L’hôpital Meliva Kardiolita se distingue comme le seul établissement accrédité par la JCI dans les États baltes. L’hôpital fait état d’un faible taux de complications postopératoires de 3 % pour les prothèses articulaires. Les patients reçoivent des endoprothèses conçues pour durer, dont la durée de vie moyenne est de 17 à 18 ans. Le centre dispose de quatre salles d’opération et de son propre service de rééducation pour assurer le rétablissement des patients. Un coordinateur dédié aide les patients internationaux à organiser leur séjour. Cet hôpital privé de Vilnius applique des normes internationales strictes en matière de sécurité dans ses 44 lits et ses laboratoires spécialisés.
","text_type":"mt_wow_description","best_texts":{"good_fit_for":"Patients souhaitant bénéficier d’une rééducation sur place après une arthroplastie de la cheville","why_its_ranked":"Arthroplastie de la cheville avec des implants dont la durée de vie est de 17 à 18 ans et un taux de complications de 3 %. Seul hôpital des pays baltes accrédité par la JCI. Voies d’abord arthroscopique et ouverte."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":9000,"price_to":14000,"currency":"USD","id":30628},"operation":{"id":189,"name":"Arthroplastie de la cheville","alias":"ankle-joint-replacement"}},{"prices":{"price_from":230,"price_to":310,"currency":"USD","id":31823},"diagnostic":{"id":567,"name":"IRM de l'articulation","alias":"mri-of-the-joint"}},{"prices":{"price_from":120,"price_to":150,"currency":"USD","id":63037},"diagnostic":{"id":125,"name":"Consultation avec un orthopédiste (traumatologue)","alias":"consultation-orthopedist-traumatologist"}}],"reviews":[],"clinic":{"id":253,"alias":"kardiolita-private-hospital","name":"Meliva Kardiolita Hospital ","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/253-6ac3a2a229aba.png","images":[{"base_url":"clinic/69e60825833e6","title":"Façade moderne de la clinique Meliva Kardiolita Hospital à Vilnius, Lituanie"},{"base_url":"clinic/68760e8ea6ab8","title":"Accueil du Meliva Kardiolita Hospital avec sièges modernes et accents boisés"},{"base_url":"clinic/68760edd4a0e5","title":"Chambre de patient à Meliva Kardiolita Hospital avec lit médical moderne et grandes fenêtres"},{"base_url":"clinic/68760f379dab9","title":"Médecin dans le cabinet de consultation de Meliva Kardiolita Hospital avec équipement moderne"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Lituanie","id":215,"alias":"lithuania","iso_code":"LT"},"city":{"name":"Vilnius","id":310,"alias":"vilnius"},"address":"Laisvės pr. 64A, Vilnius 05263, Lithuania"},"rating":{"rating":4.7,"google":4,"percent_of_satisfied_clients":91},"statistics":{"number_of_reviews":159,"doctors_number":510,"year_foundation":1998},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Nordorthopaedics est une clinique privée d’orthopédie située à Kaunas et à Vilnius, en Lituanie. Fondée en 1971, elle est spécialisée dans les prothèses articulaires, la chirurgie arthroscopique et l’orthopédie pédiatrique. Cinq chirurgiens y réalisent plus de 1 000 interventions par an. Le chirurgien principal, le professeur Sarunas Tarasevicius, a réalisé plus de 7 000 prothèses articulaires.
Le chirurgien Vytautas Kimtys a réalisé 500 prothèses de cheville et 1 000 arthrodèses de la cheville. Nordorthopaedics est le seul centre d’excellence Smith & Nephew de la région. Les patients peuvent choisir des implants de nouvelle génération, tels que ceux de Zimmer Biomet et Hintegra. Chaque programme de rétablissement comprend un parcours de rééducation de 10 jours. Plus de 80 % des patients viennent du Royaume-Uni, d’Irlande, de Norvège et de Suède.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":7033,"alias":"nordorthopaedics","name":"Nordorthopaedics","short_description":"Nordorthopaedics est une clinique privée d’orthopédie située à Kaunas et à Vilnius, en Lituanie. Fondée en 1971, elle est spécialisée dans les prothèses articulaires, la chirurgie arthroscopique et l’orthopédie pédiatrique. Cinq chirurgiens y réalisent plus de 1 000 interventions par an. Le chirurgien principal, le professeur Sarunas Tarasevicius, a réalisé plus de 7 000 prothèses articulaires.
