Rami Madanat, MD, PhD
Evidence-based joint replacement with a calm, clearly explained pathway — from first consultation to a confident recovery. Over two thousand hip and knee replacements performed. I also treat general orthopaedic problems and sports-related injuries.
Book an appointment
Clinic, video, or phone consultation via Terveystalo.
Areas of expertise
Hip and knee replacement, day-case surgery, plus general orthopaedic and sports injuries.
Patient resources
Preparation and recovery guides so you know what to expect at every step.
Surgeon, academic, and clinical leader.
Dr. Rami Madanat is Adjunct Professor of Orthopaedic Surgery specialised in reconstructive surgery of the hip and knee. He has published more than 50 peer-reviewed articles, book chapters and instructed several doctoral dissertations. He has presented the results of his research at numerous national and international meetings. Dr. Madanat’s research has focused on improving outcomes and reducing complications in both hip and knee replacement as well as in the treatment of fractures. He is a peer reviewer for several leading orthopaedic journals including the Journal of Arthroplasty, Acta Orthopaedica, BMJ Open, the Bone and Joint Journal and CORR.
Dr. Madanat earned his Medical Doctoral degree from Turku University in Finland and then completed his Orthopaedic Surgery Specialisation at Helsinki University Hospital. He completed the rigorous EBOT examination and is a Fellow of the European Board of Orthopaedics and Traumatology. Following specialization, he was accepted for a research fellowship at Harvard University and Massachusetts General Hospital at the prestigious Harris Orthopaedic Laboratory in Boston, USA. During his training he has also visited the ENDO-Klinik in Hamburg, Germany, the Hvidovre hospital in Copenhagen, Denmark, as well as the Hospital for Special Surgery in New York.
Currently Dr. Madanat leads the Hip and Knee Arthroplasty Centres across five Terveystalo hospitals — Helsinki, Turku, Oulu, Pori and Joensuu — and heads the Terveystalo Accident and Injury Clinic in Helsinki. He established Terveystalo's arthroplasty unit in Helsinki, including Helsinki's first dedicated day-case joint replacement unit.
Dr. Madanat enjoys travelling and has lived in six countries on four continents. He is an avid swimmer, gym-goer and tennis-player.
- Current roleHead of Terveystalo's five arthroplasty centres (Helsinki, Turku, Oulu, Pori, Joensuu) & the Accident and Injury Clinic, Helsinki
- EducationMD (2004) & PhD (2011 — distal radius fracture treatment), University of Turku · Specialist in Orthopaedics & Traumatology (2013), Helsinki University Hospital
- FellowshipsPostdoctoral fellow — Harris Orthopaedic Laboratory, Mass General / Harvard, Boston (2014–15) · research fellow, Stanford University (2001)
- FEBOTFellow of the European Board of Orthopaedics & Traumatology
- AccreditationCertified Arthroplasty Specialist (Tekonivelkirurgian asiantuntijalääkäri), Finnish Arthroplasty Society (SAPLY)
- AcademicAdjunct Professor (2016) · 50+ peer-reviewed papers & 2 book chapters
- LanguagesFinnish · English · Arabic
Certified Arthroplasty Specialist — Tekonivelkirurgian asiantuntijalääkäri
Dr. Madanat holds the formal Arthroplasty Specialist accreditation awarded by the Finnish Arthroplasty Society (SAPLY) — a qualification held by relatively few surgeons in Finland. Beyond full orthopaedic and trauma specialisation, it requires several years of dedicated training at high-volume arthroplasty units, hundreds of joint replacements — both primary and complex revision surgery — performed personally, and extensive theoretical study in implant materials, biomechanics and national registry science.
In practice, it means your operation is performed by a surgeon formally recognised for focused expertise in hip and knee replacement.
Joint replacement — and orthopaedic injury care.
Hip and knee replacement is the core of my practice. Through the Terveystalo Accident and Injury Clinic, I also treat general orthopaedic problems, fractures, and sports-related injuries.
