Quironsalud Torrevieja est un hôpital privé accrédité par la JCI et le principal centre médical du sud-est de l'Espagne. Il appartient au plus grand réseau hospitalier privé d'Espagne. Ses spécialités principales incluent l'orthopédie, la neurologie, l'endocrinologie, l'oncologie et la chirurgie.
Quironsalud Torrevieja est un hôpital privé accrédité par la JCI et le principal centre médical du sud-est de l'Espagne. Il appartient au plus grand réseau hospitalier privé d'Espagne. Ses spécialités principales incluent l'orthopédie, la neurologie, l'endocrinologie, l'oncologie et la chirurgie.
Le Dr Pau Rigol Ramon se spécialise dans les prothèses de cheville personnalisées en 3D et les techniques mini-invasives, fort de 18 ans d'expérience et de plus de 900 interventions réalisées. Le remplacement de l'articulation de la cheville au Centro Médico Teknon peut coûter environ 15 000 € à 30 000 €, couvrant généralement l'implant, la chirurgie, 3 à 5 jours d'hospitalisation et les soins de suivi. La clinique, accréditée par la JCI, affiche une note de 4,7/5 basée sur plus de 425 avis de patients. Le Dr Rigol se consacre exclusivement aux chirurgies complexes du pied et de la cheville, proposant des options de prothèses 3D standards et sur mesure.
L'hôpital Teknon (Centro Medico Teknon) est un établissement médical privé situé à Barcelone, en Espagne. Des médecins de renommée mondiale assurent le diagnostic et le traitement à Teknon.
L'épileptologie (traitement de l'épilepsie), la neurochirurgie, l'oncologie, la chirurgie cardiaque et la thérapie par cellules souches sont les principales spécialités de l'hôpital Teknon.
L'hôpital Teknon est le premier choix des célébrités, des sportifs et des politiciens. Les médecins de Teknon ont accouché du bébé de Shakira (célèbre chanteuse), opéré Andrés Iniesta (footballeur professionnel espagnol), Thomas Röhler (athlète allemand participant au lancer du javelot), et fourni une thérapie par cellules souches aux joueurs de football du FC Barcelone.
La clinique Teknon est un centre médical moderne qui propose une gamme complète de services médicaux. Les patients du monde entier peuvent y trouver des soins de premier ordre pour divers besoins médicaux, allant des consultations en ligne aux interventions chirurgicales complexes. Notre équipe de médecins et de coordinateurs médicaux hautement qualifiés travaille ensemble pour assurer la plus haute qualité de soins et la satisfaction des patients.
Les 5 principaux avantages de la clinique Teknon sont :
Le Dr Manuel Leyes apporte 30 ans d'expertise en orthopédie, ayant réalisé plus de 1 100 interventions articulaires, y compris le traitement du vainqueur du Tour de France Alberto Contador. Une arthroplastie totale de la cheville peut coûter environ 25 000 à 35 000 €, couvrant généralement la chirurgie, l'anesthésie et 3 à 5 jours en chambre individuelle. La clinique Olympia Quirónsalud, accréditée par la JCI, utilise des prothèses personnalisées avancées pour un ajustement précis. Le Dr Leyes figure parmi les meilleurs chirurgiens orthopédistes d'Espagne et propose des techniques mini-invasives pour réduire le temps de récupération.
Olympia, qui fait partie du groupe Quirónsalud, est un projet unique en Espagne qui combine l'essence de Quirónsalud et ses soins centrés sur la personne en mettant l'accent sur les nouvelles tendances en matière de santé et la préservation de la santé physique, mentale et émotionnelle.
\n","images":[{"base_url":"clinic/64522c8646b4f","title":"Façade de la clinique Olympia Quironsalud avec architecture moderne et jardins paysagers"},{"base_url":"clinic/64522c873dc0d","title":"Espace fitness à la clinique Olympia Quironsalud avec tapis de course et point d'eau"},{"base_url":"clinic/64522c87ee560","title":"Consultation orthopédique à la clinique Olympia Quironsalud, examen du bras du patient"},{"base_url":"clinic/64522c88b996f","title":"Accueil et salle d'attente à la clinique Olympia Quironsalud avec sièges modernes"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Espagne","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"P.º de la Castellana, 259B, 28029 Madrid, Испания"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":30,"year_foundation":2022},"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":"L'Hospital Ruber Internacional est un hôpital privé accrédité par la JCI à Madrid, en Espagne. Classé parmi les 6 meilleurs hôpitaux d'Espagne par Forbes. Spécialisé en neurochirurgie, orthopédie et cardiologie.
