Orthopedics and Traumatology

Orthopedics with orthopedic surgery is a branch of medicine that deals with diseases, deformities and injuries of the musculoskeletal system.

Primarily a surgical profession, due to the operative approach in the treatment of various conditions, however, with constant and unstoppable medical development, it is increasingly progressing to a mini-invasive and biological surgery profession.

The advantage of modern times in all fields of medicine, as well as in orthopedics, is the possibility of using modern equipment as well as the possibility of applying various methods of treatment.

The general hospital One Hospital provides fast recovery and return to the daily activities of injured or sick patients, with the highest functional status.

The most modern procedures and apparatus are used in diagnosing.

The treatment includes outpatient and non-operative procedures, as well as all musculoskeletal surgery.

Outpatient services

  • Local application of corticosteroid and local anesthetics
  • Intra-articular application of corticosteroid, a local anesthetic, hyaluronic preparation
  • Puncture the wrist
  • PRP (plasma rich in protein) treatment
  • Non-bloody repositioning of fractures and luxations
  • Placing, removing and correcting plaster immobilization
  • Placement of corrective orthopedic aids
  • Echocardiography of the musculoskeletal system
  • Echocardiographic hip screening in a newborn
  • Densitometric screening for osteoporosis


  • Arthroscopic joint interventions
  • Reconstruction and elongation of tendons
  • Decompression of N.medianus (Carpal Tunnel Syndrome)
  • Dissection of tendon sheaths
  • Removal of ganglion
  • Osteosynthesis of fractures
  • Osteosynthetic material removal
  • Hip and knee endoprostheses

If you have any questions, please contact us at: contact@onehospital.mk or +389 (0) 44 344 414

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What is an endoprosthetic joint replacement?

The endoprosthetic replacement and artificial joint replacement (knee, hip)
is a surgical procedure that restores the function of the already damaged joint, thereby reducing the pain caused by the damaged joint. The surgery involves replacing the damaged joint with an artificial joint endoprosthesis.

What causes joint damage?

The joint damage can occur as a result of injury, inflammation or as a result of aging, i.e. degenerative damage.

What can be the replacement of the joint (endoprosthesis)?

The endoprosthesis of the joint can be total (if the joint is completely changed), and partial (if only one joint body is changed). The materials from which the endoprosthesis is made can be from metals such as steel and titanium, ceramics, or plastic.

In which cases is a joint replacement (endoprosthesis) recommended?

The most common reason for joint replacement is to relieve the pain that results from wrist damage. Patients who are potential candidates for this intervention have pain in walking, difficulty climbing stairs, sitting or standing. Some patients may experience pain during sleep.

How is the operation performed?

The surgery is performed in a hospital or outpatient surgery center and lasts several hours. During surgery, the surgeon performs several incisions in length depending on the joint being operated. Damaged parts of the joint are removed. Once the adequate part is ready, an artificial joint is inserted. Before the surgery is completed, the surgeon checks the rotation of the joint.

What after the surgery?

Postoperatively, there is a rehabilitation phase that is different for each patient, which consists of certain exercises to restore muscle strength and restore your fitness.

What is arthroscopy?

Arthroscopy is an endoscopic method that enables the visualization, recording and documentation of the intervention with the help of a camera and video technique.

How is it performed?

Arthroscopy is a straightforward diagnostic and operative method in which a few minimal incisions enter the joint and precisely inspect the structures inside the joint, or perform surgery without opening the joint.

When is it applied?

It is used to diagnose and treat the following problems:
– Lesion of the meniscus
– Rupture of cross and lateral ligaments
– Hydromalation of articular cartilage and bone fragments
– Damaged articular cartilage
– Inflammation of the synovial membrane
– Instability of the patellar (cup) etc.

How is this intervention different from the others?

Unlike classical joint surgery, arthroscopic surgery is minimally invasive, significantly reducing surrounding tissue damage unlike classical surgical treatment, and instruments are implanted with 2–3 stings, which is why it is called minimally invasive intervention.

How long does the hospital stay?

Hospital stay is from 1-3 days.