{"key":"op_1149_IT","page":{"url":"https://fr.bookimed.com/clinics/country=italy/procedure=total-knee-replacement-arthroplasty-revision/","procedure":{"id":1149,"slug":"total-knee-replacement-arthroplasty-revision","name":"Révision d’arthroplastie totale du genou (arthroplastie)","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"orthopedics-and-traumatology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":127,"iso":"IT","name":"Italie"},"currency":"USD","data_date":"2026-09-26"},"pages":{"clinics_url":"https://fr.bookimed.com/clinics/country=italy/procedure=total-knee-replacement-arthroplasty-revision/","cost_url":"https://fr.bookimed.com/clinics/country=italy/procedure=total-knee-replacement-arthroplasty-revision/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":18000,"to":23500,"avg":{"value":25961,"method":"median","source":"offers"},"us":{"from":45000,"to":72000},"uk":{"from":17500,"to":26000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Rome","from":18000},{"city":"Bari","from":17800},{"city":"Milan","from":15500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"standard","min":25961,"max":25961,"median":25961,"count":1}]},"comparison":[{"country_iso":"UA","from":5000,"to":8000},{"country_iso":"FR","from":14500,"to":22000},{"country_iso":"GB","from":17500,"to":26000},{"country_iso":"US","from":45000,"to":72000},{"country_iso":"IL","from":24000,"to":35000},{"country_iso":"TR","from":6700,"to":11900},{"country_iso":"MX","from":12500,"to":18500},{"country_iso":"DE","from":20000,"to":27500},{"country_iso":"CA","from":32000,"to":50000},{"country_iso":"AE","from":17000,"to":27000},{"country_iso":"TH","from":5900,"to":13500},{"country_iso":"PL","from":10000,"to":13500},{"country_iso":"KR","from":11000,"to":16000},{"country_iso":"CZ","from":17700,"to":17900},{"country_iso":"AT","from":17500,"to":26000},{"country_iso":"ES","from":14500,"to":21000},{"country_iso":"CN","from":17000,"to":28000},{"country_iso":"AU","from":30000,"to":43000},{"country_iso":"IN","from":7500,"to":11000},{"country_iso":"MY","from":9500,"to":13500},{"country_iso":"VN","from":9500,"to":15000},{"country_iso":"BR","from":9500,"to":15000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":60,"variant":">=15%"},"package":{"included":["Consultation with an orthopedist","Hospitalization","Language assistance"],"excluded":["Transfer is not included"],"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":4,"items":[{"id":302,"name":"IRCCS OSPEDALE GALEAZZI - SANT'AMBROGIO","city":"Milan","rating":4.9,"reviews_count":17,"accreditations":["International Organization for Standardization","Scientific Institute for Research and Healthcare Accrediatation","World's Best Hospitals 2021 by Newsweek","World's Best Specialized Hospitals 2022 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":"Specialized in revision knee prosthetic surgery with robotic assistance and augmented reality. 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what the procedure can and cannot do.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that the surgeon reviews your evaluation results and whether surgery is the best option","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Your orthopaedic surgeon will review the results of your evaluation with you and discuss whether total knee replacement is the best method to relieve your pain and improve your function.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the surgeon takes your medical history and asks about your pain and function","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Your orthopaedic surgeon will gather information about your general health and ask you about the extent of your knee pain and your ability to function.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask the surgeon questions until you understand the answers","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Never hesitate to ask your doctor questions when you do not understand.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgery is offered without a thorough evaluation by an orthopedic surgeon first","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Your primary care doctor may refer you to an orthopaedic surgeon for a thorough evaluation to determine if you might benefit from this surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The surgeon does not explain the risks and complications before booking","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"In addition, your orthopaedic surgeon will explain the potential risks and complications of total knee replacement, including those related to the surgery itself and those that can occur over time after your surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"A clinic promises more function than the procedure can give","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"But total knee replacement will not allow you to do more than you could before you developed arthritis.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Increasing redness, tenderness, or swelling at incision","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Increasing redness, tenderness, or swelling of the incision wound","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Drainage from the incision wound","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Drainage from the incision wound","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Increasing pain during activity and rest","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Increasing pain with both activity and rest","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Persistent fever","urgency":"contact_clinic","general":true,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Persistent fever (higher than 100 degrees orally)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure 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operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Describes aseptic single-stage revision."