Erebouni Medical Center
Medical Journal Erebouni

Traumatology & Orthopaedic Department

General characteristics

Traumatology is the branch of medicine dealing with the treatment of injuries, including fractures, contusions, concussions, sprains, crush syndromes and wounds. The injury is the first cause of death in the population under the age of 40-years, and the third in all age groups. The main causes of injury are car accidents, work accidents, violence and terror.

 

The contemporary traumatology uses conservative and surgical methods of treatment. In many cases of damage of the musculoskeletal system there is an objective reason for hospital treatment.

 

Erebouni Medical Center. Surgery Clinic: Department of Orthopedics and Traumatology Erebouni Medical Center. Surgery Clinic: Department of Orthopedics and Traumatology Erebouni Medical Center. Surgery Clinic: Department of Orthopedics and Traumatology


Department of Orthopedics and Traumatology of Erebouni Medical Center provides the treatment of all types of injuries, congenital and acquired defects of the musculoskeletal system. Department is equipped with modern operating theater where performed high-tech surgery on routine base, including emergency cases. The clinic uses contemporary methods and technologies for the treatment that developed by the world's leading specialized associations (AO / ASIF, AAOS, etc.). The department performs about 1400 and more orthopedic surgeries per year, such as hip replacement, knee replacement, arthroscopy of large joints (hip, knee, shoulder and ankle), corrective osteotomy and musculo-tendinous plastic surgery in congenital and acquired defects of musculoskeletal apparatus.

 

During total hip arthroplasty the complete replacement of hip joint to an artificial is performed. This type of surgery is a high-tech and provided by highly qualified specialists of department.


Erebouni Medical Center. Surgery Clinic: Department of Orthopedics and Traumatology The main indications for total hip replacement are:

 

  • Osteoarthritis of the hip joint at stage III and IV
  • Cervical hip fracture
  • False joint of  cervix hip bone
  • Fracture of whirlbone
  • Aseptic (avascular) necrosis of whirlbone Hip joint dysplasia
  • Rheumatoid arthritis
  • Cancer of the hip joint


Total knee replacement is performed with the aim of:


–   Elimination of pain
–   Restore the range of motion in the knee joint
–   Recovery of support ability of the lower limb


The main indications for total knee arthroplasty are:

 

  • Osteoarthritis of the knee joint at stage III and IV
  • Aseptic (avascular) necrosis of the femoral and / or tibial condyle
  • Rheumatoid arthritis
  • Cystoid restructuring of the femur and / or tibia condyles
  • periarticular tumors of the femur and / or tibia


Erebouni Medical Center. Surgery Clinic: Department of Orthopedics and Traumatology Fractures are treated with the most modern methods: the system DHS - DCS, LCP locking plate, blocking nail, closed anterograde osteosynthesis of large tubular bones, etc.


Department has extensive experience in the treatment of severe polytrauma. It is also performed limb lengthening and replacement of large bone defects using the Ilizarov fixator.


The department also carried out highly specialized surgery of the foot and ankle, hallux vagus (curvatures of the 1st toe), deformation of fingers, acquired deformities of the foot and ankle, injuries and diseases of tendons, fractures heels.


Erebouni Medical Center. Surgery Clinic: Department of Orthopedics and Traumatology The specialist of the department regularly visit various regions of the country to provide specialized trauma care on the spot, to conduct seminars, as well as engage in a program of disaster medicine and emergency treatment not only in Armenia, but also abroad (Iran, Indonesia), cooperating with international organizations AAOS , SICOT, ATOM, and others.


Department's specialists are actively involved in the Association of Traumatology and Orthopedics of Armenia, as well as other specialized international organizations.


In 2015, signed an agreement on cooperation in the field of orthopedics with a known "Coxa" Clinic (Tampere, Finland).

 

Main activities

The priorities of the department are:

 

  • hip replacement,
  • knee replacement,
  • arthroscopy of large joints (hip, knee, shoulder and ankle)
  • corrective osteotomy and musculo-tendinous plastic of congenital and acquired defects of the musculoskeletal system
  • bone fractures
  • polytrauma
  • lengthening of the limbs
  • replacement of large bone defects
Staff
Vigen Margaryan MD Vigen Margaryan MD Write a letter Head of department of Traumatology and Orthopedics orthopaedist PH.D.
Aharon Margaryan Aharon Margaryan Write a letter orthopaedist
Arthur Sahradyan Arthur Sahradyan Write a letter orthopaedist PH.D.
Armen Poghosyan MD Armen Poghosyan MD Write a letter orthopaedist MD
Gagik Bdoyan MD Gagik Bdoyan MD Write a letter orthopaedist
Hayk Gyulzadyan MD Hayk Gyulzadyan MD Write a letter orthopaedist
Hrachya Harutyunyan MD Hrachya Harutyunyan MD Write a letter orthopaedist
Rafayel Petrosyan MD Rafayel Petrosyan MD Write a letter orthopaedist MD
Arthur Agamiryan Arthur Agamiryan Write a letter orthopaedist
Zaven Beglaryan Zaven Beglaryan Write a letter orthopaedist
Education

On the basis of Department it is organized the training in accordance with bachelor program. The specialization in traumatology and orthopedics is also provided.


