Orthopedics Medical Center
We invite you to make an appointment with one of our Doctors from the Orthopedics Medical Center:
- Dr Adam Wojciech Koterski – Doctor conduct appointments in Polish and English
We invite children from the first day after birth.
In the Orthopedics Medical Center we offer:
- pre-luxation tests (examination of the hip joints of infants)
- ultrasound examinations, in particular:
a) joints: shoulder, elbow, wrist, hip, knee, ankle, foot
b) tendons of the hand, Achilles tendon
c) muscles: shoulder, forearm, thigh, shin
- intra-articular injection
- ultrasound-guided biopsies for the musculoskeletal system
- joint surgery:
d) the elbow
- treatment of sports injuries of bones and joints in children and adults
- treatment with hyaluronic acid preparations
- Orthokine therapy (treatment with platelet-rich plasma)
|sports medicine consultations||PLN 100|
|pre-luxation visit||PLN 150|
|one joint||PLN 150|
|intraarticular administration of Biolevox 2.5% hla one (price with the preparation)||PLN 500|
|Orthokine therapy (triple administration of platelet-rich plasma)||PLN 700|
|Noltrex application||PLN 850|
|prescription visit||PLN 100|
|removal of stitches, plaster||PLN 200|
|putting on a plaster HM waterproof forearm||PLN 120|
|application of HM plaster, waterproof arm, shank||PLN 140|
|application of waterproof HM plaster on the thigh||PLN 170|
|setting up a tutor||PLN 170|
The prices of gypsum and tutor include the price of the materials.
Treatment of post-traumatic conditions and joint degeneration with hyaluronic acid preparations Osteoarthritis
is the impairment of joint function that develops and progresses over the years as a result of overloading.
These overloads, the so-called microtrauma, damage and deformation of the joints.
They are most often the result of a passive lifestyle, various types of injuries, or obesity.
The fact that main component of the synovial fluid is hyaluronic acid is used in the treatment of joints.
Under physiological conditions, it is created and secreted into the synovial fluid by cells of the synovium.
It is this relationship that is responsible for the elasticity of the articular cartilage and an important role in the proper movement of the joint.
When your joints degenerate, it means that your hyaluronic acid levels have decreased.
How does hyaluronic acid work The use of hyaluronic acid preparations reduces pain and increases the mobility of the affected joint due to the improvement of the quality of the joint fluid and joint cartilage Often,
after the first injection, patients feel a significant improvement in their health.
In our treatment room, we perform injections, depending on the selected preparation,
once a year in a series of 3-5 injections at weekly intervals or one injection every 6-12 months.
The procedure is painless, and there is no need to spend many hours in the clinic after the procedure.
You can return to your daily activities practically immediately after the injection.
The drug is well tolerated by allergy sufferers and people with chronic heart disease or respiratory diseases,
it causes skin reactions very rarely.
Until recently, methods available only to athletes are increasingly used today.
The desire to rebuild damaged tissues using the most modern methods, such as a platelet-rich plasma or stem cells, has contributed to the emergence of a new direction in medicine – regenerative orthopedics.
By using the above-mentioned methods, repair processes are initiated in the patient’s body, thanks to which the regeneration process takes place in the diseased or damaged tissues. Hence the name regenerative orthopedics or treatment with growth factors.
Platelet-rich plasma repairs orthopedic injuries Currently, the most frequently used method in regenerative orthopedics are treatments with the use
of platelet-rich plasma (link here). This method uses the richest natural source of growth factors – platelets.
From a small amount of blood collected from the patient, the platelet concentrate is separated within 5 minutes using a special kit.
Platelet-rich plasma, also known as PRP (PlateletRichPlasma), is a concentrate of platelets prepared from the patient’s blood in a small amount of plasma.
This preparation contains various types of cytokines, i.e. growth factors and proteins responsible for cell adhesion.
The concentrated growth components contained in the preparation stimulate tissue repair processes – they strongly stimulate the regeneration of damaged tendons, muscles, ligaments, cartilage, or bones.
Due to their properties, PRP preparations are successfully used, especially in intra-articular and tendon therapy.