},"success":{"metric":"Implant survival free from re-revision","value":85,"unit":"percent","horizon":"10 years","population":"Adults after aseptic single-stage revision knee replacement","evidence_status":"limited"},"techniques":[{"name":"Single-stage revision TKA with stemmed components and augments/cones","suits_whom":"Aseptic loosening, wear, instability or malposition with bone loss needing reconstruction.","recovery":"Inpatient stay of a few days, rehabilitation over several months."},{"name":"Isolated component or polyethylene insert exchange","suits_whom":"Selected patients with well-fixed components and limited problems such as wear or instability.","recovery":"Usually faster recovery than full revision."},{"name":"Two-stage revision for periprosthetic infection","suits_whom":"Chronic periprosthetic joint infection needing staged 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Second trip only for in-person 1-year review."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the orthopedic surgeon to discuss your concerns thoroughly before surgery","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Discuss your concerns thoroughly with your orthopaedic surgeon prior to surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgeon will explain the risks and complications of the operation, including those that can occur over time","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"In addition, your orthopaedic surgeon will explain the potential risks and complications of total knee replacement, including those related to the surgery itself and those that can occur over time after your surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand what the procedure can and cannot do before deciding on it","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"An important factor in deciding whether to have total knee replacement surgery is understanding what the procedure can and cannot do.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that the surgeon reviews your evaluation results and whether surgery is the best option","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Your orthopaedic surgeon will review the results of your evaluation with you and discuss whether total knee replacement is the best method to relieve your pain and improve your function.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the surgeon takes your medical history and asks about your pain and function","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Your orthopaedic surgeon will gather information about your general health and ask you about the extent of your knee pain and your ability to function.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask the surgeon questions until you understand the answers","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Never hesitate to ask your doctor questions when you do not understand.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgery is offered without a thorough evaluation by an orthopedic surgeon first","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Your primary care doctor may refer you to an orthopaedic surgeon for a thorough evaluation to determine if you might benefit from this surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The surgeon does not explain the risks and complications before booking","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"In addition, your orthopaedic surgeon will explain the potential risks and complications of total knee replacement, including those related to the surgery itself and those that can occur over time after your surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"A clinic promises more function than the procedure can give","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"But total knee replacement will not allow you to do more than you could before you developed arthritis.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Increasing redness, tenderness, or swelling at incision","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Increasing redness, tenderness, or swelling of the incision wound","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Drainage from the incision wound","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Drainage from the incision wound","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Increasing pain during activity and rest","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Increasing pain with both activity and rest","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Persistent fever","urgency":"contact_clinic","general":true,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Persistent fever (higher than 100 degrees orally)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your symptoms are mild","name":"Watch and wait","source":{"url":"https://www.healthdirect.gov.au/amp/article/surgery/revision-total-knee-replacement","host":"healthdirect.gov.au","quote":"If your symptoms are mild, you and your surgeon may decide to watch and wait for a while.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your knee replacement keeps coming out of joint","name":"Knee 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larger, one is placed","source":{"url":"https://www.healthdirect.gov.au/amp/article/surgery/revision-total-knee-replacement","host":"healthdirect.gov.au","quote":"Your surgeon will put in a new knee replacement, which is often larger than your old one.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null},{"id":"isolated-component","name":"Isolated component or polyethylene insert exchange","how_it_works":{"text":"Only one part of the implant is removed and replaced","source":{"url":"https://www.orthoinfo.org/en/treatment/revision-total-knee-replacement","host":"orthoinfo.org","quote":"In some cases, only one part of the implant has to be removed and replaced.