Chairs
Chair of Orthopedics and Traumatology of YSMU

Research projects
Publications
Price list


Service*

Price (AMD)

 

 

Primary examination by head of the Department (head of service)

10,000

 

Repeated examination by head of the Department (head of service)

5,000

 

Examination by doctor

5,000

 

Repeated Examination by doctor

3,000

 

Intra-articular puncture

15,000

 

Cost for 1-Day treatment (medication and examinations are not included

20,000

 

Cost for 2-Days treatment (medication and examinations are not included

40,000

 

Cost for 3-Days treatment (medication and examinations are not included

60,000

 

Cost for 1-Day treatment (including medication, without examinations)

30,000

 

Cost for 2-Days treatment (including medication, without examinations)

60,000

 

Cost for 3-Days treatment (including medication, without examinations)

90,000

 

Conservative treatment

170,000

 

Service

Price (AMD)

 

Traumatology

 

 

Metal implant removal without general anesthesia

140,000

 

Metal implant removal under general anesthesia

210,000

 

Simple, uncomplicated fractures of one bone of the hand, foot

155,000

 

Simple, uncomplicated fractures of 2 bones of the hand, foot

190,000

 

Simple, uncomplicated fractures of 3 or more bones of the hand, foot

215,000

 

Compound fractures of one bone of hand, foot (except of the ankle- bone and heel)

(open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc)

170,000

 

Compound fractures of 2 bones of hand, foot (except of the ankle- bone and heel)

(open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc)

215,000

 

Compound fractures of 3 or more bones of hand, foot (except of the ankle- bone and heel)

(open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc)

265,000

 

Simple, uncomplicated fractures of ankle- bone and heel

210,000

 

Compound fractures of the ankle- bone and heel

(open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc)

255,000

 

Simple, uncomplicated fractures of the clavicle, shoulder bone, knee and fibula

250,000

 

Simple, uncomplicated fractures of

radius(spoke-bone), knee, medial malleolus

305,000

 

Compound fractures of clavicle, shoulder bone, knee, fibula, radius(spoke-bone), humerus, medial malleolus (open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc)

400,000

 

Simple uncomplicated fractures of the humerus, forearm bones, fibula

330,000

 

Compound fractures of the humerus, forearm bones, fibula (open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc)

505,000

 

Simple uncomplicated fractures of the hip bone and pelvic bone

560,000

 

Compound fractures of the hip bone and pelvic bone (open, fragmented, intraarticular, with combined dislocation, soft tissue injury, etc)

755,000

 

Small Tendon and Ligament Injuries

200,000

 

Small Tendon and Ligament complex injuries

250,000

 

Large tendons and ligaments injury

250,000

 

Large tendons and ligaments complex injury

305,000

 

Conservative treatment of dislocations of small joints of the wrist and foot under local anesthesia (outpatient)

60,000

 

Conservative treatment of dislocations of small joints of the wrist and foot under local or general anesthesia (outpatient)

75,000

 

Operative correction of dislocations of small joints of the wrist and foot

175,000

 

Operative correction of dislocations of small joints of the wrist and foot (with plasty, reconstruction)

225,000

 

Conservative treatment of dislocations in the middle joints under anesthesia (shoulder joint, elbow joint, radioulnar and radiocarpal joints (forearm and wrist joints), knee and hip joint, ankle joint)

190,000

 

Operative correction of dislocations in the middle joints (shoulder joint, elbow joint, radioulnar and radiocarpal joints (forearm and wrist joints), knee and hip joint, ankle joint)

340,000

 

Operative correction of dislocations in the middle joints (shoulder joint, elbow joint, radioulnar and radiocarpal joints (forearm and wrist joints), knee and hip joint, ankle joint (with plasty, reconstruction)

500,000

 

Conservative treatment of dislocations of large joints (knee, hip joint)

245,000

 

Operative correction of dislocations in the large joints (knee, hip joint)

500,000

 

Operative correction of dislocations in the large joints (knee, hip joint) (with plasty, reconstruction)

595,000

 

I-II0 wounds up to 10 cm

175,000

 

IIIա-IIIբ wounds

235,000

 

IIIգ-IV0 wounds

310,000

 

Revision of damaged great nerves and vessels together with bone reconstruction surgeries, neurosis, nerve suture, vascular repair and ligation used in conjunction with bone surgeries, it is not possible to use this code independently) 

240,000

 

Arthroscopy **

 

 

Diagnostic arthroscopy of the hip, knee, shoulder and ankle joints

240,000

 