Hip replacement
Primary total hip replacement for osteoarthritis, focused on long-term survivorship and function.
Knee replacement
Total and partial knee replacement, tailored to your anatomy for precise alignment and lasting function.
Day-case surgery
An expert in day-case arthroplasty — I established Helsinki's first day-case joint replacement unit, where carefully selected patients go home the same day.
Complex cases & second opinions
Complex and challenging cases, and second opinions — grounded in registry data and international collaboration.
General orthopaedics & injuries
Assessment and treatment of general orthopaedic conditions and injuries — fractures, sprains, dislocations and soft-tissue injuries — at the Accident and Injury Clinic.
Sports injuries
Sports and overuse injuries — ligament and meniscal injuries, muscle strains and tendon problems — with experience treating injuries from tennis, martial arts, ice hockey, American football, rugby, running, soccer and skating. Safely back to your sport.
Precision surgery, grounded in evidence.
Every operation is planned around your anatomy and carried out with meticulous attention to detail — because the small details shape both the outcome and how long a joint replacement lasts.
Everything you need, before and after surgery.
Clear, evidence-based guidance so you know exactly what to expect at every step.
Swipe to browse →Preparing for your visit
What to bring and think about before your appointment, and what to expect.
Preparing for a video appointment
How to set up your device, space and clothing so a video consultation works as well as a visit in person.
Preparing for surgery
Simple steps in the weeks before surgery to make it safer and your recovery faster.
Your recovery, week by week
What recovery really looks like — and the signs that mean you should call.
Managing swelling after surgery
Why the knee swells, and simple daily habits that ease pain and speed recovery.
Is joint replacement right for you?
When surgery helps, what to try first, and how we decide together.
Getting back to golf
When you can play again after a hip or knee replacement, and how to ease back in.
Frequently asked questions
How long does a modern hip replacement last?
Recent global registry data shows modern hip implants have around 93% survivorship at 20 years and a projected ~92% at 30 years — a major improvement over older materials. Your individual situation is best discussed at your consultation.
Could I go home the same day?
Many suitable patients now do. I lead Helsinki's first dedicated day-surgery arthroplasty unit, where a large share of patients go home the same day with a clear recovery plan. Suitability is assessed individually.
When is joint replacement actually indicated?
Conservative (non-surgical) care remains the first-line treatment for osteoarthritis. Replacement is considered when symptomatic osteoarthritis no longer responds adequately to conservative measures. We decide together, based on your symptoms and goals.
Sports injury prevention
Evidence-based, sport-specific guides to prevent the most common injuries, with links to trusted, free video demonstrations.
Evidence is the foundation.
Over fifty peer-reviewed publications and two book chapters, spanning topics that matter to patients — with long-standing international collaborations and four supervised doctoral dissertations.
Research themes
- How long implants last — bearing surfaces & survivorship
- Going home safely — day-case surgery & discharge
- Less pain, better recovery — anaesthesia & pain management
- Preventing infection and complications
- Fracture treatment & recovery
- Long-term outcomes & registry insights
My doctoral dissertation examined the treatment of distal radius fractures. I have also carried out research at Stanford University and at Massachusetts General Hospital / Harvard.
Selected publications
A selection across hip and knee arthroplasty and trauma care, published in leading international journals. Full list on PubMed.
