Stenum Hospital
knee treatment options



Complete Knee Replacement Surgery at Stenum
New technology has been developed to improve results, reduce wear, and extend the lifespan of these solutions.

Advanced designs provide more flexiblity, increase motion for improved comfort, a higher degree of flexion, increased longevity with Antioxidant Infused Technology, and Regenerex Porous Metal for better fixation.

The Signature System utilizes MRI technology to create personalized positioning guides for superiour implant positioning and enhanced surgical efficiency in total knee replacement.

While these advanced technologies may not be available in the US, they are available to international patients at Stenum Hospital.
At Stenum, top surgeons, advanced technology, and a comprehensive rehabilitation program, are combined to achieve superior long lasting results.

Biomet Vanguard Complete Knee Replacement
The Vanguard Complete Knee represents the clinical heritage of other Biomet knee systems and combines it with state-of-the-art design features to produce the most comprehensive total knee system available today.
Designed to fit the entire population, regardless of age, gender or stature The Vanguard Complete Knee System was designed to be the most flexible knee on the market, allowing a custom-fit of the femoral, tibial and patellar components independently, thus addressing the largest possible percentage of the population.

Increased Motion
An important issue for knee implant design is how the kneecap moves against the new femoral component. Knee implants are designed with a groove, or track, that the kneecap rides in as the leg straightens and bends. How this track is designed is important because it partially determines how mobile the knee is and, to a certain extent, the level of comfort the implant provides.
The Vanguard Knee implant was designed with a more forgiving track, which allows the knee to achieve motion without sacrificing healthy bone during surgery. Additionally, some manufacturers promote that the angle at which the kneecap moves against the thighbone is higher in women. However, one study actually indicates that a person's height has a greater affect on the tracking angle than his or her gender. The Vanguard Knee is designed with a unique kneecap track that allows the knee implant to match nearly any patient regardless of gender or stature.

High Flexion
The Vanguard Complete Knee is engineered to accommodate up to 145 degrees of flexion without the need to remove additional healthy bone. A high degree of flexion is an important consideration for any person desiring to continue leading an active, productive lifestyle.

Implant Comfort
The Vanguard system offers the broadest range of available implant sizes. This is important because implants that are too wide can hang over the bone and irritate the soft tissues in the knee. When the Vanguard Knee was introduced in 2003, it was the narrowest knee on the market, providing a more natural feeling implant.

Signature Personalized Patient Care
You are unique. So when a part of you becomes affected by arthritis, you want a solution that's just for you. That's why Stenum offers Biomet's Signature Personalized Patient Care System.
The Signature System utilizes MRI (magnetic resonance imaging) technology to create personalized positioning guides for total knee replacement. These guides use advanced technology to help surgeons more accurately position total knee implants. The goal is to provide a more comfortable, longer lasting implant solution.

The Signature System
The Signature system utilizes custom femoral (thighbone) and tibial (shinbone) positioning guides that fit directly onto your unique anatomy. These guides position the implants without having to use traditional invasive instrumentation, allowing for a potentially less invasive procedure.
The Signature guides are developed from MRI. The MRI is used in conjunction with a computer program to create a three-dimensional joint reconstruction, enabling the surgeon to plan total knee replacement before surgery. In the past, surgical planning has typically been based off of two-dimensional X-rays. With the MRI and Signature personalized positioning guides, surgeons have access to a greater level of detail and precision for implant position and alignment before the procedure. This allows for personalized implant positioning and enhanced surgical efficiency.

Durability
Polyethylene (plastic) is used to replace the damaged cartilage at the top of the tibia (shinbone). The polyethylene acts to absorb the stress of everyday activities. The Vanguard Complete Knee System's polyethylene components are Direct Compression Molded to help increase the implant's longevity. The process of direct compression molding has been shown to produce more durable implant components than other conventional methods.


Biomet Antioxidant Infused Technology and Regenerex Porous Metal
Biomet continues to work on introducing new technologies that increase the longevity of its orthopedic implants. Two such technologies have been introduced recently with implants available for knee replacement.

The only polyethylene infused with vitamin E to provide strength and oxidative stability without compromise.

E1 Antioxidant Infused Technology surpasses the limitations of first generation highly crosslinked polyethylene. This unique technology, developed by Biomet's engineers and the research power of Massachusetts General Hospital, is the first vitamin E stabilized highly crosslinked polyethylene bearing material that has been shown in testing to provide high mechanical strength and true oxidative stability.

Produced using a patent pending second-generation technology and proprietary process using Isostatically compression molded polyethylene barstock, as used in clinically proven ArCom polyethylene, is processed below the melt temperature to maintain the strength of the crosslinked polyethylene.
Infused with vitamin E to stabilize free radicals and prevent oxidative degradation, testing has shown that E1 Antioxidant Infused Technology offers; Fatigue strength greater than first generation re-melted HXLPE1-3, is stronger than sequentially crosslinked and annealed materials after an environmental stress cracking (ESC) study, and has true oxidative protection without re-melting.

Regenerex Porous Titanium Construct
Clinically Proven Material. Advanced Porous Technology.
Regenerex Porous Titanium Construct unites the proven clinical history of titanium with an enhanced interconnecting pore structure, resulting in a revolutionary material that provides for high levels of biologic fixation.


When used in conjunction with the Signature Personalized Patient Care System, Antioxidant Infused Technology, and Regenerex Porous Metal, The Vanguard Complete Knee System allows your surgeon to provide a truly "custom fit" long lasting knee replacement solution.

Why Stenum?
At Stenum our commitment to quality, combined with the latest technology improvements and expertise, provides superior results. All this in a very safe, world class patient destination.

Knee Replacement Package and Cost
Knee Replacement surgery at Stenum includes;
  • 1 pre-operative hospital days for evaluation and consultation.
  • All costs associated with the surgery (implant, surgeons, anaesthesia, etc..).
  • Postoperative hospital stay 5-7 days (as needed).
  • Additional, 7-14 post-op rehabilitation days.
  • All consultations, x-rays and medications.
    Optional; 14 day expert post-op Rehabilitation and Physical Therapy Program, $4,000.
Typical time frame: 22 days (=1 preop + 7 postop + 14 rehab)

All inclusive fee for Knee Replacement, starting at $22,000 USD

Not included; your flight, lodging for family members while you are in the hospital, and meals while at the hotel in town.

Your stay at Stenum Hospital will include, transportation from the Bremen Airport, deluxe newly remodeled rooms with, in room TV (CNN and BBC in English), Wireless Internet, Meals, served in room or taken in the dining room and English speaking consultants who will see to all your needs.

Start Now!
Stenum offers complete remote evaluations at no charge.
In order to determine if knee replacement is for you, we offer a commprehensive evaluation of your case by our team of surgeons.
We will be your patient advocate, so you can get the truth about your options.

Evaluations can be done easily by mailing your images to us.
Click here to begin the simple evaluation and scheduling process.

Quality of Care
Stenum Hospital, a KTQ certified orthopedic hospital, provides the most advanced solutions and implants available worldwide.
Stenum Hospital
Heilstaettenweg 1
Ganderkesee
Germany
27777
Phone: 011-49-4223-71335
Fax: (+49) (0) (4223) 714420

US Spokesperson
Jim Rider
866-544-8252
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