knee – menisectomy | 1 | 4 | 4,000 EUR |
| Arthroscopy – knee – meniscal repair | 1 | 4 | 4,300 EUR |
| Arthroscopy – knee – ACL rupture repair | 3 | 5 | 5,500 EUR |
| Hallux Valgus – osteotomies | 2 | 5 | 4,000 EUR |
| Gonarthrosis – high tibial osteotomy | 4 | 5 | 5,000 EUR |
| Total Knee Arthroplasty | 7 | 5 | 8,500 EUR |
| Total Hip Arthtroplasty | 7 | 5 | 8,500 EUR |
| Achiloplasty | 2 | 5 | 4,000 EUR |
| Reconstruction with in Free Flap | 7 | 5 | 12,000 EUR |
| Ingrown toe – nail | 0 | 4 | 1,800 EUR |
| Lipoma – excision | 0 | 4 | 2,000 EUR |
| Arthroscopy – shoulder – subacromial decompression | 1 | 4 | 3600 EUR |
| Arthroscopy – shoulder – rotator cuff repair | 1 | 4 | 4,700 EUR |
| Arthroscopy – shoulder – ınstability | 1 | 4 | 4,300 EUR |
- LONDON — IZMIR — 3,40 H
- PARIS — IZMIR — 3,25 H
- BERLIN — IZMIR — 2,50 H
- MUNICH — IZMIR — 2,45 H
- HAMBURG — IZMIR — 3,15 H
- COLOGNE — IZMIR — 3,15 H
- VIENNA — IZMIR — 2,20 H
- ZURICH — IZMIR — 2,50 H
- ROME — IZMIR — 5,00 H (+1)
- MILAN — IZMIR — 5,00 H (+1)
- OSLO — IZMIR — 6,20 H (+1)
- STOCKHOLM — IZMIR — 5,50 H (+1)
- HELSINKI — IZMIR — 7,10 H (+1)
- MOSCOW — IZMIR — 5,20 H (+1)
- ST.PETERSBURG — IZMIR — 6,25 H (+1)
- PRAGUE — IZMIR — 4,30 H (+1)
- BUDAPEST— IZMIR — 4,45 H (+1)
- KIEV — IZMIR — 5,00 H (+1)
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