Institute of Prosthetics. Institutes and centers of dental prosthetics

In the regions of the Russian Federation, new endoprosthetics clinics are opening, equipped no worse than European medical centers for prosthetics. Also, in the departments of orthopedics and traumatology of many leading state medical institutions, which have a long history of work in the field of surgery of the musculoskeletal system, today they perform a unique operation on thousands of people with severe joint pathologies.

Two types of surgery: on the left total, on the right superficial.

Some statistics

Each joint replacement clinic works according to a similar scheme with foreign colleagues and uses the same endoprostheses from well-known manufacturers. The only drawback of Russian prosthetics is too little clinical experience of surgeons specializing specifically in this complex and still “young” area. In Russian clinics, approximately 15 to 20 thousand patients undergo endoprosthetics annually. Let's take, for example, the USA and Germany. In America, almost half a million such operations are performed in just one year. German orthopedic surgeons install joint prostheses on about 300 thousand patients every year.

The metal components shown in the photo are used less and less due to poor long-term prospects.

Using just two of the examples given, we were able to trace the difference in significant figures, by which, to a large extent, the development of a particular area of orthopedic surgery is judged. Within our state alone, approximately 300 thousand people annually experience the need to undergo this type of arthroplasty. In endoprosthetics clinics in Moscow and other regions of the Russian Federation, only 1/15 of the annual norm is performed. That is, as was said earlier, only 20 thousand interventions, and this is the maximum limit so far. This is due, first of all, to a limited funding budget and a shortage of bed capacity in joint replacement clinics.

We will monitor the percentage of complications. Private clinics and federal medical centers for endoprosthetics: the risk of complications after primary intervention in average values is 5.5%, after revision – up to 8%. In medical institutions of the leading countries in orthopedics (Czech Republic, Israel, Germany, etc.), the probability of developing negative consequences after the first installation of an endoprosthesis is 0.5-1%, after a second installation - an average of 2%.

Who needs surgery?

pseudarthrosis;
intra-articular fractures;
congenital and acquired joint dysplasia;
oncological damage to the bones of the articulation.

Gonarthrosis of the knee joint is a direct indication for surgery.

Guide to choosing a hospital and surgeon in the Russian Federation

Let us immediately note that it is necessary to choose not just a “star” professor of orthopedics and traumatology, but a qualified orthopedic surgeon with a high medical degree who has been successfully working for at least 5 years specifically in the field of joint arthroplasty. You need to find out as much information as possible about all medical facilities located within the country that are potentially suitable for your case, namely:

how many years have you been practicing;
is the clinic certified, are there any diplomas and awards in this area;
what is the number of interventions of the required type per year;
what is the average percentage of unfavorable cases associated with complications (the figure should not exceed 5%, ideally up to 3-4%);
what prosthetic systems are used and who their manufacturer is;
to what extent is the operating room, resuscitation, rehabilitation and diagnostic unit equipped with all the necessary modern equipment;
what is the length of stay in hospital (the longer the better);
how much will it cost to undergo treatment if it is not implemented under the VMP and medical programs? insurance (very low prices are a reason to doubt the quality of the service, since the most complex type of surgical intervention cannot be cheap).

Leading Russian clinics

Perhaps someone does not want to deal with making inquiries and scrupulously analyzing information for each hospital, then we suggest using our ready-made recommendations. The following endoprosthetics clinics in Russia are recognized as the best, so they can perform high-precision replacement of the knee joint, hip joint and other large osteochondral joints. By the way, they may well compete with foreign medical centers in terms of the level of surgery and the level of qualifications of the medical staff.

In Smolensk

Operating room of the federal center.

In Novosibirsk

Now let's talk about Novosibirsk: the endoprosthetics clinic, which is called the ANO clinic NIITO, occupies an honorable position not only within the regional center, but throughout the Russian Federation. An autonomous non-profit organization specializes in the diagnosis/treatment of deformations and destruction of musculoskeletal structures, disorders of locomotor functions resulting from congenital malformations and acquired damage to parts of the musculoskeletal system. The long-term activity of the endoprosthetics clinic in Novosibirsk allows doctors today to achieve incredible success in restoring the functions of the knee joint, hip, and spinal column. By the way, the opening of a highly specialized center took place in 2000.

Clinic of Scientific Research Institute of Traumatology and Orthopedics in Novosibirsk.

Many people from different parts of our vast homeland strive to go to the capital of Siberia, Novosibirsk, knowing that there is a worthwhile endoprosthetics clinic there. And all of them are united by one desire - to have a successful operation without leaving the country and, finally, to say goodbye to the debilitating symptoms of chronic arthrosis.

In St. Petersburg

Total or partial knee replacement in St. Petersburg is performed by the Vreden Clinic. The well-known Russian Research Institute of Traumatology and Orthopedics, named after its first director, Roman Romanovich Vreden, has been operating for more than one century.

Russian Research Institute of Traumatology and Orthopedics

Endoprosthetics of knee joints at the Vreden Clinic in St. Petersburg occurs both on a planned basis (according to a quota) and on an emergency basis. In addition to knee implantations, advanced orthopedic traumatologists implant equally high-tech functional devices that replace hip joints, glenohumeral and elbow joints. The high quality of services has been noted at the state level, awards, diplomas and other insignia received from the Ministry of Health of the Russian Federation.