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null},{"id":"two-stage-revision","name":"Two-stage revision for periprosthetic infection","how_it_works":{"text":"Infection is cleared in stages, with a new implant placed later","source":{"url":"https://www.wwl.nhs.uk/pdfreader/cnv-wwl-68ca8bced1bae4.76938245","host":"wwl.nhs.uk","quote":"If infection is found, the knee replacement may need to be performed in two stages.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"single-stage-revision-tka","name":"Single-stage revision TKA with stemmed components and augments/cones","how_it_works":{"id":"H1","text":"Old implant is removed and a new, often larger, one is placed","source":{"url":"https://www.healthdirect.gov.au/amp/article/surgery/revision-total-knee-replacement","host":"healthdirect.gov.au","quote":"Your surgeon will put in a new knee replacement, which is often larger than your old one.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"not_collected"},"suits_whom":"Aseptic loosening, wear, 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periprosthetic infection","how_it_works":{"id":"H1","text":"Infection is cleared in stages, with a new implant placed later","source":{"url":"https://www.wwl.nhs.uk/pdfreader/cnv-wwl-68ca8bced1bae4.76938245","host":"wwl.nhs.uk","quote":"If infection is found, the knee replacement may need to be performed in two stages.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"not_collected"},"suits_whom":"Chronic periprosthetic joint infection needing staged treatment.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Spacer placement, then months of antibiotics before reimplantation."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your symptoms are mild","name":"Watch and wait","source":{"url":"https://www.healthdirect.gov.au/amp/article/surgery/revision-total-knee-replacement","host":"healthdirect.gov.au","quote":"If your symptoms are mild, you and your surgeon may decide to watch and wait for a while.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your knee replacement keeps coming out of joint","name":"Knee brace","source":{"url":"https://www.healthdirect.gov.au/amp/article/surgery/revision-total-knee-replacement","host":"healthdirect.gov.au","quote":"If your knee replacement keeps coming out of joint, you can wear a brace to try to keep your knee in place.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"Your knee problems may be helped by physiotherapy and exercise","name":"Physiotherapy","source":{"url":"https://www.nhs.uk/conditions/knee-replacement/complications/","host":"nhs.uk","quote":"Physiotherapy and certain exercises may help with these 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purposes","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"U.S. citizens may enter Italy for up to 90 days for tourist or business purposes without a visa.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 3 months after the day you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A U.S. passport must be valid for at least 3 months beyond the period of stay in Italy","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"Your passport must be valid for at least 3 months beyond the period of stay.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Foreigners may bring personal medications for 30 days into Italy; bringing a copy of the prescription is recommended","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"According to the Ministry of Health, foreigners entering Italy are allowed to bring personal medications for a period of 30 days, but it is recommended that travelers also bring a copy of their prescription with them.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"ghic","audience":"uk","volatile":false,"text":"A UK GHIC or EHIC is needed to get medically necessary state healthcare in Italy","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Italy, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V7","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals in Italy usually require advance payment or proof of adequate insurance before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"Private hospitals usually require advance payment or proof of adequate insurance before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V8","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 118 and ask for an ambulance in Italy","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/health","host":"gov.uk","quote":"Dial 118 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["china","czech-republic","germany","greece","india","poland","spain","thailand","turkey"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.91,"count":19,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Total knee replacement (arthroplasty) revision in Italy typically costs from _op_1149_price_from_ to _op_1149_price_to_. The final price depends on surgical complexity, the choice of specialized revision implants, and the clinic location. Patients save around _price_percent_discount_% compared to the US, where the average price is _price_compare_US_average_. Packages usually include orthopedic consultation, surgical fees, anesthesia, and approximately six days of hospitalization.</p>\n\n<ul>\n<li><strong>Geographic location:</strong> Medical hubs like Milan often cost 15-20% more than regional Italian facilities.</li>\n<li><strong>Implant type:</strong> Premium revision stems and specialized components increase the total package price.</li>\n<li><strong>Facility tier:</strong> High-volume orthopedic centers in Milan charge more than general private clinics.