Le chirurgien Vytautas Kimtys a réalisé 500 prothèses de cheville et 1 000 arthrodèses de la cheville. Nordorthopaedics est le seul centre d’excellence Smith & Nephew de la région. Les patients peuvent choisir des implants de nouvelle génération, tels que ceux de Zimmer Biomet et Hintegra. Chaque programme de rétablissement comprend un parcours de rééducation de 10 jours. Plus de 80 % des patients viennent du Royaume-Uni, d’Irlande, de Norvège et de Suède.
","images":[{"base_url":"clinic/68beca0fbeb03","title":"Équipe médicale à la clinique Nordorthopaedics en Lituanie, médecins en tenue chirurgicale"},{"base_url":"clinic/68beca417aaf7","title":"Chirurgien orthopédique au bloc opératoire de la clinique Nordorthopaedics, Vilnius, Lituanie"},{"base_url":"clinic/68beca4f6a396","title":"Chirurgien orthopédique en salle d'opération à la clinique Nordorthopaedics, Lituanie"},{"base_url":"clinic/68beca5aa28ed","title":"Espace d'attente à la clinique Nordorthopaedics avec chaises modernes et œuvres à Vilnius"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Lituanie","id":215,"alias":"lithuania","iso_code":"LT"},"city":{"name":"Kaunas","id":402,"alias":"kaunas"},"address":"Birželio 23-iosios g. 4, 50425 Kaunas, Lithuania"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":10,"year_foundation":2015},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":63},"doctors":{"doctors":[{"doctor":{"id":13644,"alias":"vytautas-kimtys","name":"Vytautas Kimtys","clinic_id":7033,"photo":"doctor/6a681d393e913","first_year_working":1999,"created_at":"2026-07-28T03:08:39.859+00:00","short_description":"Spécialiste au sein de la clinique, Valdemar Loiba se consacre aux arthroscopies de la hanche, de l’épaule et du genou ainsi qu’à l’orthopédie mini-invasive. Il réalise plus de 400 arthroscopies par an, dont plus de 100 de l’épaule et plus de 100 de la hanche, et possède plus de 20 ans d’expérience. Ses travaux universitaires comprennent la corédaction d’articles scientifiques et la présentation de communications orales à l’international.","specialities":[{"id":"sur.016","name":"Orthopedic surgeon ","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":7033,"alias":"nordorthopaedics","name":"Nordorthopaedics","short_description":"Nordorthopaedics est une clinique privée d’orthopédie située à Kaunas et à Vilnius, en Lituanie. Fondée en 1971, elle est spécialisée dans les prothèses articulaires, la chirurgie arthroscopique et l’orthopédie pédiatrique. Cinq chirurgiens y réalisent plus de 1 000 interventions par an. Le chirurgien principal, le professeur Sarunas Tarasevicius, a réalisé plus de 7 000 prothèses articulaires.
Le chirurgien Vytautas Kimtys a réalisé 500 prothèses de cheville et 1 000 arthrodèses de la cheville. Nordorthopaedics est le seul centre d’excellence Smith & Nephew de la région. Les patients peuvent choisir des implants de nouvelle génération, tels que ceux de Zimmer Biomet et Hintegra. Chaque programme de rétablissement comprend un parcours de rééducation de 10 jours. Plus de 80 % des patients viennent du Royaume-Uni, d’Irlande, de Norvège et de Suède.