Where is the best place to get a knee replacement?

Since the lower extremities around the knee are most often injured and are most susceptible to degenerative changes, knee replacement in endoprosthetics clinics in Russia is the leading operation in terms of frequency. Every year, the percentage of incidence of post-traumatic, autoimmune, degenerative-dystrophic gonarthrosis is only rapidly increasing, and, unfortunately, there has been no trend toward its reduction for five years. Therefore, the aspect of selecting a knee replacement clinic in Russia for most patients has been and will be relevant for many decades to come, as disappointing statistics show.

Partial knee replacement.

Moscow and St. Petersburg medical institutions have proven themselves especially positive in prosthetics of new articular surfaces of the knee. We have already talked about one of them, the Vreden Research Institute. Additionally, it is worth noting the medical centers of the Russian Federation, which are spoken about mostly in a good context, these are:

Federal State Budgetary Institution "SPMC" of the Ministry of Health of Russia;
St George's City Hospital;
NMHC named after. Pirogova N.I.;
Clinical Hospital on Yauza;
GVKG im. Burdenko;
Children's Clinical Hospital named after Semashko;
KB MSMU im. Sechenov;
Nizhny Tagil Hospital of Restorative Innovative Technologies;
Krasnodar clinic "Zdrava";
Privolzhsky Federal Medical Research Center, Nizhny Novgorod.

Advice! When choosing a place where you will have surgery, a definite advantage will be the presence of a research institute or fruitful cooperation of the center with medical institutes. It is in such medical institutions that they thoroughly pay attention to the in-depth study of this discipline. Moreover, in such serious structures, medical workers have qualification degrees of candidates, professors and doctors of medical sciences, and, therefore, they have a significant amount of practical experience and knowledge regarding complex joint surgery.

The main indications for contacting a dental prosthetist are the loss of one, several or all teeth, destruction of the dental crown or mobility of the dentition.

In this article we will talk about the most important clinics where dentures are made. You will also learn what orthopedic services are currently available and how to make an appointment.

Orthopedic dentistry services

Dental restoration with microprostheses (crowns, inlays, veneers, lumineers, bridges);
restoration of the integrity of the dentition using removable and conditionally removable dentures (nylon, acrylic, clasp, etc.);
prosthetics on implants and pins;
strengthening the dentition in advanced forms of periodontitis (splinting);
children's prosthetics (for congenital adentia or premature loss of baby teeth).

The diagnostics that need to be completed before dentures include an orthopantomogram (panoramic photo of the jaws), as well as taking dental impressions to make a custom prosthesis.

TsNIIPP

The Central Research Institute of Prosthetics and Prosthetics is located on the street. Ivan Susanina, 3. The nearest metro station is “Vladykino”. This is the main specialized institution in Moscow, where specialists with 20 years of experience work and accept doctors and candidates of medical sciences.

Central Research Institute of Dentistry and Maxillofacial Surgery

Here on weekdays there is a department of orthopedic dentistry, where complex maxillofacial prosthetics are performed. The institute also installs all types dental crowns: metal-ceramic, zirconium, porcelain, metal-plastic. The institution is located on the street. Frunze, 16.

European Center for Dental Implantation and Prosthetics

This is a private institution that has 2 branches in Moscow: on Studenetsky Lane, 3 and st. Dubninskaya, 27. Here they use the “All on 4” technology, which allows you to stage this in one session dental implants with a fixed denture (with complete absence of teeth). The initial consultation with specialists is free of charge.

Central Research Institute of Dentistry

Dental prosthetics centers in St. Petersburg

The orthopedic department is open on weekdays from 9.00 to 19.00. Dentists carry out all the preparatory work before installing dentures: sanitation of the oral cavity, treatment of caries and periodontitis, filling of root canals. The dental laboratory produces crowns, as well as partial and complete dentures. The clinic is located on Lunacharsky Avenue, 45 (metro Ozerki).

It is located within walking distance from the Park Pobedy metro station (Moskovsky Avenue, 153). Orthopedic doctors select and install all types of fixed and removable dentures, and perform splinting with fiberglass tape. Here you can also take a panoramic photo of the jaw.

Research Institute of Dentistry and Maxillofacial Surgery

The institute receives specialists from PSPbSMU named after. Academician I.P. Pavlov. In the department of paid services, you can install a clasp prosthesis with clasp or lock fastening, as well as metal-ceramic structures on precious metal alloys. Location: Petrogradskaya embankment, 44.

Dental prosthetics clinics in Nizhny Novgorod

A state institution where dentists of the first and highest categories receive treatment. There are 12 branches in the city, the main branch is located on the street. B. Pokrovskoy, 23 (former Institute of Dentistry and Orthodontics). There is an orthopedics office here, as well as its own dental laboratory.

Central Dental Clinic

A private clinic that offers innovative telescopic dental prosthetics, dental implantation and other orthopedic services. Regular patients are provided with cumulative and club discounts. The institution is open on weekdays and Saturdays, located at st. Kovrovskaya, 47.

