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Affordable Total Knee Replacement: Top Tips

Total Knee Replacement: Facts

Total Knee Replacement: Top Tips  

The top tips you need to know about a total knee replacement. It is a type of surgery used to substitute the natural diseased knee joint with an artificial one. Usually, this kind of procedure or treatment is recommended when the knee joint is either weak or non-functional due to a disease.

This treatment option is preferred when medical or physical therapy is no longer effective for the patient. In most cases, the bones forming the knee joint are worn out, causing pain and impairment of movement. It is different from partial knee replacement in terms of surgery cost and recovery period. Patients who are considered for a Total Knee Replacement usually suffer from a chronic bone disease that affects the knee. Some of these diseases include rheumatoid arthritis, osteoarthritis, severe bone deformity, and loss of knee joint stability following an injury.

Total Knee Replacement: Top Tips

 It is not a complicated procedure but requires proper follow-up and post-operative physical rehabilitation.

This is normally done through physical therapy, occupational therapy and use of walking aids before full recovery is attained. It is important to undergo the procedure in a medical center that is well equipped with rehabilitation facilities and highly trained professionals. This will ensure a faster knee replacement recovery period.

The normal knee joint is formed by three bones; the thigh bone (femur) and the leg bones (tibia and fibula). Total Knee Replacement: FactsIn the diseases listed above, there is either loss of bone material or cartilage at the point where the joint is formed. Other structures that support the joint such as ligaments and menisci may also be damaged. A Total Knee Replacement aims to remove the diseased parts of the joint surfaces and replace them with artificial custom-made prostheses. The patient is prepared for surgery through undergoing several labs and imaging tests. The results of these test will ascertain whether the patient can handle the surgery process well.

During the surgery, the first step involves exposure of the front of the knee. Once the marl-functioning parts are removed, the implants are put in place. The prostheses come in different makes and they vary in type of material; some are made from metal alloys and some from plastic. They are also custom designed for each patient’s specific needs. A suitable replacement can be found based on the patient’s weight, age, gender and level of everyday activity. All these factors will contribute towards the knee replacement surgery cost, which may vary from one individual to another.

Total Knee Replacement – Medical Tourism

Total Knee Replacement

total knee replacement is an orthopedic procedure where by the joint is replaced with artificial material. During a knee replacement, the end of the femur is removed and is then replaced with a metal shell that is connected to a channeled piece of plastic attached to the tibia. If needed, a plastic “button” is added under the kneecap surface, completing the prosthesis. A ligament known as the posterior cruciate usually stabilizes each side of the knee joint so that the lower leg cannot slide back behind the femur. Depending on the needs of the patient, this ligament may be retained, sacrificed, or substituted for a polyethylene post.

Who Should Consider a Total Knee Replacement?

Those whose knee joints have been severely damaged by trauma, progressive arthritis, or diseases of the joint should consider undergoing a total knee replacement. These conditions can cause decreased daily function, stiffness as well as increasing pain. The most common condition resulting in knee replacements in the U.S. is osteoarthritis. Before choosing to undertake this procedure, patients should be aware of the risks as well of the benefits when making their decision.

What Should You Expect from Your Knee Replacement?

90% of patients who have undergone this procedure have reported a drastic reduction in knee pain as well as enhanced mobility. This procedure however cannot return your knee to its pre-arthritic condition. Realistic actions post-surgery include swimming, unlimited walking; light hiking, driving, ballroom dancing and low impact sports. Because normal wear and tear on the artificial joint can be exacerbated, surgeons recommend that you stay away from high impact sports such as jumping, jogging and running.

Benefits of Undergoing Knee Replacement with Medical Tourism

In the United States the average cost of a total knee replacement is $49,500 and with changing insurance regulations going into effect, many will not be approved for this procedure. However, medical tourism solves all of these problems. The average cost of a knee replacement in locations such as Europe and the Caribbean is 75%  less than in the U.S. and with the rapidly growing health industry and influx of American trained surgeons, waiting times are at a minimum.  Even with the costs of traveling and accommodations, thousands have experienced drastic cost savings by choosing medical tourism.

For a free quote contact International Med Retreat at (877)549-1212

Meet Our Costa Rica Doctors

Costa Rica Doctors

Dr. Jacobo Zafrani – Bariatric

Dr.Zafrani - Costa Rica DoctorsMeet one our Costa Rica doctors! Dr. Zafrani is an experienced Bariatric surgeon who has performed over 3,500 Bariatric procedures in his medical career, and performs 300 on an annual basis. Dr. Zafrani graduated in 1996 from UACA University as a general practitioner, and after a successful career as a general practitioner, he went on to continue his medical training and graduated in 2008 as a general surgeon from the University of Costa Rica.


Some of his additional studies have included:

  • Sleeve Gastrectomy training with Dr. Garnier (known as the Father of Sleeve Gastrectomy) at Cornell University in New York, 2005.
  • Basic training and course work in laparoscopic surgery procedures, Cendeis.
  • Advanced training and course work in laparoscopic surgery procedures, UNNE, Corrientes, Argentina.Training and course work in laparoscopic colorectal surgery, UNNE, Corrientes, Argentina.
  • Training and course work in gastric banding (Inhamed), Panama.
  • Training and course work in gastric sleeve procedures, NY USA.
  • VAC, Panama.
  • Post graduate training in bariatric surgery, ALACE 2006.
  • Coordinated the first training seminar for advanced laparoscopic surgery procedures in San José, Costa Rica.
  • Masters of Minimally Invasive Bariatric Surgery, USA, 2008.
  • Speaker for 1st national congress in Guayaquil, 2008.
  • Trainer in CIELTA for general surgery courses.
  • Trainer in ATLS in Costa Rica.
  • Minifellowship in gastric bypass and metabolic surgery in Sao Paolo, Brazil, 2010
  • Course in SILS surgery, 2010.
  • Speaker for first meeting of laparoscopic surgery, Ecuador, 2007.
  • Speaker for the 3th residents national congress in Salvador, 2008.
  • Speaker for the National Congress in Costa Rica, 2010.
  • Speaker for the Clinical Journeys in Omni Hospital, Ecuador, 2010.
  • Speaker for the Medical Journeys of Clinica Biblica Hospital, 2011.
  • Speaker for the Latin American chapter of IFSO meeting, 2011.
  • Speaker for the IFSO meeting in hamburg, Germany, 2011.

Dr. Zafrani is also the representative of the Costa Rican chapter for the International Federation for Obesity Surgery and is the founder of the first training center for minimally invasive surgery in Central and South America. Even though Dr. Zafrani practices in Costa Rica, he was born in the United States and so speaks fluent English and Spanish.

Gastric Lap Band: a better option for weight loss surgery

The gastric lap band procedure is one of the latest advancements in the health industry, aimed at providing a working weight loss solution.

Although commonly termed as lap band or A- band, this procedure gets its name from the laparoscopic adjustable gastric band. This is a device made from silicone and used to treat obesity especially in patients who also have co-morbidities such as diabetes, hypertension and sleep apnea. The gastric band is fixed on the upper part of the stomach in order to slow food consumption. Consequently, less food, less calories is consumed, helping to manage obesity by preventing more weight gain.

Usually, this procedure is indicated for individuals who have not been successful in using diet modifications and exercise to lose weight.

Although it is more costly than simple dieting and exercise, when these have failed, lap band surgery cost becomes a price that can be easily paid in order to achieve desired weight loss.

How exactly this procedure works is the big question. Well, placing the inflatable gastric band high up on the stomach creates a smaller stomach pouch. In essence, it provides the individual with the capacity to achieve an early sense of satisfaction. This person will be hungry less often and feel fuller for a much longer time. In as much as it limits amount of food eaten, still, one has to eat healthy to achieve optimum weight loss. Being adjustable, the gastric bands can be adjusted over the course of time as the person loses weight.

Lap band surgery cost is worth the advantages related to it.

Firstly, it is a minimally invasive surgery by virtue of the fact that it can be performed laparascopically. Laparoscopic surgery involves making tiny insertions on the abdominal skin to allow for passage of a probe connected to a camera and computer monitor. Thus surgery is performed with minimal complications as compared to open surgery. Secondly, the procedure can be reversed if need be.

In comparison with other forms of weight loss surgeries, lap band surgery has its unique benefits. It is associated with a short hospital stay and a quick recovery. The band is also adjustable without need for additional surgery. The integrity of intestinal function is also preserved hence no risk of mal-absorption disorders.

Chronic Cerebral Spinal Venous Insufficiency


There has been a great deal of advances in the field of multiple sclerosis management and in particular Chronic Cerebral Spinal Venous Insufficiency over the last decade. Of these, a large amount of research has been conducted in analyzing the cause for multiple sclerosis.

In the recent past, a specific area called chronic cerebral spinal venous insufficiency, sometimes called CC SVI, has been described. In this article, we shall take a brief look at this concept and discuss its applications in the management of multiple sclerosis.

What is CC SVI?

CC SVI forms a part of a group of malformations of the venous system within the brain. Various pathologies can affect these veins, particularly the ones close to the internal cervical veins and the azygos vein.

The relationship between CC SVI and multiple sclerosis

Multiple sclerosis is a neurological condition that is characterised by the loss of the protective myelin tissue around the nerves. In other words, it is a demyelinating condition that affects the nerves resulting in alterations in conduction of nerve impulses along the spinal cord. As a result, patients can experience varying degrees of motor weakness which can eventually be rather debilitating.

With regards to the relationship between CC SVI and multiple sclerosis, a theory called ‘liberation treatment’ was proposed by Prof Paulo Zamboni in 2008. There have been a number of different contradictions and issues raised regarding this treatment. Be that as it may, it has been proposed that in patients with CC SVI, the internal jugular veins and the azygos veins are significantly narrowed. This results in a high deposition of iron in the brain which ultimately triggers a series of reactions that can result in the loss of myelin from the surface of the nerves.

Application of CC SVI in the management of multiple sclerosis

The principle of CC SVI in the pathogenesis of multiple sclerosis is now being utilised in treating this condition. Initially, tests are performed to determine the exact point of narrowing within the veins. This test is called a venogram and involves the injection of contrast into the veins and imaging using a specialised x-ray equipment. In some cases, intravascular ultrasound may be used.

Once the narrowings have been determined, stents can be inserted into these narrowed veins or balloon angioplasty may be performed. It is believed that doing so can slow down the process of demyelination and the ultimate development of multiple sclerosis. The procedure is performed under local anaesthetic and guidance of an x-ray machine. The balloon is guided in with the help of a catheter and once in place a metallic stent is put in place to keep the vein open. The procedure takes a few hours to perform and has very good results. Risks are low especially when this procedure is performed by experts.

Procedural costs

Unfortunately, CSS VI treatment is not being performed in United States. However, it is performed by experts for a very reasonable cost in places such as Costa Rica. It is worthwhile making a visit if you have multiple sclerosis or have just been diagnosed with it to obtain this rather remarkable treatment.