","images":[{"base_url":"clinic/68beca0fbeb03","title":"Équipe médicale à la clinique Nordorthopaedics en Lituanie, médecins en tenue chirurgicale"},{"base_url":"clinic/68beca417aaf7","title":"Chirurgien orthopédique au bloc opératoire de la clinique Nordorthopaedics, Vilnius, Lituanie"},{"base_url":"clinic/68beca4f6a396","title":"Chirurgien orthopédique en salle d'opération à la clinique Nordorthopaedics, Lituanie"},{"base_url":"clinic/68beca5aa28ed","title":"Espace d'attente à la clinique Nordorthopaedics avec chaises modernes et œuvres à Vilnius"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Lituanie","id":215,"alias":"lithuania","iso_code":"LT"},"city":{"name":"Kaunas","id":402,"alias":"kaunas"},"address":"Birželio 23-iosios g. 4, 50425 Kaunas, Lithuania"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":10,"year_foundation":2015},"accreditations":[]}}],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Allemagne","alias":"germany","iso_code":"DE"},{"name":"Autriche","alias":"austria","iso_code":"AT"},{"name":"Chine","alias":"china","iso_code":"CN"},{"name":"Emirats Arabes Unis","alias":"united-arab-emirates","iso_code":"AE"},{"name":"Espagne","alias":"spain","iso_code":"ES"},{"name":"Inde","alias":"india","iso_code":"IN"},{"name":"Israël","alias":"israel","iso_code":"IL"},{"name":"Italie","alias":"italy","iso_code":"IT"},{"name":"Lituanie","alias":"lithuania","iso_code":"LT"},{"name":"Mexique","alias":"mexico","iso_code":"MX"},{"name":"Pologne","alias":"poland","iso_code":"PL"},{"name":"République de Corée","alias":"republic-of-korea","iso_code":"KR"},{"name":"Thaïlande","alias":"thailand","iso_code":"TH"},{"name":"Turquie","alias":"turkey","iso_code":"TR"},{"name":"Ukraine","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"Kaunas","alias":"kaunas"},{"name":"Vilnius","alias":"vilnius"}],"operations":[{"name":"Arthroscopie du genou","alias":"therapeutic-arthroscopy-of-the-knee--including-the-necessary-supplies"},{"name":"Rééducation orthopédique (par 1 jour)","alias":"orthopedic-rehabilitation-per-1-day"},{"name":"Arthroplastie de la cheville","alias":"ankle-joint-replacement"},{"name":"Remplacement de la cheville","alias":"ankle-replacement"},{"name":"Arthroplastie du genou","alias":"knee-replacement"},{"name":"Reconstruction des articulations du pied et des orteils","alias":"reconstruction-of-foot-joints-and-toes"},{"name":"Arthrodèse de l'articulation de la cheville","alias":"arthrodesis-of-the-ankle-joint"},{"name":"Remplacement de la hanche","alias":"hip-replacement"},{"name":"Chirurgie de l'hallux valgus","alias":"hallux-valgus-surgery"},{"name":"Arthroscopie de la hanche","alias":"hip-arthroscopy"},{"name":"Arthroscopie de la cheville","alias":"ankle-arthroscopy"},{"name":"Remplacement total de la hanche","alias":"total-hip-replacement"},{"name":"Chirurgie robotique du genou","alias":"robotic-knee-replacement-surgery"},{"name":"Reconstruction du ligament croisé antérieur (LCA)","alias":"acl-reconstruction-surgery"},{"name":"Chirurgie de la hanche","alias":"hip-surgery"},{"name":"Chirurgie de réparation de la coiffe des rotateurs","alias":"rotator-cuff-repair-surgery"},{"name":"Remplacement de l'épaule","alias":"shoulder-replacement"},{"name":"Méniscectomie arthroscopique","alias":"arthroscopic-menisectomy"},{"name":"Chirurgie de correction des déformations osseuses","alias":"bone-deformity-correction-surgery"}],"diagnostics":[{"name":"IRM d’une zone","alias":"mri-one-department"},{"name":"CT (tomodensitométrie)","alias":"ct"},{"name":"Numération globulaire complète","alias":"total-blood"},{"name":"Consultation avec un orthopédiste (traumatologue)","alias":"consultation-orthopedist-traumatologist"},{"name":"Arthroscopie","alias":"arthroscopy"},{"name":"Tests de laboratoire","alias":"lab-tests"},{"name":"Consultation avec un orthopédiste","alias":"orthopedic-consultation"},{"name":"Consultation avec élaboration du plan de traitement","alias":"consultation-with-creation-of-treatment-plan"},{"name":"Radiographie pulmonaire","alias":"chest-x-ray"}],"illnesses":[{"name":"Arthrose","alias":"arthrosis"},{"name":"Arthrose","alias":"osteoarthritis"},{"name":"Arthrose de la cheville","alias":"osteoarthritis-of-the-ankle"},{"name":"Arthrose de la hanche","alias":"osteoarthritis-of-the-hip"},{"name":"Conflit postérieur de la cheville","alias":"posterior-ankle-impingement"},{"name":"Arthrose de l'épaule","alias":"shoulder-osteoarthritis"},{"name":"Arthrose du genou","alias":"knee-osteoarthritis"},{"name":"Spondylarthrite ankylosante","alias":"ankylosing-spondylitis"},{"name":"Ostéoporose","alias":"osteoporosis"},{"name":"Blessures des os et des articulations","alias":"injuries-to-bones-and-joints"},{"name":"Scoliose","alias":"scoliosis"},{"name":"Déformation légère","alias":"valgus-deformity"},{"name":"Coxarthrose","alias":"coxarthrosis"},{"name":"Fracture de la hanche","alias":"hip-fracture"},{"name":"Déchirure du ménisque","alias":"torn-meniscus"},{"name":"Hallux valgus","alias":"halyus-valgus"},{"name":"Syndactylie","alias":"sindakteliya"},{"name":"Luxation habituelle de l'épaule","alias":"habitual-shoulder-dislocation"},{"name":"Chirurgie de la main","alias":"hand-surgery"},{"name":"Déformation thoracique en entonnoir","alias":"funnel-chest-deformity"},{"name":"Déchirure du LCA (blessure du ligament croisé antérieur)","alias":"torn-acl-anterior-cruciate-ligament-injury"},{"name":"Lésion de la moelle épinière","alias":"spine-injury"}],"illnessKinds":[{"name":"Orthopédie","alias":"orthopedics-and-traumatology"}],"illness_kinds":[{"name":"Orthopédie","alias":"orthopedics-and-traumatology"}]},"popularSearches":[{"name":"Remplacement de la