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Complete guide to total hip & knee arthroplasty in Thessaloniki
Hip Arthroplasty

Complete guide to total hip & knee arthroplasty in Thessaloniki

Dr Alexandros P. Tzaveas

Dr Alexandros P. Tzaveas

Orthopaedic Surgeon

1 Απριλίου 2026 11 λεπτά
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Σύνοψη

  • What is total hip and knee arthroplasty
  • What are the risks, and how safe is hip and knee arthroplasty
  • Robotic hip & knee arthroplasty in Thessaloniki: the modern advance in joint replacement

Hip and knee arthroplasty in Thessaloniki is a surgical procedure that replaces worn joints, with the aim of improving mobility and relieving pain. The process involves detailed information about preparation, the operation and recovery, ensuring safety and realistic expectations. Choosing the right doctor and the right practice is critical to the success of the operation.

What is total hip and knee arthroplasty?

Hip and knee arthroplasty  is a surgical operation that aims to replace worn or damaged joints with artificial implants. These operations are used mainly in patients with advanced osteoarthritis, rheumatic disease or post-traumatic arthritis that significantly limits function. The goal is to restore movement, to eliminate persistent pain and to bring about a real improvement in the patient's quality of life. The technology of the materials used in total joint replacement has advanced considerably over the past decade. In Thessaloniki, centres with specialist orthopaedic care apply modern techniques and use highly durable materials. Every artificial joint is designed around the needs of the patient, combining safety with natural movement. Orthopaedic surgeons who specialise in these operations carry out a full preoperative assessment and explain the available options clearly. An individualised approach, meticulous surgical technique and support after the operation are fundamental to success.

  • Find out about the type of artificial joint that will be used

  • Ask about the lifespan of the implants

  • Look for information on how long it takes to return to your activities

  • Discuss with your doctor what physiotherapy involves

  • Find out about the most common setbacks and how they are dealt with

What are the indications and contraindications for arthroplasty?

Hip and knee arthroplasty is recommended mainly for patients with significant functional difficulty, severe pain and a sharp fall in quality of life because of degenerative or post-traumatic damage to the joint. The main indications include prolonged disability, severe pain on walking or even at rest, stiffness of the joint, an inadequate response to conservative treatment such as medication or physiotherapy, and clear wear on imaging. The doctor assesses each case thoroughly against specialist criteria. Contraindications include active infection, severe cardiac or respiratory failure, inadequately controlled systemic disease, and problems that would prevent recovery. In some cases, previous multiple operations or allergies to implant materials are also assessed as contraindications or as markers of high risk. Choosing the right time for the operation prevents serious complications. A thorough explanation from your doctor is the first step in understanding whether you are a suitable candidate. Linking the diagnosis to the individual profile of the patient ensures the best results and limits unnecessary operations. The aim is always to restore mobility safely and realistically.

  • Consider the alternatives before deciding on surgery

  • Talk openly with your doctor about any chronic illnesses

  • Find out which contraindications apply to you personally

  • Ask whether there are any restrictions because of age or weight

  • Learn the indications for urgent joint replacement

How should you prepare before an arthroplasty operation?

Proper preparation before hip and knee arthroplasty  contributes decisively to the success of the operation and to reducing complications. The preoperative assessment includes blood tests, radiographs, an electrocardiogram and an evaluation of general health. Guidance from the specialist orthopaedic surgeon, working closely with a physician or an anaesthetist, helps the patient to manage any accompanying conditions, such as diabetes or hypertension, effectively. Physical preparation, which sometimes consists of starting strengthening exercises or physiotherapy, helps to improve muscle mass and to speed up recovery. Proper management of body weight, stopping smoking and treating any infection (for example dental infection) are required in order to reduce the risk of infection after surgery. Knowing what to pack for hospital, and adapting the home for your return, makes the transition easier. Arranging support for the first few days after discharge gives added reassurance, so that you can concentrate on getting better. Talking to your treating doctor about any questions or fears plays a decisive part for every patient.

  • Complete your tests before admission to hospital

  • Tell your doctor about any medicines or allergies

  • Arrange help at home for the first few days

  • Learn about getting mobile and taking your first steps

  • Clear obstacles at home to avoid falls

What are the basic steps of the total arthroplasty procedure?

The total hip or knee arthroplasty procedure begins with the administration of anaesthesia, which may be general or regional, depending on the patient's history and choice. The patient is then positioned carefully on the operating table so that safe access to the joint to be replaced is ensured. The surgeon makes an incision in the area, removes the damaged parts of bone and cartilage and inserts the artificial implant. The implants are usually made of highly durable materials, such as titanium, ceramic and polyethylene. They are fitted using a specialised technique, while fixation may be carried out with or without cement. Once the implant is in place the range of movement is checked and the incision is closed. The operation usually lasts from 1 to 2 hours, depending on the severity of the condition. The patient is then monitored in recovery, with continuous checking of the vital signs and of joint function. Mobilisation begins gradually under physiotherapy supervision, from the very first hours or days after surgery. Every step of the procedure is based on international guidelines, such as those of the NHS and the WHO.

What are the risks, and how safe is hip and knee arthroplasty?

Safety in hip and knee arthroplasty depends on the patient's overall health, on the procedure being carried out correctly and on the measures taken to prevent complications. The main risks include infection, thrombosis, instability of the implant and, more rarely, vascular or nerve injury. A detailed preoperative assessment and adherence to sterilisation protocols significantly reduce such risks. The likelihood of serious complications is low, thanks to advances in medical technology. Medication to prevent venous thrombosis, antibiotics during and immediately after the operation, and specific methods of mobilisation are all applied in accordance with international guidelines (CDC). In Thessaloniki, the use of specialist surgical and nursing staff strengthens the safeguarding of health at every stage. The treating team gives the patient detailed guidance on the symptoms that call for immediate contact with the doctor, such as marked redness, fever or sudden swelling of the leg. By following the instructions, most possible problems are dealt with in good time, ensuring successful recovery and the prevention of long-term complications.