L'Hospital Ruber Internacional est un hôpital privé accrédité par la JCI à Madrid, en Espagne. Classé parmi les 6 meilleurs hôpitaux d'Espagne par Forbes. Spécialisé en neurochirurgie, orthopédie et cardiologie.
L'hôpital Sant Joan de Déu (Barcelone, Espagne) accepte de traiter les enfants de l'âge du nourrisson jusqu'à 21. L'hôpital fait partie des Top-5 institutions médicales en Europe et est reconnu comme le plus important dans le domaine du traitement de l'oncologie pédiatrique. Le centre dispose de son propre laboratoire de médecine moléculaire où sont développées des méthodes thérapeutiques innovantes.
\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"1"}],"reviews":[],"clinic":{"id":272,"alias":"sant-joan-de-déu-–-barcelona-children’s-hospital","name":"Hospital Sant Joan de Déu Barcelona","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/272-6ac3a2ac80dbd.png","short_description":"L'hôpital Sant Joan de Déu (Barcelone, Espagne) accepte de traiter les enfants de l'âge du nourrisson jusqu'à 21. L'hôpital fait partie des Top-5 institutions médicales en Europe et est reconnu comme le plus important dans le domaine du traitement de l'oncologie pédiatrique. Le centre dispose de son propre laboratoire de médecine moléculaire où sont développées des méthodes thérapeutiques innovantes.
\n","images":[{"base_url":"clinic/5c6186e4e289f","title":"Espace d'attente spacieux à l'hôpital pour enfants SJD Barcelone au design moderne"},{"base_url":"clinic/64c909345a308","title":"Façade extérieure colorée et moderne du SJD Barcelona Children’s Hospital"},{"base_url":"clinic/64c909b816e22","title":"Toboggan pour enfants et escalator à l'intérieur de SJD Barcelona Children’s Hospital"},{"base_url":"clinic/67b83b657382d","title":"Personnel médical transportant un patient dans le couloir de SJD Barcelona Children’s Hospital"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Espagne","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelone","id":98,"alias":"barcelona"},"address":"Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, Spain"},"rating":{"rating":4.7,"google":4.1,"percent_of_satisfied_clients":95},"statistics":{"number_of_reviews":44,"doctors_number":800,"year_foundation":1867},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb723280c87.jpeg","name":"Prix Bookimed : Meilleur hôpital pédiatrique","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6361000490242.jpeg","name":"Meilleurs hôpitaux spécialisés du monde 2022 par Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"1"}]}}],"meta":{"total_count":5,"total_pages":1}},"clinicsMeta":{"total_count":5,"total_pages":1},"clinicsCount":5,"clinicsCountByEntity":{"clinic_count":63},"doctors":{"doctors":[{"doctor":{"id":10050,"alias":"pau-rigol-ramon","name":"Pau Rigol Ramon","clinic_id":78,"photo":"doctor/6841a7a48bd53","first_year_working":2007,"created_at":"2025-06-05T14:20:19.678+00:00","description":"Spécialiste de premier plan en orthopédie et traumatologie
Membre de l’équipe TraumaUnit, dirigée par le Dr Joaquim Casanyas Sintes
Centro Médico Teknon (Barcelone)
Faculté de médecine, Université autonome de Barcelone (UAB), 1998–2004
Internat en orthopédie et traumatologie, Parc de Salut Mar, Barcelone, 2005–2010
Note finale à l’examen MIR (SECOT) : avec distinction
Formation chirurgicale postuniversitaire, UAB, 2006–2007
Pathologie du pied – excellent
Traumatologie du membre supérieur – excellent
Tumeurs de l’appareil locomoteur – avec mention
Ostéosynthèse – excellent
Chirurgie de la main et du coude – excellent
Chirurgien orthopédiste, Hospital de Viladecans, 2010
Orthopédiste, PAMEM, Barcelone, 2010
Orthopédiste, Parc de Salut Mar, Barcelone, 2010–2015
Spécialiste principal et coordinateur du Centre du pied diabétique, Hospital Universitari d’Igualada, 2015–2022