hanche","alias":"hip-replacement","type":"operation","id":671},{"name":"Arthroplastie du genou","alias":"knee-replacement","type":"operation","id":522},{"name":"Physiothérapie","alias":"physiotherapy","type":"operation","id":128},{"name":"Chirurgie d'allongement des membres","alias":"limb-lengthening-surgery","type":"operation","id":1387},{"name":"Prothèses de membres","alias":"hand-prosthetics","type":"operation","id":275},{"name":"IRM d’une zone","alias":"mri-one-department","type":"diagnostic","id":6},{"name":"Consultation avec élaboration du plan de traitement","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"CT (tomodensitométrie)","alias":"ct","type":"diagnostic","id":96},{"name":"Tests de laboratoire","alias":"lab-tests","type":"diagnostic","id":306},{"name":"Numération globulaire complète","alias":"total-blood","type":"diagnostic","id":83},{"name":"Blessures des os et des articulations","alias":"injuries-to-bones-and-joints","type":"illness","id":104},{"name":"Scoliose","alias":"scoliosis","type":"illness","id":120},{"name":"Arthrose","alias":"osteoarthritis","type":"illness","id":450},{"name":"Arthrose","alias":"arthrosis","type":"illness","id":152},{"name":"Spondylarthrite ankylosante","alias":"ankylosing-spondylitis","type":"illness","id":34}],"operationPrices":{"operation_prices":{"189":{"operation":{"name":"Arthroplastie de la cheville","alias":"ankle-joint-replacement","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":58000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5000,"max_amount":10000,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":11500,"max_amount":17000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":16600,"max_amount":20500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"LT":{"amount":9000,"max_amount":12000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":true,"CA":false,"AE":false,"TH":false,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"EG":true,"LT":true},"description":"La procédure remplace la cheville endommagée par des pièces artificielles, améliorant ainsi la stabilité et réduisant la douleur.
"},"474":{"operation":{"name":"Remplacement de la cheville","alias":"ankle-replacement","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":58000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":7000,"max_amount":17500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":11500,"max_amount":17500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":16600,"max_amount":20000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"LT":{"amount":9000,"max_amount":11000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":true,"LT":true}},"592":{"operation":{"name":"Arthrodèse de l'articulation de la cheville","alias":"arthrodesis-of-the-ankle-joint","use_for_listing":true},"country_price":{"US":{"amount":25000,"max_amount":40000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6600,"max_amount":7500,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":7600,"max_amount":9500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":10000,"max_amount":11500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":true}},"896":{"operation":{"name":"Arthroscopie de la cheville","alias":"ankle-arthroscopy","use_for_listing":true},"country_price":{"US":{"amount":8500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2000,"max_amount":7700,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":7600,"max_amount":9100,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":6600,"max_amount":9900,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":true}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":10,"rehabilitation_days":6,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":23249}},"responsibleDoctor":{"id":3065,"alias":"kayhan-turan","name":"Kayhan Turan ","photo":"doctor/612e235a45616","advisory_text":"Le Dr Kayhan Turan est un chirurgien orthopédiste spécialisé dans la chirurgie robotique de remplacement articulaire et la médecine du sport. Il a réalisé les premières arthroplasties robotiques du genou et de la hanche en Turquie et a effectué plus de 3 500 interventions chirurgicales robotiques.","linkedin":"https://www.linkedin.com/in/drkayhanturan/","specialities":[{"id":"sur.016","name":"Orthopedic surgeon ","illness_kind_id":33}]},"direction":{"id":3,"name":"Orthopédie","alias":"orthopedics-and-traumatology"},"illness_kind":{"id":3,"name":{"en":"Orthopedics"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general","regional"],"back_to_work_days":{"min":42,"max":180,"unit":"days","qualifier":"Desk work from about 42 days; physical or standing work 90-180 days."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within first year, mostly wound problems or malleolar fracture."},"contraindications":["Active or recent infection in or near the ankle","Severe peripheral vascular disease or poor ankle soft tissue","Charcot neuropathic joint or severe neuropathy","Severe talar avascular necrosis or inadequate bone stock","Uncorrected hindfoot or ankle malalignment or instability","Severe neuromuscular disease with marked muscle weakness","Very high body weight","Poorly controlled diabetes"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical inpatient stay after primary total ankle replacement; some centers discharge within 24 hours."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":12,"max":26,"unit":"weeks","qualifier":"Low-impact activity such as walking, cycling and swimming after surgeon clearance; running and high-impact sports are generally discouraged."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling, strength and gait continue to improve for up to a year after primary total ankle replacement."