Tekonivelsairaala Coxa Oy – Coxa Hospital for Joint Replacement – started operating in 2002. Since then, Coxa has grown into a significant operator in its field. Our journey includes several great milestones.


One fifth of our patients were people exercising their freedom of choice. Our number of surgeries grew to more than 3,000. The number of staff exceeded 200.

Woman smiling in purple shirt with crutches


Since the start of 2014, a change in the Finnish Health Care Act allowed patients to freely choose the provider of their specialised healthcare among the public hospitals in Finland. We started an outpatient operation in Ruoholahti, Helsinki that became permanent. A record 27 internal or joint studies were published in international peer-reviewed publication series.


Our “Coxasta kotiin” (“Straight home from Coxa”) project was cemented as our operating method and over 60% of our patients could be discharged to live at home directly from our care. We replaced patient satisfaction indicators with the net promoter score. We had an excellent result: 95% of our patients would recommend us.

Two surgeons in blue gowns discussing about patient's leg surgery in operation room


Coxa’s research had a strong representation in the annual meeting of the American Academy of Orthopaedic Surgeons in San Francisco. The results of our own and joint research were presented in one lecture and four scientific poster sessions. The joint study between Coxa and Imperial College London was also presented at the Specialty Day.

Three men standing outside in black jackets


Coxa’s quality management system was first introduced in 2003. We renewed our certification in 2011 for the second time. We use the Lean model for continuous development.

Inspecta certification logo


Coxa’s operating environment changed: the new Health Care Act of 2010 increased the opportunities for patients needing specialised care to choose their service provider.

Two doctors standing on a computer


Coxa started the continuous development project for care processes together with its partners. Coxa’s “Coxasta kotiin” project was extended to nearly all customer groups.

Rapid recovery: Coxasta kotiin logo


Coxa’s new extension was opened. This introduced over 3,000 m2 of room space. We also started gradually introducing our updated information system into use.

.Coxa's new hospital extension


We started planning a new care model together with our partners. Respect for the staff and continuous training are part of Coxa’s success. Coxa carried out extensive strategic training for all of its staff.


The number of annual surgeries reached over 2,500 and the number of staff rose to 130. Our facilities at the time were starting to become cramped. The building of the extension started in the spring. The designs also took into account the future expansion needs of Coxa in the coming decades.

Coxa's hospital extension entrance design


Coxa reached over 2,000 annual surgeries. Coxa was issued ISO 9001 quality certification.

Three surgeons performing surgery to a patient


Coxa received much publicity, and Suomen Kuvalehti wrote that “Coxa Oy brings teachings from the world of business as well as cost-efficiency and quality to its hospital – it is the authorised dealer of artificial joints.”

A surgeon washing hands after surgery


We had nearly 1,500 surgeries in our first full year of operations. The development of our care processes is aimed at patients being able to return home safely as early as two to three days after their surgery.


Our brand new building was completed. The building had an inpatient ward with 26 beds, a recovery room with ten beds and five roomy operating theatres. We recruited 61 new employees for the hospital. Full surgical operations began in September.

A group of men at dinner in a restaurant


Construction of the hospital building was started. The work proceeded swiftly, and we held the topping-out ceremony the same year.

Coxa hospital's construction site


As early as the 1990s, we were thinking of a specialised joint replacement surgery unit in Tampere. It took until 2000 for the plans to materialise, and we began designing the facilities immediately.

Coxa hospital's early design