Advantages of platelet-rich plasma therapy:
- short duration – administration of the preparation by injection, depending on the patient’s condition, usually 1-3 treatments are recommended,
- thanks to the injection method, the therapy is minimally invasive
- safety of therapy – no allergic reactions or infections
- low painfulness of the procedure compared to conventional procedures
- short recovery period after surgery
Indications for the use of platelet-rich plasma therapy:
- tennis elbow
- golfer’s elbow
- heel spurs
- jumper’s knee, runner’s knee
- damage to tendons and muscles
- Achilles tendon degeneration
- injuries and overload changes
- muscle injuries
- injuries and diseases of the tendons
- injuries and diseases of the ligaments
- diseases and injuries of joints – hip, knee, elbow, etc.
- fractures and non-union after fractures (the so-called pseudo-joints)
- bone inflammation
- acceleration of the healing process
- of soft tissues – hard-to-heal wounds
- meniscal cysts
- goosefoot tendinitis
- bursitis of the greater trochanter of the femur
- shoulder rotator cuff tendinopathy, subacromial isthmus syndrome
and as adjunctive therapy to treatment:
- articular cartilage defects: traumatic and degenerative
- cysts of bone cysts, fibrous dysplasia
- after ACL reconstruction of the anterior cruciate ligament, meniscus suturing, articular cartilage repair
- bone union disorders
- difficult to heal wounds, ulcers
- postoperative after repair procedures of tendons, eg Achilles
Safety of therapy
Thanks to the use of a preparation made from the patient’s blood, complications typical of therapies using preparations that are foreign to the body can be avoided – allergic reactions and infections.
The injection procedure is performed by an experienced specialist in orthopedics.
Depending on the type of disease, in some cases, it is recommended to administer the preparation under ultrasound guidance.
Contraindications to the implementation of platelet-rich plasma therapy:
- hepatorenal syndrome
- patients treated with immunosuppressants
- anticoagulant therapy
- acute viral infection (HCV, HBS, HIV)
- systemic diseases: scleroderma, immunological vascular diseases
- nucleotide allergies
- blood diseases (e.g. thrombocytopenia)
- chronic liver disease
It should be remembered that it is always a specialist Doctor who decides about the qualification for therapy after a detailed medical examination.
The course of therapy The therapy is preceded by qualification by a specialist doctor, which includes an orthopedic visit with the examination, laboratory, and imaging diagnostics. A small amount of blood is then drawn from the patient to prepare a PRP preparation (the amount of blood drawn depends on the type of disease and its severity). The blood is centrifuged in a suitable centrifuge for about 5 minutes.
The prepared PRP preparation is administered by the doctor by injection under aseptic conditions under local anesthesia, if necessary under ultrasound guidance. The entire procedure takes about 30-40 minutes.
Management before and after platelet-rich plasma therapy 3 days before the procedure, non-steroidal anti-inflammatory drugs should be discontinued,
and paracetamol and tramal can be used.
The patient is not required to be on an empty stomach prior to surgery.
For the duration of the therapy, unless the doctor tells you otherwise, it is required to immobilize the injected area for a period of 7 days with the use of crutches, an orthosis, a plaster splint, or a sling. After the procedure, the patient cannot drive a car.
According to the guidelines of the Polish Society of Orthopedics and Traumatology, thromboprophylaxis should be used during the entire period of immobilization of the lower limb and the next seven days – detailed information is provided by the attending physician.
A few days after the procedure, local pain may occur – to alleviate the symptoms, you can use paracetamol or tramal – the use of non-steroidal anti-inflammatory drugs should be absolutely avoided.
The attending physician decides on the selection of appropriate analgesic treatment.
Within 7 – 21 days after the procedure, at least one follow-up visit is required to assess the function of the limb, the intensity of pain, or to implement appropriate physical rehabilitation.
Cost of the visit:
- consultation: PLN 150
- teleconsultation: PLN
Orthopedists Medical Center
Dr Wojciech Adam Koterski
Specialist in Orthopedic Surgery and Sports Medicine