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"From surgery, after wound check and suture removal; depends on wound healing, swelling, thrombosis risk and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"From surgery."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"From surgery; often combined with the wound check."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":56,"unit":"days","qualifier":"From surgery; X-ray and progression of weight-bearing."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"From surgery; clinical and radiographic review, then periodic long-term surveillance."}}],"indications":["End-stage ankle osteoarthritis unresponsive to non-surgical care","Post-traumatic ankle arthritis","Inflammatory arthritis (e.g., rheumatoid) of the ankle"],"main_risks":["Wound healing problems or infection","Implant loosening or subsidence","Periprosthetic fracture, including malleolar fracture","Persistent pain or stiffness","Nerve or tendon injury","Deep vein thrombosis or pulmonary embolism","Component wear, malalignment or instability","Need for revision surgery or conversion to fusion"],"pain":"Moderate to severe postoperative pain for the first days to weeks, managed with regional nerve block and multimodal oral analgesia; gradually settles over several weeks, with swelling lasting for months.","preparation":["Preoperative medical assessment and fitness for anesthesia","Weight-bearing X-rays, sometimes CT or MRI, for planning","Optimize diabetes, quit smoking, treat skin or dental infection","Fasting before general anesthesia per anesthetic instructions","Arrange crutches, knee scooter or boot, and home help","Preoperative physiotherapy instruction on non-weight-bearing mobility"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Elevation, pain control, thrombosis prevention and mobilization with aids in a splint or cast.","restrictions":["Non-weight-bearing on operated leg","Keep leg elevated"]},{"phase":"Weeks 1-6","description":"Splint or cast, wound healing and suture removal; protected weight-bearing.","restrictions":["Non-weight-bearing or limited weight-bearing as instructed","No driving with operated leg until cleared"]},{"phase":"Weeks 6-12","description":"Progressive weight-bearing in a boot or brace, start of range-of-motion and physiotherapy, gradual return to normal walking.","restrictions":["Avoid impact and uneven ground until cleared"]},{"phase":"3-12 months","description":"Strength, gait and swelling continue to improve; return to low-impact activities.","restrictions":["Avoid running and high-impact sports"]}],"rehabilitation_days":{"min":60,"max":120,"unit":"days","qualifier":"Time to ordinary functional walking and daily activities, including physiotherapy, after primary total ankle replacement."},"result_longevity":"Many implants function well for 10 years or more, but survivorship varies with implant design, patient factors and activity; revision or conversion to fusion is possible over time.","revision_rate_pct":{"min":8,"max":15,"unit":"percent","qualifier":"Revision, implant component exchange or conversion to fusion within about 5 years of primary replacement."},"scars":"A single longitudinal anterior incision over the front of the ankle, usually 10-15 cm, fading over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary total ankle replacement; follow-up checks are not counted."},"stages":[{"code":"surgery","label":"Total ankle replacement surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure."}}],"qualifier":"Single-stage primary operation; additional procedures for alignment correction may be added in some patients."},"success":{"metric":"Implant survival without revision or fusion","value":90,"unit":"percent","horizon":"5 years","population":"Adults with end-stage ankle arthritis receiving primary total ankle replacement","evidence_status":"limited"},"techniques":[{"name":"Total ankle arthroplasty via anterior approach with fixed-bearing or mobile-bearing implant","suits_whom":"Adults with end-stage ankle arthritis, adequate bone stock and acceptable alignment and soft tissues.","recovery":"Splint then cast for about 6 weeks, protected weight-bearing, then boot and physiotherapy."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for primary unilateral total ankle replacement, excluding anesthesia and recovery; additional procedures may extend it."},"initial_assessment_documents":["Weight-bearing ankle X-rays, front and side","Ankle CT or MRI report","Weight-bearing hindfoot alignment view","Previous ankle surgery reports (if available)","Recent blood tests including HbA1c and coagulation"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 10-14 days locally until wound check and suture removal, then follow-up at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Speak directly with the doctor, dentist or nurse who will carry out the treatment before booking","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Speak directly to the doctor, dentist or nurse who will be carrying out your treatment before you book your trip.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the treating professional's qualifications and references independently","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Check their qualifications and references independently.