</li>\n<li><strong>Surgical complexity:</strong> Cases requiring bone grafting or extensive reconstruction incur higher surgical and material fees.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Milan is the strategic choice for complex orthopedic revisions. IRCCS Ospedale Galeazzi - Sant'Ambrogio handles 75% of Italy's revision surgeries. This high volume correlates with a 91% success rate. Expert packages with Dr. Roberto Danchise start around $26,100. This includes Zimmer Biomet implants and six hospital days. Choosing a JCI-accredited facility like Orthopedic in Rome ensures safety standards similar to US hospitals for approximately $18,000 to $26,000.</p>","faq":[{"q":"What are the main risks and potential complications of total knee revision arthroplasty?","a":"<p>Total knee revision arthroplasty carries risks including infection, mechanical loosening, and implant instability. Patients may face periprosthetic fractures or nerve damage. Success relies on bone quality and surgeon expertise, often utilizing specialized systems like Zimmer Biomet within ISO-certified Italian orthopedic centers to mitigate these concerns.</p> <ul> <li><strong>Infection rates:</strong> Post-revision infection affects 5-10% of cases, often requiring hardware removal or washouts.</li> <li><strong>Mechanical loosening:</strong> Bone stock depletion increases risks of the implant losing its firm attachment.</li> <li><strong>Mobility limitations:</strong> Scar tissue causes stiffness, with 20-30% of patients requiring manipulation under anesthesia.</li> <li><strong>Recovery duration:</strong> Full recovery takes 6-12 months, significantly longer than primary knee replacement procedures.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Italian centers like IRCCS Ospedale Galeazzi - Sant'Ambrogio perform 75% of national revision surgeries. This high volume is a critical safety signal. Surgeons like Dr. Roberto Danchise, who has performed 2,100+ knee replacements, offer better outcomes. Choosing high-volume centers reduces the 15-25% failure rate common in low-volume facilities.</p> <p><strong>Patient Consensus:</strong> Many patients emphasize that managing expectations is vital. While the surgery restores mobility, achieving a perfectly normal knee is rare, and aggressive physical therapy is necessary.</p>"},{"q":"How do I know I actually need a revision, and what happens during surgical planning?","a":"<p>You may need revision surgery if you experience persistent pain, instability, or clicking sounds after primary recovery. Clinical signs include implant loosening on X-rays or recurring infection. Surgical planning focuses on analyzing bone stock using CT scans and selecting specialized Zimmer Biomet components with stems for added stability.</p> <ul> <li><strong>Warning signs:</strong> Pain failing physical therapy or a joint feeling wobbly after 1 year.</li> <li><strong>Diagnostic imaging:</strong> Surgeons use CT scans and X-rays to assess alignment and bone loss.</li> <li><strong>Implant choice:</strong> Experts often use stemmed Zimmer Biomet implants to anchor deeper into bone.</li> <li><strong>Complex cases:</strong> Specialists may use bone grafting or 3D guides to correct significant malalignment.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Clinical data reveals that IRCCS Ospedale Galeazzi handles 75% of Italy's revision cases. This high volume is critical because specialization significantly boosts success rates. Dr. Roberto Danchise at this facility has performed over 2,100 knee procedures. Choosing such high-volume centers ensures access to complex salvage techniques like allograft reconstruction.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that pain alone is not always enough for a revision. Many found that 20% to 30% of pain was muscular. They recommend getting a second opinion and a gait analysis. This ensures the implant is actually the problem before commuting to a complex surgery.</p>"},{"q":"What surgical technique and technologies are typically used in Italy for knee revision?","a":"<p>Italian orthopedic surgeons utilize advanced robotic-assisted platforms like Mako or ROSA alongside constrained implants to address complex knee revisions. Specialized centers leverage 3D patient-matched cutting guides and CT mapping to manage bone loss, significantly reducing surgical duration while improving implant stability and anatomical alignment.</p> <ul> <li><strong>Robotic systems:</strong> Surgeons use NAVIO and ROSA for precise 3D joint mapping and positioning.</li> <li><strong>Custom implants:</strong> 3D-printed prostheses and patient-matched guides address severe anatomical bone loss.</li> <li><strong>Hybrid fixation:</strong> Medial parapatellar approaches often incorporate 60 mm cemented or press-fit stems.</li> <li><strong>Advanced navigation:</strong> Computer-planned constrained implants are used in 90% of complex Italian revisions.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data shows that IRCCS Ospedale Galeazzi - Sant'Ambrogio in Milan performs 75% of Italy's revision surgeries. This high volume allows surgeons like Dr. Roberto Danchise at Galeazzi to master complex techniques like meniscus transplants. We recommend private clinics for revisions involving significant bone loss to access custom 3D-printed jigs not always available in public systems.</p> <p><strong>Patient Consensus:</strong> Patients prioritize surgeons who perform over 50 revisions annually and suggest requesting pre-operative CT scans. Many highlight that robotic-assisted procedures in private clinics offer a smoother recovery than traditional open methods.</p>"},{"q":"How long is the hospital stay and what does early recovery look like in Italian practice?","a":"<p>Patients undergoing knee replacement revision in Italy typically stay in the hospital for 6 days. Early recovery focuses on rapid mobilization, with many patients encouraged to stand or walk assisted within 8 to 24 hours post-surgery using advanced regional anesthesia and nerve blocks.