Knee Replacement

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Hospital Clinica Biblica

Dr. Victor Eduardo Alvarez Murillo



Dr. Ronald Alberto Salazar

Dr. Guillermo Cortes

Dr. Marcial Fallas

Dr. Javier Brenes

Dr. Gustavo Chavarría León

Dr. Alberto Jose Arguello Choiseul

Dr. Arnoldo Fournier

Dr. Oscar Oeding

Dr. Marios Saenz

Dr. Jacobo Zafrani

Dr. Roberto Velázquez

Dra. Tamara Velázquez

Dra. Olga Montoya


Hospital Clinica Biblica is the most trusted name in medicine in Costa Rica and Central America for the last 85+ years. The Hospital started as a project of Latin America Missions and has filled the needs of the local Costa Ricans. Toward the later part of the twenty first century Hospital Clinica Biblica became known outside of Costa Rica as an excellent medical center where doctors came to practice with an ever growing international clientele of patients.

Costa Rica is unique in that not only does is host some of the most beautiful rain and cloud forests, active volcanoes and outstanding beaches, but is home to excellent medicine at extremely affordable rates.

Knee replacement surgery, which many times is not covered by US Medical Insurance, is offered by Hospital Clinical Biblica in an extremely affordable package:

Call us for pricing information.

Included in the above Package are the following:

-Pre-operation ~ medical and surgical including all required tests,

-All normal hospital costs ~ including operating room, surgeons, anesthesiologist, 3 days hospitalization, supplies and medicines,

-Post-operation care ~ including 7 visits in the hospital with a physical therapist and all post-operative medicines,

-8 nights lodging in a specialized recovery villa including 3 meals per day,

-Transfers in/out from the airport to villa to airport,

-All transfers to/from the hospital daily as needed,

-3 tours - ½ Day San Jose City Tour, Café Britt Coffee Tour with lunch, ½ Aerial Tram Tour with lunch,

-All taxes as appropriate.

-Does NOT include roundtrip airfare from your hometown.

The Companion Package for the person traveling with you and staying in the same room with you is available for $895.00 including:

-12 nights lodging at the Villa including 3 meals per day. 8 nights sharing the room with the patient and 4 nights single occupancy,

-Transfer in/out from the airport to the villa to the airport,

-Transfers 1 per day to/from the hospital while you are in the hospital

-3 tours - ½ Day San Jose City Tour, Café Britt Coffee Tour with lunch, ½ Aerial Tram Tour with lunch.

-All taxes as appropriate.

Does NOT include roundtrip airfare from your hometown.

How do you prepare?

Your knee replacement surgery will be treated by orthopedic surgeons. On your arrival at the hospital, the surgeons will takes your medical history and give you a physical examination to assess your knee's capacity, stability, strength and range of motion. They will also order X-rays to determine the extent of knee damage and blood tests, and possibly a bone scan or magnetic resonance imaging (MRI) exam.

You should ask your doctor what the surgery will accomplish for you. Discuss the realistically expectations from your surgery. For example, although the surgery usually relieves your pain and improves your everyday mobility, you will not be able to run marathons afterwards.

For a week after the surgery you will have daily physical therapy; thereafter for a couple of weeks after your surgery, you may need the assistance of crutches, a walker or a cane.

What can you expect during the procedure?

On the day before the surgery, the anesthesiologist will evaluate you. Your personal preference and input will assist them as to whether to use general anesthesia, which renders you unconscious during the operation, or spinal or epidural anesthesia, during which you are awake but can't feel any pain. The surgeons will place several monitors on your body, to help make sure that your heart rate, blood pressure and blood oxygen levels stay at safe levels throughout the procedure.

During the operation, your knee is in a bent position so that all surfaces of the joint are fully exposed. After making an incision of between 6 and 12 inches in length, the surgeons moves aside your muscles, kneecap and connective tissues and cuts away the damaged bone and cartilage. They will takes measurements to ensure a good fit for your new prosthesis.

The surgeon then inserts the prosthesis. Before closing the incision, they will bend and rotate your knee, testing and balancing it to ensure that it functions properly.

The surgery will last about two hours. After surgery, you will be transferred to a recovery room for another one to two hours. You will then be moved to your hospital room where you typically stay for a couple of days before going to the recovery villa. You may feel some pain, but medications prescribed by your doctor can help control it.

During the hospital stay and while you are at the recovery villa, you're encouraged to move your foot and ankle, which increases blood flow to your leg muscles and helps prevent swelling and blood clots. You may need to receive blood thinners and wear support hose or compression boots to further protect against swelling and clotting.

The day after surgery, a physical therapist shows you how to exercise your new knee. You will return daily for the next week to the hospital so that the physical therapist can assist you to learn to use your new knee as rapidly as possible. To help regain movement, you may use a device called a continuous passive motion machine, which slowly moves your knee while you're in bed.

During the first few weeks after surgery, you're more likely to experience a good recovery if you follow all of your surgeon's instructions concerning wound care, diet and exercise.

About 95 percent of people who have a total knee replacement experience significant pain relief, improved mobility and a better overall quality of life. Three to six weeks after the procedure, you can generally resume most normal daily activities. Driving is possible in four to six weeks if you can bend your knee far enough to sit in a car and you have enough muscle control to properly operate the brakes and accelerator.

After you have completely recovered, you can enjoy a variety of low-impact activities. For example:
· Recreational walking
· Swimming
· Golf
· Recreational biking
· Dancing
High-impact activities increase the risk of knee failure. Avoid such activities, including:
· Jogging or running
· Contact or jumping sports
· High-impact aerobics
· Vigorous walking or hiking
· Skiing
· Tennis
· Weight lifting exceeding 50 pounds
· Aerobic stair climbing


As with any surgery, knee replacement surgery carries risks of infection, heart attack and stroke. Blood clots in the leg vein (thrombophlebitis) are a major concern, so blood thinners are commonly used to help prevent them.

Other risks include knee-joint infection, nerve damage, and the possibility that your new knee could break or become dislocated. Although the risk of such serious complications is less than 2 percent, infection is an ongoing concern. Even years after surgery, bacteria can travel through your bloodstream and infect the surgical site. Notify your doctor immediately if you notice such warning signs as a fever greater than 100 F, shaking chills, drainage from the surgical site, and increasing redness, tenderness, swelling and pain in the knee. If antibiotics fail to clear up the infection, you usually need one surgery to remove the infected joint and another surgery to install a new one. Your chances of a good-to-excellent outcome that reduces pain and improves function decline with each additional surgery.

Another risk of the procedure is prosthesis failure. Subjected to daily stress, even the strongest metal and plastic parts eventually wear out. Research shows that 1 percent of prosthetic knees fail each year, with 10 percent failing within 10 years and 20 percent within 20 years. Such failure risk is greater if you're a young, obese male or you have complicating conditions.

Surgery Costa Rica
Ave. 2 between Calle 38 and 40
San Jose, Costa Rica
E-Mail: Surgery Info
You can reach our San Jose, Costa Rica office from any of the following phone numbers:
Toll Free: 1-800-250-5119


FAX: 011-506-2279-2479 from Costa Rica and all other countries

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