Service Summary
Joint replacement surgery to restore function and relieve chronic pain caused by arthritis, injury, or joint disease using artificial implants.
Description
Definition and Purpose: Arthroplasty, commonly known as joint replacement surgery, is a surgical procedure to restore the function of a joint by resurfacing the bones within the joint or by replacing the entire joint with an artificial implant, known as a prosthesis. This procedure is typically performed to alleviate severe pain and disability caused by conditions such as arthritis (osteoarthritis, rheumatoid arthritis, psoriatic arthritis), traumatic injuries, or other joint diseases.
Goals and Common Indications: The primary goal of arthroplasty is to relieve chronic pain that has not responded to conservative treatments and to improve the patient’s mobility and quality of life. Common indications include severe osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, avascular necrosis, and joint deformities.
Types of Procedures: While it can be performed on various joints, common procedures include:
- Total Hip Arthroplasty (THA)
- Total Knee Arthroplasty (TKA)
- Shoulder Arthroplasty
- Ankle Arthroplasty
- Elbow Arthroplasty
- Finger and Toe Arthroplasty
The Surgical Process: The procedure itself involves administering anesthesia and making an incision over the affected joint. The surgeon precisely removes the diseased or damaged portions of the joint and meticulously fits and secures artificial components. These components, made of metal alloys, ceramics, or high-grade plastics, are designed to mimic natural movement. Finally, the incision is closed with sutures or staples.
Benefits vs. Risks: Benefits of arthroplasty include significant pain relief, improved mobility, and correction of deformity. However, as with any major surgery, it carries potential risks such as infection, blood clots, dislocation, or loosening of the prosthesis. While complications are relatively rare, patients should be aware of the possibility of nerve damage or persistent stiffness.
Recovery and Long-term Care: Post-operative recovery is crucial and typically involves a hospital stay, pain management, and essential physical therapy. Rehabilitation focuses on regaining strength and flexibility. Long-term care involves regular follow-up appointments with the surgeon to monitor the joint’s health and adherence to certain activity restrictions.
Conclusion: Arthroplasty is a highly effective surgical intervention that can dramatically improve the lives of individuals suffering from debilitating joint pain. While it involves a dedicated rehabilitation period, the benefits of improved function often far outweigh the challenges.
Possible Side Effects
As with any major surgery, arthroplasty carries potential risks including infection, blood clots, dislocation, nerve or blood vessel damage, loosening or wear of the prosthesis, and persistent pain or stiffness. Complications are relatively rare and your surgeon will discuss individual risk factors during consultation.
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Why do Arthroplasty at Evangelos Floros?
Overview
Dr. Evangelos Floros specialises in joint replacement surgery for both the hip and knee, applying minimally invasive techniques developed during his surgical training in Germany. For hip arthroplasty, he uses the ALMIS (Anterolateral Minimally Invasive Surgery) / Watson-Jones approach — a muscle-sparing technique performed through a 7 cm incision that avoids cutting the gluteus medius and tensor fasciae latae, with implantation of a short-stem bone-preserving prosthesis. Patients are mobilised on the same day as surgery with physiotherapist support and are typically discharged the following morning. For knee arthroplasty, Dr. Floros treats end-stage knee osteoarthritis with the aim of eliminating pain and restoring joint function and quality of life. Procedures are performed at the First Orthopedic Clinic of the Interbalkan Medical Centre in Thessaloniki — a JCI-accredited hospital — and at Bioclinic Thessaloniki.
What is Included
- Pre-operative consultation and clinical assessment at the private clinic (Tsimiski 88, Thessaloniki or Giannitsa)
- Review of imaging and diagnostic findings (X-ray, MRI as indicated)
- Surgical procedure at an affiliated accredited hospital facility (Interbalkan Medical Centre or Bioclinic Thessaloniki)
- Hip arthroplasty: implantation of a short-stem bone-preserving prosthesis; same-day physiotherapy mobilisation
- Post-operative in-hospital monitoring and overnight stay
- Follow-up consultation at the private clinic
What to Expect
Hip Arthroplasty: Following a consultation at the private clinic, surgery is scheduled at an affiliated hospital. Dr. Floros uses the ALMIS anterolateral approach, working between the muscles without cutting them through a 7 cm incision. The procedure takes approximately 60 to 90 minutes. Perioperative haemostatic medications are used to minimise blood loss. On the same day as surgery, physiotherapists support your first mobilisation using elbow crutches. Most patients are discharged the following morning. According to the practice’s published case data, only 2 in 500 patients required a blood transfusion with this technique.
Knee Arthroplasty: A pre-operative consultation reviews your symptoms, imaging, and functional status. The procedure is indicated for end-stage knee osteoarthritis when conservative management has not provided adequate relief. The goal is full elimination of pain and restoration of joint mobility and daily function. Post-operative rehabilitation protocols are discussed and arranged as part of your treatment plan.
Duration
Hip arthroplasty: approximately 60–90 minutes.
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