</p> <ul> <li><strong>Hospital duration:</strong> Acute care stays generally range from 3.5 to 6.4 days in Italian facilities.</li> <li><strong>Early mobilization:</strong> Patients often start assisted walking within 8 to 12 hours after the procedure.</li> <li><strong>Dietary timeline:</strong> Clear fluids begin 4 hours post-op, with soft foods reintroduced by the next day.</li> <li><strong>Follow-up care:</strong> Surgeons typically schedule wound assessments and monitoring sessions at 15 and 30 days.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Italian orthopedic centers offer a concentrated level of expertise for complex cases. IRCCS OSPEDALE GALEAZZI - SANT'AMBROGIO in Milan performs 75% of all revision surgeries in Italy. This high clinical volume allows specialized surgeons like Dr. Roberto Danchise to manage difficult revisions effectively. Many Italian clinics prioritize regional nerve blocks over general anesthesia. This approach helps patients remain alert and move sooner, which is critical for successful revision outcomes.</p> <p><strong>Patient Consensus:</strong> Expect intensive early movement and a strong focus on self-management with home physiotherapy immediately after discharge. Patients report that consistent icing and elevation are treated as essential requirements during the first 2 weeks to manage peak swelling.</p>"},{"q":"Who is NOT a good candidate for elective revision arthroplasty in Italy?","a":"<p>Elective revision arthroplasty in Italy is not recommended for patients with active infections, severe cardiovascular disease, or unmanaged chronic conditions like morbid obesity. Surgeons typically disqualify candidates with a Body Mass Index (BMI) over 40 or uncontrolled diabetes (HbA1c above 8%) due to high complication risks.</p> <ul> <li><strong>Active infection:</strong> Symptomatic bacteremia or cellulitis at the incision site are absolute contraindications.</li> <li><strong>Cardiopulmonary health:</strong> Advanced heart disease or severe lung impairment may preclude safe anesthesia.</li> <li><strong>Metabolic factors:</strong> Severe malnutrition or poorly managed endocrine disorders significantly increase failure rates.</li> <li><strong>Bone density:</strong> Severe osteoporosis with high T-scores often requires preliminary bone grafting treatments.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Italian centers like IRCCS Ospedale Galeazzo - Sant'Ambrogio handle 75% of countrywide revisions. This concentration of cases means surgeons often enforce stricter BMI limits than general clinics. Our data suggests a BMI under 35 is frequently required for elective scheduling to ensure successful long-term implant integration.</p> <p><strong>Patient Consensus:</strong> Many find that surgeons demand absolute smoking cessation weeks before revision. Patients report that psychological readiness and sticking to recovery plans are non-negotiable for Italian orthopedic specialists.</p>"},{"q":"Will I have visible scars after a knee revision, and what cosmetic options exist?","a":"<p>Knee revision surgery results in a permanent midline scar, typically 8 to 12 inches long. Surgeons often utilize the previous incision site to minimize new scarring. Fading generally takes 2 years, but visibility remains constant due to joint movement and skin stretching.</p> <ul> <li><strong>Topical therapy:</strong> Silicone gels or sheets applied for 3 to 6 months regulate collagen.</li> <li><strong>Surgical approach:</strong> Utilizing previous incision tracks helps prevent multiple visible scar lines.</li> <li><strong>Medical treatments:</strong> Laser therapy or steroid injections effectively reduce redness and hypertrophic thickness.</li> <li><strong>Sun protection:</strong> Daily SPF 30 application prevents permanent darkening during the first 12 months.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> IRCCS Ospedale Galeazzi - Sant'Ambrogio handles 75% of Italy's revision surgeries, providing surgeons with massive experience in managing complex scar tissue. Choosing a high-volume center is vital because repeat incisions require precise technique to maintain skin blood flow and prevent wound complications.</p> <p><strong>Patient Consensus:</strong> Many patients find that using silicone sheets starting at week 3 significantly flattens thick tissue. While the scar remains visible in shorts, most report it fades to a faint white line by the second year.</p>"}],"h2":[{"text":"Quel est le Coût pour votre Révision d’arthroplastie totale du genou (arthroplastie) en Italie ?","kind":"content"},{"text":"Vos avantages et garanties avec Bookimed","kind":"content"},{"text":"Votre coordinateur médical personnel","kind":"content"},{"text":"Ne Manquez pas les Offres Exclusives de révision d’arthroplastie totale du genou (arthroplastie) en Italie en novembre 2026","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Révision d’arthroplastie totale du genou (arthroplastie) en Italie : 4 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de révision d’arthroplastie totale du genou (arthroplastie) en Italie","kind":"content"},{"text":"Obtenez une évaluation médicale pour Révision d’arthroplastie totale du genou (arthroplastie) en Italie : Choisissez le meilleur spécialiste dans le domaine","kind":"content"},{"text":"Avis sur Bookimed : Découvrez l'Expérience des Patients","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"FAQ de révision d’arthroplastie totale du genou (arthroplastie) en Italie","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[{"field":"medical.hospital_nights","chosen":"offers","offers":6,"parsed_details":{"min":2,"max":5}}]}