Akromion – orthopaedic hospital in Krapinske Toplice, Croatia

Akromion orthopaedic hospital in Krapinske Toplice, Croatia

Polyclinic Akromion was opened in Krapinske Toplice, Croatia in 2013 with the aim of allowing an easier access for numerous patients from Zagreb and its surroundings. The Polyclinic has its orthopaedic outpatient clinic and a physical medicine clinic. The services of diagnostics, physical therapy and rehabilitation are offered here. Physical therapy and rehabilitation are based on the principle of individual approach allowing for rehabilitation before and after surgical procedures and rehabilitation of outpatient patients. The individual approach in rehabilitation means adapting to the patient based on the type of surgical procedure, the type and severity of the illness, patient’s general condition and patient’s needs and expectations.

Physical therapy, manual techniques and kinesiotherapy work on reducing pain, promote healing process, improve muscle tone of the weakened muscles, affect tissue elasticity and reduce the tension of certain muscle groups. During rehabilitation, apart from improving mobility, strength and endurance, patients acquire knowledge and skills that will help them maintain the results achieved in daily life, prevent re-injury and slow down degenerative processes (proper self-training, selection of adequate physical activity, ergonomic adjustment…).
It has been scientifically proved that timely start, appropriate duration and proper implementation of rehabilitation affect the recovery and the final functional outcome of the surgery significantly.

The operating block in the Akromion hospital in Krapinske Toplice, Croatia has three operating theatres and a recovery room while the hospital ward consists of rooms and suites equipped to a high standard with a separate  bathroom and a toilette, as well as a TV and an Internet connection, which ensures maximum, hotel-like comfort for our patients. The patients can choose between either a single / double room or a suite.
The Akromion hospital in Krapinske Toplice, Croatia is entirely computerised and connected with its outpatient clinics in Zagreb and Split. The state of the art medical equipment and integrated operating room technology enable doctors and hospital personnel to have a complete real-time access to diagnostic images and patients’ medical data during surgery, allowing for immediate and forehand consultations. There are no patients’ charts and paperwork.

Our field of expertise are medical services of movement system injuries and diseases. The Akromion hospital in Krapinske Toplice, Croatia performs a wide selection of arthroscopic procedures, especially of shoulder and knee, and implantation of artificial shoulder, hip and knee joints. Furthermore, the Akromion hospital in Krapinske Toplice, Croatia carry out biological reconstructive procedures and reconstructions of badly healed fractures. Patients can opt for a postoperative rehabilitation in either Akromion Polyclinic in Zagreb or in Special Hospital in Krapinske Toplice. Each patient receives an individualistic approach which is shaped based on a variety of factors, such as their age, sex, physical shape, type of damage, bone mass, muscle condition etc. These elements determine the type of surgical procedure and the sort of implant, primarily the sort of prosthesis, which the patient is going to be inserted with.

The anaesthesiology service at Akromion utilizes a multimodal approach to perioperative pain treatment based on regional anaesthetic techniques performed under ultrasound guidance. Continuous postoperative regional analgesia is also a standard after all major surgeries. Combination of these approaches provide a stress free and virtually painless perioperative experience and has earned Akromion the nickname “Hospital without pain“ among our patients.

Artificial joint implantation in Krapinske Toplice, Croatia

Artificial joint implantation (arthroplasty) is one of the greatest achievements of contemporary medicine, and the results are predictable and repeatable.

Hip joint implantation in Krapinske Toplice, Croatia

In the Akromion hospital in Krapinske Toplice, Croatia there is a possibility of having various types of hip prostheses implanted (hip prostheses with various bodies and various bearing surfaces, e.g. metal, polyethylene, ceramics), depending on the patients’ age, sex, hip damage and their needs and general condition. Akromion’s team is trained for performing the most complex surgical procedures, as was for example a 60-year-old patient who was sufering from a congenital high hip dislocation and had a leg shorter by 8 cm.
He was implanted with a hip prosthesis and his leg was extended. The lifetime of any prosthesis is limited. In cases when the hip prosthesis loses its properties and the acetabular component (pelvic part) becomes loose, followed by a significant bone mass loss, a revision is required.
Standard methods are ine”cient, there fore there is a possibility of reconstructing acetabulum by trabecular metal.
Akromion is the only hospital in Croatia in which this type of surgery can be conducted.