View the 8 selected publications
- Palanne R, Rantasalo M, …, Madanat R, et al. Anaesthesia method, tourniquet use, and persistent postsurgical pain after total knee arthroplasty. Anesthesiology. 2021. ↗
- Palanne R, Rantasalo M, …, Madanat R, et al. Effects of anaesthesia method and tourniquet use on recovery following total knee arthroplasty: a randomised controlled trial. British Journal of Anaesthesia. 2020. ↗
- Laaksonen I, Donahue GS, Madanat R, et al. Outcomes of the recalled Articular Surface Replacement metal-on-metal hip implant system: a systematic review. The Journal of Arthroplasty. 2016. ↗
- Galea VP, Botros MA, Madanat R, et al. Promising early outcomes of a novel anatomic knee system. Knee Surgery, Sports Traumatology, Arthroscopy. 2018. ↗
- Madanat R, Mäkinen TJ, Aro HT, et al. Adherence of hip and knee arthroplasty studies to RSA standardization guidelines: a systematic review. Acta Orthopaedica. 2014. ↗
- Parkkinen M, Lindahl J, …, Madanat R, et al. Predictors of osteoarthritis following operative treatment of medial tibial plateau fractures. Injury. 2017. ↗
- Ovaska MT, Madanat R, et al. Contemporary demographics and complications of patients treated for open ankle fractures. Injury. 2015. ↗
- Madanat R, Moritz N, Larsson S, Aro HT. RSA applications in monitoring of fracture healing in clinical trials. Scandinavian Journal of Surgery. 2006. ↗
Book chapters
Swipe to browse →
Hinge Implants
Chapter co-authored by Dr. Madanat in Revision Total Knee Arthroplasty (3rd ed., eds Bono & Scott) — Springer, 2024. Also in the 2nd edition (2018).
Cemented Stems
Chapter co-authored by Dr. Madanat in Advanced Reconstruction: Hip 2 (The Hip Society; eds Lieberman & Berry) — AAOS, 2018.
Guidelines & registry reports
Swipe to browse →
National treatment guideline
Co-author — Hyvä hoito lonkan ja polven tekonivelkirurgiassa (2022), Finnish Arthroplasty Association.
THL — Tekonivelleikkaukset 2024
Expert-group member (asiantuntijajäsen), Finnish Arthroplasty Registry — national statistical report (THL Tilastoraportti 54/2025).
THL — Tekonivelleikkaukset 2023
Expert-group member (asiantuntijajäsen), Finnish Arthroplasty Registry — national statistical report (THL Tilastoraportti 44/2024).
Leadership in the field.
Courses & talks
Organiser of the national arthroplasty course (Valtakunnallinen tekonivelkirurgian kurssi), Helsinki 2022, and of Stryker arthroplasty courses for residents. Chair of the EFORT webinar 'Cement Revisited'; organiser and speaker at the Terveystalo Arthroplasty Symposium, Tampere.
Peer review & examining
Reviewer for the Journal of Arthroplasty, Acta Orthopaedica, Bone & Joint Journal, CORR and BMJ Open. Pre-examiner of over ten national and international doctoral dissertations, a frequent doctoral opponent, and an EBOT examiner.
- Positions of trustFinnish Arthroplasty Registry expert group · Finland's representative, UEMS Orthopaedics & Traumatology · EBOT examiner · Board, EFORT Basic Research Group · former Board member, Finnish Orthopaedic Association
- FacultyFaculty, Harvard Medical School Annual Arthroplasty Course · trained residents in hip & knee arthroplasty, Helsinki University Hospital
Memberships
In patients' words.
“An approachable, personable doctor — who still doesn't waste words.”
“I left the visit feeling positive, and the doctor explained the MRI findings clearly.”
“Patient-centred, efficient and friendly. The doctor took my situation into account professionally.”
“Excellent care, and a doctor I could trust.”
Patient stories in the media
Evidence-based writing, not noise.
I share evidence-first notes on arthroplasty, registry data, and surgical quality on LinkedIn and Instagram. Follow along.
What THL 2024 data tells us
What Finland's world-leading registry says about volumes, durability and what still matters.
Rest or movement? 7 myths about osteoarthritis
My article busting seven common myths about osteoarthritis.
Home the same day: who's a candidate?
How we decide whether day-case joint replacement is the right, safe path for you.
Book, or get in touch.
Patients
Book a clinic, video or phone appointment directly through Terveystalo.
Professional & media
For academic collaboration, speaking and press — separate from patient scheduling.