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm a face-to-face consultation with the health professional who will carry out the surgery happens before the procedure","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"A face-to-face consultation with the health professional who will carry out any planned surgery or treatment must take place before any procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the facility uses an internationally accredited clinic or hospital, though accreditation does not guarantee a good outcome","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Individuals planning overseas treatment are advised to use internationally accredited clinics or hospitals, although using an accredited clinic or hospital does not guarantee a satisfactory outcome [4].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Confirm aftercare arrangements and what happens if complications occur or the result is unsatisfactory","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Confirm arrangements for aftercare and check what will happen if there are complications, or if you are unhappy with the results of your procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check the clinic or hospital is registered with local health authorities and is fully insured","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Check the clinic or hospital carrying out your procedure is registered with local health authorities and is fully insured.","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":"The clinic markets the surgery as a holiday package","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Beware of any hospital which markets cosmetic surgery as a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Treatment advice comes from a travel agent, sales representative or administrator rather than a doctor","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"You are asked to agree to surgery before meeting the surgeon who will operate","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not agree to cosmetic surgery before meeting the surgeon carrying out the procedure and visiting the hospital where the procedure will take place [2].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The facility cannot provide evidence of accreditation by a recognized international accrediting body","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Patients should only be referred for medical care to institutions that have been accredited by recognized international accrediting bodies (e.g., the Joint Commission International or the International Society for Quality in Health Care).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Throbbing or cramping pain in one leg","urgency":"contact_clinic","general":false,"source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"– throbbing or cramping pain in 1 leg (rarely both legs), usually in the calf or thigh","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Warm skin around the painful area","urgency":"emergency","general":false,"source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"– warm skin around the painful area","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Feeling generally unwell or having a temperature","urgency":"contact_clinic","general":true,"source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"tell your GP as soon as possible if you feel generally unwell or have a temperature.","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":"Home doctor needs prescriptions to continue medicines after returning","document":"prescriptions","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs scans and x-rays to assess progress and plan follow-up","document":"scans and x-rays","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-13","http_status":200}},{"id":"T3","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":"T4","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your ankle pain is still controlled without surgery","name":"Painkillers","source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"This pain cannot be controlled by other things like painkillers, shoe inserts, physiotherapy or using a walking aid.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your ankle pain is still controlled without surgery","name":"Physiotherapy","source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"This pain cannot be controlled by other things like painkillers, shoe inserts, physiotherapy or using a walking aid.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":128},{"id":"A3","text":"You accept losing ankle movement to relieve arthritis pain","name":"Ankle fusion","source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"Unlike an ankle fusion, a replacement allows you to move your joint after surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"total-ankle-arthroplasty","name":"Total ankle arthroplasty via anterior approach with fixed-bearing or mobile-bearing implant","how_it_works":{"text":"Worn ankle bone ends are replaced with metal and plastic parts","source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"A total ankle replacement involves taking out the worn-out ends of your tibia and talus bones (two bones that form the main hinge in your ankle) and replacing them with artificial ends made from metal with a plastic insert.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":12,"max":12,"unit":"weeks","label":"12 weeks","source":{"url":"https://consultqd.clevelandclinic.org/total-ankle-replacement-is-an-option-for-most-patients-with-end-stage-ankle-arthritis","host":"consultqd.clevelandclinic.org","quote":"Most patients return to daily activities within three months.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=litva/procedure=zamena-loduzhechnogo-sustava/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-13T16:50:51.000Z","activeCountries":["LT","TR","ES","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}