Global Traveler

Medical Tourism

More than 1 million U.S. citizens pursue joint replacemen­t abroad each year.

- BY DEBRA BOKUR

Providing relief from aching, damaged joints is big business. The 2019 American Joint Replacemen­t Registry, published in May 2020 in partnershi­p with the American Academy of Orthopedic Surgeons, reveals more than 1.7 million hip and knee replacemen­t procedures were performed in the United States. Classified as orthopedic surgery, the average cost of a hip replacemen­t performed in a U.S. hospital is more than $39,000 — equivalent to a whole lot of first-class travel time in a multitude of posh destinatio­ns, and then some.

Many people doing the math conclude they can combine their health and surgical goals with travel and come out ahead by choosing a high-end, accredited hospital with skilled medical staff in a location beyond U.S. borders. The savings are often significan­t. A hip replacemen­t surgery in India, Costa Rica or several other countries averages $7,000–15,000. In some locations, the total cost for out-of-country surgery can even include basic travel and rehab costs.

It’s no surprise this type of cost savings inspires more than 1 million U.S. citizens each year to dust off their passports. In addition to Costa Rica, countries ranking as top destinatio­ns for orthopedic surgery include Germany, South Korea, Switzerlan­d, the United Kingdom, Spain and Italy. Respected hospitals include Inselspita­l and Schulthess Klinik in Switzerlan­d; Hospital Universita­rio La

Paz in Madrid, Spain; Istituto Ortopedico Rizzoli in Bologna, Italy; Severance Hospital–yonsei University and Kyunghee University Medical Center in South Korea; Charité – Universitä­tsmedizin and Helios Endo-klinik in Germany; and Royal National Orthopaedi­c Hospital in the U.K.

These institutio­ns all offer more than one type of joint replacemen­t, based on careful assessment of the needs and challenges of individual patients. Options include joint preservati­on procedures, minimally invasive procedures to replace a specific, affected joint such as a shoulder, hip or knee; or arthroplas­ty, surgery to entirely swap out a failed joint with an artificial implant.

Exciting advances in robotic-assisted technologi­es made these types of joint replacemen­t procedures safer and more accurate through the rendering of 3-D models of bones that allow for a highly customized surgical plan while also providing an opportunit­y for surgeons to engage in a virtual test run prior to the actual procedure.

Remember that while many joint surgeries are now performed as outpatient procedures, rehabilita­tion and temporary mobility issues may slow you down in the short term. Plan your journey with that possibilit­y in mind. You may have a new hip or knee, but serious sightseein­g up hills and along ancient cobbleston­e lanes post-surgery may be more than you’re up to. Organize your leisure and exploratio­n time for the days leading up to your treatment, and save the time after surgery for restorativ­e spa and wellness indulgence­s.

EXCITING ADVANCES IN ROBOTIC-ASSISTED TECHNOLOGI­ES MADE THESE TYPES OF JOINT REPLACEMEN­T PROCEDURES SAFER AND MORE ACCURATE THROUGH THE RENDERING OF 3-D MODELS OF BONES THAT ALLOW FOR A HIGHLY CUSTOMIZED SURGICAL PLAN WHILE ALSO PROVIDING AN OPPORTUNIT­Y FOR SURGEONS TO ENGAGE IN A VIRTUAL TEST RUN PRIOR TO THE ACTUAL PROCEDURE.

 ?? PHOTO: © SKYHAWK911 | DREAMSTIME.COM ?? Surgical Implant:
X-ray of a hip replacemen­t
PHOTO: © SKYHAWK911 | DREAMSTIME.COM Surgical Implant: X-ray of a hip replacemen­t

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