How to make an appointment

You can make an appointment with an orthopedist at a state clinic through a terminal in the lobby of the institution, by phone, or by visiting the reception desk in person. Don't forget to take your compulsory medical insurance policy and passport to save on prosthetics.

Free dental prosthetics is provided only for disabled people, pensioners and other benefit categories of the population.

Patients who do not have a compulsory medical insurance policy can undergo treatment in the paid services department.

You can find more detailed information about prosthetics institutes and centers on our website. To do this, use our search engine.

Are you unsure about choosing a prosthesis? Read about all the methods

¦ Moscow Prosthetic Rehabilitation Center

MOSCOW PROSTHETIC REHABILITATION CENTER

The Rehabilitation and Orthopedic Center in Moscow has been engaged in lower limb prosthetics for the last ten years. The REC produces a wide range of modern modular prostheses using high-tech modules from the Icelandic company Ossur and the German Otto Bock. In addition, the center’s specialists use well-proven modules from the Russian company Metiz to produce low-cost prosthetics. These manufacturers are constantly improving their technology, both in terms of functionality, durability and practicality of artificial modules, and in terms of their design.

In an effort to maximize the quality of life of people who, for one reason or another, are forced to use prosthetic and orthopedic products, manufacturers are improving materials from year to year and expanding the range of components and structural elements. Thanks to this, qualified prosthetists at our center can assemble a convenient module in a fairly short time, taking into account all the individual characteristics of the patient. The latter include the type and level of amputation, medical indications, condition of the stump, the patient’s age, degree of activity, nature of activities, personal wishes and financial capabilities.

Individual approach

The variety of designs allows you to make the ideal prosthesis for everyday life, work or active sports. Each patient is assigned a qualified, experienced prosthetist who works with him at all stages of prosthetics: from creating an impression and psychological preparation to full rehabilitation.

Types of prostheses

ROC specialists can produce the most modern bionic prostheses, equipped with a microprocessor, which learn as they are used and provide the most natural gait. Such prostheses use the most modern modules.

The self-learning knee module is so smart that it learns continuously and independently adapts to the individual and its environment. RHEO KNEE® uses advanced sensor technology (load cells) to take measurements 1000 times per second. RHEO KNEE® learns your walking style, recognizing and immediately responding to the slightest changes in speed, load and terrain.

The world's first foot to use artificial intelligence - providing the tibia amputee with functional benefits that are unparalleled. Automatic ankle flexion means functionality is as close to that of a healthy human foot as possible today. This device thinks for itself, reacting to changes in terrain and approaching steps and slopes. The result is a more balanced and symmetrical gait that keeps the entire body healthy.

Symbionic Leg

The Symbionic Leg is the first fully bionic leg. Using integrated power and control of the foot and adaptive knee from a single microprocessor, the Symbionic Leg provides unrivaled benefits for above-knee amputees. Actively lifting your feet while walking minimizes the risk of falling. The automatic terrain adaptation system adjusts the angle of the foot depending on the steepness of the slope, creating better contact with the ground and optimal movement of the knee module on ascents and descents. By adjusting the heel height, the user can wear shoes with different heel heights or walk barefoot without compromising their gait.

A prosthesis is an individual product; the selection of components and production of the prosthesis occurs individually for each patient.

Cost of a full course of prosthetics

The cost of low-cost prostheses using mechanical modules starts from 100,000 rubles. up to 200,000 rub.

The cost of prostheses for patients with a high degree of activity, with the possibility of playing sports, using hydraulic or pneumatic knee modules and foot modules with a high level of energy return, made of carbon fiber, starts from 200,000 rubles. up to 750,000 rub.

The cost of bionic prostheses starts from RUB 1,000,000. up to 3,000,000 rub.

It is very important to adjust to an active lifestyle in the first days after amputation. This primarily applies to people of working age.

On the second or third day after surgery, it is advisable to start getting up and sitting down. First, with outside help and using walkers and crutches with emphasis on the forearm. It is not recommended to use axillary crutches, as they cause chronic trauma to nerves and blood vessels.

During the rehabilitation period, the patient must follow recommendations for caring for the postoperative suture, forming a stump, maintaining joint mobility and strengthening the remaining muscles.

The postoperative suture is monitored by medical personnel. The patient must carefully follow the instructions of the attending physician, especially for patients with vascular pathology and diabetes mellitus.

After amputation, the skin on the stump has increased sensitivity. You can reduce sensitivity with massage. You can massage the stump with a soft brush, a massage ball, and rub the stump with a hard towel or terry cloth washcloth. Massage must be carried out from the distal (lower) end of the stump to its base. Intensive training of the distal end of the stump on the support is not recommended - it may cause harm to the patient.

To prepare the stump for prosthetics, it is necessary, as soon as the attending physician allows, to begin bandaging the stump with an elastic bandage from the distal end in a spiral to the base of the stump. Apply the bandage in the morning and remove it in the evening before going to bed. If pain occurs, the bandage should be immediately removed and reapplied. The pressure should be maximum (but without pain) in the distal part and decrease towards the base of the stump.