Operating theaters and surgical equipment are designed and optimized for orthopedic surgery. We are well equipped and organized to treat international patients.
Your treatment is planned and performed by an experienced team of surgeons & medical specialists.State of the art imaging is used to diagnose your condition & plan surgery.
Quality (not cost) is our priority when choosing implants and disposable materials used for your surgery.
Your treatment is carried out by a team of subspecialized orthopedic surgeons using scientifically proven methods.
You receive round the clock treatment 7 days a week. Post-Op Care is highly important for us. Besides medical staff which will be available to you around the clock at the hospital, in addition you and your loved ones are able to get assistance for even daily tasks while you are in the country.
You can have all-inclusive packages if you do not want to deal with organizing all transportations or hotel bookings, and other logistics about your medical travel. Gigi Lilly Team will be organizing and aranging for you all together.
ROBOTIC
RECONSTRUCTIVE
JOINT REPLACEMENT SURGERY
Arthroscopy is a minimally invasive diagnostic and treatment procedure used for joint conditions.
Thanks to health reforms, the quality and efficiency of the health system is higher in Turkey compared to many countries. Turkey provides services in European standards with its modern hospitals, qualified doctors and workforce, as well as high-tech medical infrastructure. The quality of health services in Turkey has been approved by global accreditation organizations. In addition, Turkey is among the leading countries in the world in terms of the number of health organizations. It is favored by other countries both because of its advanced health system and historical & cultural wealth. Turkey, which utilizes advanced technologies for affordable prices, opens new doors for your health.
Making the decision to get a knee replacement is a big one.
For starters, you need to make sure it’s the best treatment option for you and your knee pain, and that you’re timing your knee replacement surgery just right. But you also need to consider nonsurgical alternatives to knee surgery, potential risks for knee replacement surgery, who will help you while you rehab and heal, and so much more. And one of your biggest considerations may be how much your knee replacement will cost.
Studies show that total average cost for a knee replacement in the United States is somewhere between $25,000 and $75,000. But it can be confusing to figure out what that price tag includes. In many cases, some insurers can bundle costs for your surgery and post-op rehab. But you’ll likely have some out-of-pocket costs for care leading up to and after your surgery, even if you’ve met your deductible for the year.
Here in Turkey, we offer you latest technological robotic technology for a very affordable prices with which you are able to save up to %70 of what you will pay at your hometown. At Gigi Lilly, we prefer our patients to have their orthepedic surgeries at operating theaters with surgical equipments are designed and optimized for just orthopedic surgeries.
PRICE OVERVIEW (Please contact to learn current prices)
Treatment Option Approximate Cost Range (USD)
U/L Total Knee Replacement ------------------ 5500 - 11000
Cemented Knee Replacement------------------- 4400 - 8000
Uncemented Knee Replacement--------------- 4500 - 9500
Partial Knee Replacement--------------------------- 3500 - 6900
Minimally Invasive Knee Replacement----5500 - 11000
Robotic-Assisted Knee Replacement --------6400 - 13000
Revision Knee Replacement-------------------------8500 - 13900
What are the advantages of robotic joint replacement?
The implant is placed more accurately during surgery
Robotic systems are accurate to 1 mm and 1 degree, this is three times more accurate than most experienced surgeons. It has clearly been shown that errors of placement more than 3 degrees (the so called “outliers”) lead to decreased in implant life, increased rates of wear and loosening, necessitating early revision surgery. Errors in the size and placement of the implants may lead to residual pain, stiffness and patient dissatisfaction after joint replacement. Malpositioned implants in the hip joint may increase the risk of dislocation, may cause leg length discrepancy and lead to early wear. Robotic joint replacement assures an excellent 3 dimensional placement of the implants during surgery with correct sizing, thus dramatically reducing the risk of these unwanted events.
Excellent soft tissue balance can be achieved
The soft tissue (capsule and ligament) tension and balance is measured and modified in every step of the surgery. Small adjustments during surgery allow a perfectly balanced joint without undue tension on the ligaments causing pain and stiffness after surgery. Excellent stability of the joint is verified with trial implants before implantation of the final prosthetic components. A last check is performed with the implants in place, documenting the final outcome. Soft tissue imbalance is a major cause of patient dissatisfaction after knee replacement. Very lax joints cause a feeling of instability and difficulties in stairs while extremely tight ligaments cause pain, limited range of motion and early wear of the components after knee replacement. Incorrect tension of the soft tissues may cause dislocation after hip replacement. Robotic surgery avoids these problems by achieving excellent soft tissue balance. This balance is helpful during the early recovery phase after surgery, with patients undergoing robotic replacement having an easier rehabilitation.
The postoperative period is more comfortable
Classical joint replacement surgery requires violation of the medullary canals of the femoral bone and soft tissue releases to achieve ligament balance while robotic surgery requires very little ligament release to achieve a balanced knee. This results in less bleeding and pain following robotic surgery. The avoidance of tourniquet during surgery results in easier recovery of knee motion and less loss of muscle strength. Therefore, the goals of rehabilitation can be achieved earlier with robotic surgery, shortening the length of hospital stay for one day.
