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Joint replacement, also called arthroplasty or joint prosthesis implantation, is a surgical procedure in which a damaged joint is replaced with an artificial implant called a prosthesis. The prostheses used in this procedure can be of several types: cemented (fixed with bone cement) or uncemented (fixed biologically). They can also be total, when the entire joint is replaced, or partial, when only part of the joint is replaced.
At Topmed Medical Center Târgu Mureș, joint replacement is successfully performed by our team of orthopedic surgeons, using the most modern techniques to ensure the durability of the prostheses and a fast, safe recovery for patients.
Joint replacement of large joints such as the hip, knee, shoulder, as well as smaller joints like the elbow, is recommended when patients have the following conditions or symptoms:
The most common indication is osteoarthritis – a degenerative joint disease that causes severe pain, inflammation, and limited mobility. Osteoarthritis damages the articular cartilage, leading to joint wear.
Malformations present at birth, such as hip dysplasia, can affect the structure and function of the joint, requiring replacement to improve mobility.
In the case of severe joint fractures, such as fractures of the hip or shoulder that cannot be treated conservatively, replacement may be the solution for restoring joint function.
Patients experiencing persistent pain and severe limitation of joint movement even after conservative treatments (medications, physiotherapy) are candidates for joint replacement. At Topmed Medical Center Târgu Mureș, these symptoms are carefully evaluated by specialized orthopedic surgeons to determine the optimal time for surgery.
At Topmed Târgu Mureș, every patient who needs joint replacement follows a complete, personalized pathway to ensure the best results.
The patient is evaluated by an orthopedic specialist in joint replacement. During the consultation, the doctor discusses symptoms, medical history, and determines the necessary investigations.
To obtain a detailed image of the affected joint, the patient is recommended to have X-rays, MRI, or CT scans, along with blood tests to rule out possible complications. These investigations are essential to determine the severity of the damage and the type of prosthesis to be used.
Once the doctor has all the necessary information, they explain the surgical treatment options. At Topmed Medical Center Târgu Mureș, we emphasize thoroughly informing the patient about the benefits of surgery, possible complications, and available alternatives.
Joint replacement surgery is performed under general or regional anesthesia (spinal or epidural). The procedure consists of removing the damaged bone and cartilage components and replacing them with biocompatible prosthetic implants designed to restore joint function. At Topmed Târgu Mureș, our orthopedic surgeons use minimally invasive techniques such as:
This approach does not require cutting muscles, allowing faster recovery with less postoperative pain.
This technique preserves muscles, enabling early mobilization and reducing postoperative pain.
The prostheses used at Topmed Medical Center Târgu Mureș are of the highest quality, and many are fully covered by the National Health Insurance House (CNAS) through the national joint replacement program, making the procedures accessible to all patients.
Recovery after joint replacement surgery depends on the severity of the condition, the type of prosthesis used, and the patient's overall health. At Topmed Târgu Mureș, patients can begin mobilization 14–16 hours postoperatively with the help of orthopedic devices (walker, crutches), under medical supervision.
Recovery involves a personalized physiotherapy program designed to help patients regain mobility as quickly as possible. The program is adjusted according to each patient's specific needs – age, degree of osteoarthritis, and other associated conditions.
At Topmed Medical Center Târgu Mureș, we take pride in our extensive experience in replacing large joints such as the hip, knee, and shoulder, as well as smaller joints like the elbow. Our team of orthopedic surgeons specializes in minimally invasive techniques that ensure:
The prostheses implanted at Topmed Târgu Mureș are perfectly adapted to each patient's anatomy and come from internationally renowned manufacturers, guaranteeing long lifespan and optimal function. The procedures are carried out by a multidisciplinary team of orthopedic surgeons, anesthesiologists, and physiotherapists who work together to provide a complete and effective treatment pathway – from consultation to recovery.
Another major advantage is that many of these procedures are partially or fully covered by the National Health Insurance House (CNAS) through the national joint replacement program, offering patients access to high-quality treatments without significant extra costs.
Patients requiring hospitalization benefit from modern conditions, with rooms equipped with TV, Wi-Fi, air conditioning, private bathroom, and a nurse-call system for medical emergencies.
Care is provided by primary and specialist doctors, nurses, caregivers, and porters, ensuring constant monitoring and effective treatment.
Topmed Hospital is European accredited and has a contract with the Mureș Health Insurance House, offering continuous and day hospitalizations within available funding limits.
| Dr. Ciobanu Igor | Medic primar ortopedie si traumatologie |
| Dr. Ferencz Tamas Szabolcs | Medic primar ortopedie si traumatologie |
| Dr. Gurduza Vasile | Medic specialist ortopedie si traumatologie |
| Dr. Ivanescu Adrian | Medic primar ortopedie si traumatologie |
| Dr. Opris Remus | Medic primar ortopedie si traumatologie |
| Dr. Solyom Arpad | Medic primar ortopedie si traumatologie |