  • Follow your doctor's postoperative instructions to the letter

  • Watch for any changes around the joint

  • Tell your doctor at once about pain that persists or is getting worse

  • Use your anticoagulant treatment correctly

  • Find out about the symptoms of thrombosis or infection

What are the 3 basic stages of recovery after arthroplasty?

Recovery after hip and knee arthroplasty typically falls into three stages: the immediate postoperative period, the rehabilitation phase and the stage of returning to full activity. Immediately after the operation, mobilisation begins as early as possible, usually with the help of a physiotherapist, so that complications are avoided and good blood circulation is maintained. At this stage the key aims are pain control, protection of the joint and gradually taking up walking again. The second stage, which lasts from the first weeks up to the third month, focuses on increasing the range of movement and muscle strength through regular physiotherapy and/or exercise therapy. Guidance from qualified professionals is particularly important in preventing wrong movements or physical overload. During this period the exercises are gradually adjusted and the patient's independence is built up. The final stage concerns the return to full everyday and sporting activities, always with safety and the doctor's instructions in mind. This period varies from person to person and includes checking the stability of the joint, assessing function and long-term follow-up. With the new techniques and newer implants, however, these times have fallen dramatically, to the point where younger patients are almost fully independent in the first few days after the operation and can walk entirely unaided a few weeks afterwards.

  • Keep in regular contact with your physiotherapist

  • Use techniques suited to strengthening the joint

  • Do not exceed the mobilisation instructions in the first few weeks

  • Assess and report to your doctor  any symptoms of pain or swelling

  • Make sure it is safe before you return to sporting activities

 

Robotic hip & knee arthroplasty in Thessaloniki: the modern advance in joint replacement

Hip and knee arthroplasty in Thessaloniki is now also carried out with the help of robotic surgery technology, offering greater accuracy in the placement of the implants and a greater degree of individualisation according to each patient's anatomy. Robotically assisted arthroplasty allows the surgeon to plan the operation digitally before surgery, to check the alignment of the joint in real time and to limit the removal of healthy bone. The advantages include less tissue trauma, faster recovery, better function of the joint and increased long-term durability of the implants. The method is used in selected patients after a detailed preoperative assessment by a specialist orthopaedic surgeon.

How should you choose the right doctor and practice for arthroplasty?

Choosing the right doctor and practice for hip and knee arthroplasty in Thessaloniki is decisive for the outcome of the operation and for the recovery that follows. It is advisable to give priority to specialist orthopaedic surgeons with extensive experience in performing joint replacements, and to hospitals with modern equipment and a multidisciplinary medical team. Having physiotherapy facilities in the same institution makes overall rehabilitation easier. Look for doctors who take part in scientific societies or who keep systematically up to date with international developments, in line with guidance from organisations such as ESSKA, the EAE (Hellenic Arthroscopy Society) and EFORT. Good communication, the opportunity for individually tailored information and openness about the risks and the expected outcome make the process safer for the patient. Do not hesitate to ask for a second opinion wherever you think it necessary. Know the questions you need to ask: the number of operations performed each year, the complication rates, the rehabilitation plan and the postoperative follow-up available. Choosing a hospital with modern standards of care, guaranteed safety and team-based nursing gives the patient greater reassurance.

  • Check that the doctor holds formal specialist training and certification

  • Ask for detailed written information about the operation

  • Find out more about the rehabilitation support at the hospital

  • Look into the experience and the range of specialties working together

  • Make sure you can contact your treating doctor directly

Hip and knee arthroplasty in Thessaloniki, as throughout Greece, is carried out only in approved health facilities and by doctors with specialist training, in accordance with the existing legal framework. The procedure and the materials used are governed by strict European and national requirements, while patients are entitled to full information and to give their consent. The legislation sets out the safety conditions, the equipment and the record-keeping requirements, with oversight under ministerial decisions. The products used in these operations must carry the European marking (CE mark) and meet safety requirements, while the surgeon is responsible for choosing the appropriate implants, always on the basis of the individual patient's circumstances. Outcomes are monitored and recorded systematically, with the aim of improving care overall. The Ministry of Health and EOPYY have an active role in the certification and assessment of hospitals and procedures. For any question or legal issue, information from the Ministry of Health is essential. Written information and consent  for every operation protect both the patient and the doctor from misunderstandings and ensure transparency about the rights and obligations of everyone involved.

  • Ask for full information about the patient consent process

  • Confirm the identity and validity of the medical implants

  • Find out about your rights of recourse in the event of complications

  • Check that the doctor holds a full licence to practise and to specialise

  • Find out about your right of access to your medical records

Conclusion & next steps

Arthroplasty is a reliable option for people whose lives are significantly limited by joint wear. In Thessaloniki, assessment by a specialist orthopaedic surgeon ensures that every patient receives individualised care, tailored to their own needs and medical history. It is important to be fully informed about the procedure, the benefits and the possible risks before going ahead. Seek medical advice if you feel persistent pain, instability or redness in the area of the operation, so that your safety and the best possible recovery are ensured.

  • Gather your medical history for assessment

  • Discuss all your questions or concerns with a specialist doctor

  • Follow the pre- and postoperative care instructions faithfully

 

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Συχνές Ερωτήσεις

Find out about the type of artificial joint that will be used
Dr Alexandros P. Tzaveas

ΣΥΝΤΑΚΤΗΣ

Dr Alexandros P. Tzaveas

Orthopaedic Surgeon

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