Patients achieve a more “normal feeling” joint with robotic surgery
Both classical and robotic joint replacements achieve predictable pain relief and functional gains after surgery. Although pain-free, some patients have the feeling that the joint does not feel “normal”, even months after surgery. The “Forgotten Joint Score” is used to quantify a normal feeling joint, with higher scores predicting a forgotten or normal feeling joint. Patients undergoing robotic joint replacement have higher Forgotten Joint Scores compared to classical joint replacement due to the perfect alignment and soft tissue balance attained after surgery.
Your implants will last longer
The average life expectancy of a total knee implant is 15-20 years and 20-25 years for a total hip implant. The wear and tear of the implants with daily usage may lead to loosening and may require a second surgery called a revision surgery after a certain time. A variety of factors may influence the longevity of your implant including material quality, surgical technique and patient activity level. The early revision rates of partial knee implants placed using robotic surgery are lower than classical partial knees, meaning robotically placed implants are less likely to be replaced at 5-10 years follow-up. Mid term revision rates of robotic total knee and hip implants are similar to standard surgery. However, it is well known minor errors in implant position and alignment lead to increased rates of failure. Since robotics provide much greater accuracy of implant positioning compared to standard surgery, it is expected that this will result in lower revision rates with robotic surgery at longer term follow-up. It should also be kept in mind that robotics is a constantly evolving technology and the outcomes of early robotic systems may not reflect the current state of the art.
Are all robotic systems the same?
A variety of robotic systems are available currently and not all robotic systems are the same. The erly robotic systems were designed as “active robots”, where the role of the surgeon was limited to an “emergency stop switch” once the surgical exposure was made. The robot performed all cuts without any input from the surgeon. Active robotic systems have fallen out of favor due to increased soft tissue complication rates and are no longer used. Semi-active robots, guide the surgeon during the bone cuts and provide visual and tactile feedback to limit the extent of cuts according to the pre-defined plan. However, all bone cuts are performed by the surgeon. MAKO (Stryker) & Navio (Smith & Nephew) systems are examples of semi-active robots and are available for use in Turkey. The final type of robots are called passive robots. Passive robots locate the cutting guides to the desired area but do not provide visual or tactile feedback. All cuts are performed by the surgeon and are not limited by the robotic system. The Rosa (Zimmer Biomet) is an example of a passive robotic system that is available in Turkey.
The three robotic systems that are currently in use in Turkey have different properties.
Stryker MAKO system
The pre-operative plan is made on a 3 dimensional model created by a 3-D computed tomography scan of the patient. This model is an exact replica of the patient’s boney anatomy. The patient’s knee is matched to the model created by the software using a procedure called “registration” during surgery. The robot then helps the surgeon execute the pre-operative plan using this real time model. The robotic arm guides the surgeon to the correct angle and location of the cuts and provides visual and tactile feedback during surgery. The robotic arm stops working outside designated areas and prevents the surgeon from making unwanted cuts. Total hip, knee and partial knee systems are available. Soft tissue balance can be adjusted in every step of the procedure.
Zimmer Rosa system
The pre-operative plan is made using plain X-rays and the surgeon creates a virtual knee model by registering certain points of the patient’s anatomy during surgery. The robot guides the cutting jig to the intended location, and the cuts are made by the surgeon, no visual or tactile feedback is available. Total and partial knee systems are available, there is currently no hip system.
Smith & Nephew Navio system
Unlike the MAKO system, the pre-operative plan is made on X-rays and a CT scan is not needed. A virtual model of the extremity is created during surgery, and the bone cuts are performed based on this virtual knee model. The robotic arm stops working outside predefined areas but no tactile feedback is available to the surgeon. Total and partial knee systems are available, total hip systems are being developed. Soft tissue balance can be measured during surgery.
Can every orthopedic surgeon perform robotic joint replacement?
Total joint replacement with standard instrumentation is a part of every orthopedic surgeon’s training. However, robotic surgery requires a specialized training on cadavers and certification process before starting use in patients. Experience with robotics is also important, although robotic systems are accurate from the first case the surgeon performs, the surgery becomes easier and takes less time with surgeon experience. Studies have shown that at least 10 cases are needed before the surgeon becomes comfortable with the robotic system and can use its full potential. Whatever the surgeon experience, robotic systems have built in checks and security systems to prevent unexpected errors.
Is robotic joint replacement suitable for me?
If your general health status is appropriate for standard joint replacement, you will also be fit for robotic surgery. Hip dysplasia and advanced deformities of the limb can also be corrected with robotic surgery. Severe bone loss requiring metal augments and blocks may not be suitable for robotic surgery in the knee. This accounts for less than 2% of the patients. Your surgeon will perform a thorough physical examination and assess your imaging studies before deciding whether robotic joint replacement is appropriate for you. Robotic surgery is currently not indicated for revision joint replacement in which your surgeon has to revise a pre-existing joint prosthesis.