Knee cruciate ligament surgery in Krapinske Toplice, Croatia

The treatment can be conservative and operative. The younger the patient is, and the more they want to engage in sport activities, are more motivated, and have less arthrosis, the sooner we will opt for surgical treatment. The conservative treatment consists of muscle strengthening which contributes to an active stabilization of the knee. A surgical treatment consists of a reconstruction of the anterior cruciate ligament.

Since the structure of the anterior cruciate ligament is very complex, consisting of anteromedial and posterolateral bundles, each bundle is tightened to a different flexion degree. To get as close as possible to the natural function of a cruciate ligament, the reconstruction of an anterior cruciate ligament has lately been carried out with two bundles.

Shoulder surgery in Krapinske Toplice, Croatia

Painful shoulder is characterized by pain in the shoulder area and by restricted movements. Under painful shoulder, doctors consider periartritis humeroscapularis (PHS). Periartritis humeroscapularis diagnosis is unavoidable in everyday practice and is used by everyone, from general practitioners to specialists in physical therapy and orthopaedic specialists. After being diagnosed with PHS, patients are subjected to different physical therapy procedures for months and are given injections to different parts of the shoulder.

Rotator cuff tear surgery in Krapinske Toplice, Croatia

The most common cause of the rotator cuff tear is wearing away i.e. degeneration of the rotator cuff tendons, and only at second place the cause is the subacromail impingement syndrome. Patients with rotator cuff tear are almost always more than 40 years old, they complain about shoulder pain and a feeling of weakness when lifting the arm. Rotator cuff can be repaired by a classic technique, open or arthroscopic technique (surgery where the doctor is working with a camera through small incisions). In Akromion Hospital in Krapinske Toplice, Croatia, arthroscopic transosseous suture anchor technique for rotator cuff repairs is performed routinely (see chapter rotator cuff).

Frozen shoulder surgery in Krapinske Toplice, Croatia

Frozen shoulder is a syndrome best described by the name PHS. This is a syndrome of unknown etiology characterized by pain and restricted movements in the shoulder, regardless of the direction. The cause of frozen shoulder can be found in other illnesses, including tumors. It affects patients between the ages of 40 to 60.  More often, it is found in diabetics.

Acromioclavicular joint arthrosis and humeroscapular joint arthrosis surgery in Krapinske Toplice, Croatia

(AC) Acromioclavicular joint arthrosis most commonly appears as consequence of injuries and AC joint instability. The pain occurs when lifting the arm over 120 degrees, in sudden horizontal adduction and when performing internal rotation of the hand behind the back. Radiologically, there is a narrowing of the joint cavity along the lateral bone spurs. Patients are recommended to avoid using the arm in overhead activities and take non-steroidal anti-inflammatory medications. In order to reduce pain, steroid injections are administered, intra-articular. In case of a joint altered by arthrosis, the external part of the collarbone is resected arthroscopically.

Shoulder joint arthrosis is, like any arthrosis, also characterized by the narrowing of the joint cavity, sclerosation of the subchondral bone and bone spurs. Patients complain about constant pain and decreased hand mobility. Bone spur (osteophyte) typically appears in the lower part of the humeral head. Conservative way of treatment includes administering non-steroidal anti-inflammatory medications, decrease in physical activity and physical therapy. In advanced cases, implant of shoulder endoprosthesis is indicated.

Shoulder instability surgery in Krapinske Toplice, Croatia

The most common cause of shoulder instability is trauma; falling and landing on the arm strecthed out, or landing on the shoulder or elbow. When training sports where overhead activities are common, microtraumas are frequent as well as injury to the ligament-labral complex of the shoulder.

Shoulder joint is the most mobile and the most instable joint of the human body. Shoulder mobility is enabled by the joint capsule and the disproportion between the size of the humeral head and the socket of the shoulder blade. The humeral head is 3 times larger than the socket. Glenohumeral ligaments which are the constituent part of the joint capsule are the chief shoulder stabilizers. Glenoidal labrum provides further stability to the shoulder (it is the cartilage rim which surrounds the shoulder blade socket). Injury to the glenohumeral ligaments and labrum causes shoulder instability. The shoulder can be instable in any direction. Most common is anterior shoulder instability (95%).

 

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