A hip or knee operation in the Netherlands is fully reimbursed at Flexclinics in Utrecht. Should you have a basic policy where the reimbursement is below the cost price of the operation, we will of course let you know in advance. Fortunately, this hardly ever happens.
If you want to have surgery in Spain under your Dutch or foreign insurance, you will receive a quote in advance with the expected additional costs. So there will be no surprises afterwards.
Prices for non-insured care
First consultation Marbella or Utrecht: 150 euros
Follow-up consultation Marbella or Utrecht: 100 euro
Prices surgeries:
Arthroscopy of the knee (day treatment): 4500 euros
Total knee replacement (TKP), 1 day admission: 17500 euros
Total hip replacement (THP), 1 day admission: 17500 euros
Unicompartmental knee replacement: 17500 euros
Revision TKP, approximately 3 days of recording, price on request
THP revision, approximately 3 days of recording, price on request
Price includes:
Modern surgical techniques, Direct Anterior Approach hip surgery, minimally invasive knee surgery
- 1 night admission at Hospital Vithas Xanit Estepona
- Single room with sea view
- Operating room rental
- Epidural anesthesia with sedation
- Anesthesiologist's fee
- Honorarium orthopedic surgeon Dr. Joris van der Lugt
- Prosthesis uncemented from Stryker (Accolade 2/Trident hip or Triathlon total knee)
- Prosthesis cemented from Zimmer Biomet (Persona partial knee)
- 2 sessions of physical therapy in the hospital
- 2 crutches
- Check-up 2 weeks after surgery
- Personal contact with Dr. Joris van der Lugt the first 6 weeks after surgery (Whatsapp)
The prices of hip and knee replacement repair surgery depend on the type of surgery. Please let Dr. Joris van der Lugt inform you during the consultation.
Postoperative instructions:
After hip or knee surgery, you can put weight on the leg immediately. You will walk with 2 crutches for the first 2 weeks, with 1 crutch in the house. You may also climb stairs. After 2 weeks you will walk with 1 crutch, after a total of 4 weeks you may reduce the crutches.
You may leave the shower patch in place for 2 weeks, replacing it only if it is more than 50% saturated. The knee staples will be removed at the outpatient clinic after 2 weeks. The hip will be closed with soluble sutures.
You will be given painkillers and anti-inflammatories to take home. You can also use Cryotherapy after knee replacement surgery (see www.autorehabilitate.com). This provides less pain and swelling.
At least 2 weeks you will receive heparin injections against thrombosis (Clexane), if you have risk factors this may be extended 2 weeks.
- Flying after 1-2 weeks
- Driving a car after 3-4 weeks
- Swimming after 4 weeks
- Golf after 8 weeks
Surgical risks:
- Wound infection 0.7%
- Dislocation of the hip 0.3%
- Bone fracture 0.2%