Therapeutic arthroscopy of the hip joint, knee joint, shoulder and ankle joint of I0 complexity (joint debridement, synovectomy, chondroplasty, removal of the meniscus, correction of chondromatous bodies, pathological folds and other changes) 

300,000

 

Therapeutic arthroscopy of the hip joint, knee joint, shoulder and ankle joint of II0 complexity (intra-articular cartilaginous bone plastic surgery and repair, subtotal synovectomy, intra-articular repair of damaged and affected ligaments) 

500,000

 

Therapeutic arthroscopy of the hip joint, knee joint, shoulder and ankle joint of III0 complexity (combined intra-articular and extra-articular reconstruction) 

745,000

 

Orthopedy *

 

 

Correction of finger deformities, arthrolysis, arthrodesis, muscle-tendon surgeries of I0 complexity, small tumors of bones and soft tissues

200,000

 

Correction of finger deformities, arthrolysis, arthrodesis, muscle-tendon surgeries of II0 complexity, small tumors of bones and soft tissues

300,000

 

Bone correction, surgical treatment of incorrectly healed and ununited fracture, Hallux Valgus I-II0 complexity

315,000

 

Bone correction, complex reconstructive surgery of incorrectly healed and ununited fracture, plastic surgery in bone and tendon, Hallux Valgus III0 complexity bone and soft tissue tumors

515,000

 

Reconstructive surgery of IV0 complexity

685,000

 

Bone correction, surgical treatment of incorrectly healed and ununited fracture of 1 bone, surgical treatment of birth or acquired defects and complications (I-II0 complexity), small tumors of bones and soft tissues

305,000

 

Bone correction, surgical treatment of incorrectly healed and ununited fracture of 1 bone, surgical treatment of birth or acquired defects and complications (III0 complexity), plastic surgery in bone and tendon, tumors of bones and soft tissues

535,000

 

Reconstructive surgery of IV0 complexity, (bone and soft-tissue defects, Limb lengthening, etc)

745,000

 

Bone correction, surgical treatment of incorrectly healed and ununited fracture of 1 bone, surgical treatment of birth or acquired defects and complications, (I-II0 complexity) 

330,000

 

Bone correction, surgical treatment of incorrectly healed and ununited fracture of 1 bone, surgical treatment of birth or acquired defects and complications (III0 complexity)

560,000

 

Reconstructive surgery of IV0 complexity, (bone and soft-tissue defects, Limb lengthening, etc)

745,000

 

Bone correction, plastic surgery in bone and tendon of incorrectly healed and ununited fracture of 1 bone, surgical treatment of birth or acquired defects and complications (III0 complexity)

650,000

 

Reconstructive surgery of IV0 complexity (bone and soft-tissue defects, Limb lengthening, etc)

745,000

 

Total endoprosthesis of large joints (hip, knee, ankle, shoulder, elbow)

560,000

 

Various small surgical procedures in bandage room.

15,000

 

 Surgical prosedures of medium complexity in bandage room under locl anesthesia 

45,000

 

 

 

Coinsurance approved by Order N 91-A of the RA Minister of Health dated 27.01.2011**

 

Conservative treatment of fractures (humerus, radius, femoral bone, tibia bone, shoulder bone) with application of plaster cast, without hospitalization

15,000

 

Conservative treatment of fractures (humerus, radius, femoral bone, tibia bone, shoulder bone) up to 15 days

25,000

 

Conservative treatment of fractures (humerus, radius, femoral bone, tibia bone, shoulder bone) up to 15 days and more

60,000

 

Short Term Health Care (1-3 days) completed, price of 1 day 

7,000

 

Fracture treatment with a closed approach (humerus, radius, femoral bone, tibia bone, shoulder bone)

90,000

 

Treatment of fractures (humerus, radius, femoral bone, tibia bone, shoulder bone) (price of metal constructions is not included)

150,000

 

Femoral osteosynthesis (price of metal constructions is not included)

220,000

 

Conservative treatment of fractures of the spine and pelvic bones

150,000

 

Osteosynthesis in fragment fractures of the femur (price of metal constructions is not included)

300,000

 

Pelvic Fracture Surgery, Acute spinal cord injury with orthopedic fixation (price of fixation system is not included )

300,000

 

Surgical treatment of multiple combined fractures of the large bones

350,000

 

Sepsis (confirmed by the blood culture)

300,000

 

 

 

Cost of paid hospital rooms

 

Hospital room

Price (AMD)

 

506

7,000

 

507

7,000

 

509

5,000

 

508

7,000

 

505a

10,000

 

 

 

* All prices do not include the cost of special and difficult-to-access diagnostic tests approved by the RA Minister of Health.

** All prices do not include metallic constructions, stents, prostheses(implants), and expensive medicines (1 unit cost over 5,000 drams), blood components, nutrition, separate rooms

*** The prices for these arthroscopic surgeries do not include the cost of disposable tools, equipment and materials spent during the surgery

 

 

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