Chirurgien orthopédiste, Parc Taulí, Sabadell — services du pied et de traumatologie, 2022–aujourd’hui
Depuis 2021 — membre de TraumaUnit à Teknon : l’une des principales équipes d’orthopédie d’Europe, spécialisée dans les reconstructions complexes, les nerfs périphériques, le plexus brachial et les traumatismes complexes
Consultant en fixation externe et traitement du pied diabétique auprès de MBA (Orthofix) et Medcomtech (Mikai)
Depuis 2015 — spécialiste invité à NAGARKOT
Santa Corona Hospital, Italie, 2020 — formation avancée auprès du Dr Carlo Salomone
TrueLok Elevate, Vérone, 2024
Charcot Foot Reconstruction, Vérone, 2023
Diabetic Foot Symposium, La Haye, 2023
IBRA Severe Foot & Ankle Deformities, Londres, 2018
Arthroscopie de la cheville, Barcelone, 2018
Percutaneous Foot Surgery, IMSKE Valence, 2022
Vall d’Hebron Foot & Knee Training, Barcelone, 2021
Intervenant régulier et membre du comité scientifique de conférences nationales et internationales consacrées au pied diabétique, aux déformations et à la fixation externe
Interventions :
Diabetic Foot Iberia, Barcelone, 2024
Standing Strong, MBA Barcelone, 2024 – modérateur et intervenant
Advances in Diabetic Foot, Parc Taulí, Sabadell, 2025 – directeur et intervenant
Flatfoot Case Review, AMES Medical, Barcelone, 2024
Membre du noyau de TraumaUnit — une équipe d’orthopédie de renommée internationale à Teknon
Parmi les spécialistes de premier plan du pied de Charcot, des déformations post-traumatiques et du pied diabétique
Participe activement à des programmes internationaux de formation chirurgicale
Plus de 15 ans d’expérience clinique dans les meilleurs hôpitaux d’Espagne
Le Dr Pau Rigol Ramon allie excellence chirurgicale, expérience internationale et approche scientifique. Des patients du monde entier lui font confiance pour la prise en charge des problèmes orthopédiques les plus complexes.
","specialities":[{"id":"ort.001","name":"Orthopedist","illness_kind_id":3},{"id":"sur.016","name":"Orthopedic surgeon ","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":78,"alias":"teknon-medical-center","name":"Centro Médico Teknon","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/78-6abd276198357.png","short_description":"L'hôpital Teknon (Centro Medico Teknon) est un établissement médical privé situé à Barcelone, en Espagne. Des médecins de renommée mondiale assurent le diagnostic et le traitement à Teknon.
L'épileptologie (traitement de l'épilepsie), la neurochirurgie, l'oncologie, la chirurgie cardiaque et la thérapie par cellules souches sont les principales spécialités de l'hôpital Teknon.
L'hôpital Teknon est le premier choix des célébrités, des sportifs et des politiciens. Les médecins de Teknon ont accouché du bébé de Shakira (célèbre chanteuse), opéré Andrés Iniesta (footballeur professionnel espagnol), Thomas Röhler (athlète allemand participant au lancer du javelot), et fourni une thérapie par cellules souches aux joueurs de football du FC Barcelone.
La clinique Teknon est un centre médical moderne qui propose une gamme complète de services médicaux. Les patients du monde entier peuvent y trouver des soins de premier ordre pour divers besoins médicaux, allant des consultations en ligne aux interventions chirurgicales complexes. Notre équipe de médecins et de coordinateurs médicaux hautement qualifiés travaille ensemble pour assurer la plus haute qualité de soins et la satisfaction des patients.
Les 5 principaux avantages de la clinique Teknon sont :
Près de _doctor_8927_ans_ en chirurgie orthopédique – Le Dr Leyes est spécialisé dans le remplacement de l'articulation de la cheville à Olympia Quironsalud à Madrid, alliant expertise internationale et connaissances en médecine du sport.
Le Dr Manuel Leyes est orthopédiste à Olympia Quironsalud à Madrid. Il possède près de 30 ans d'expérience en traumatologie sportive. Il a été reconnu comme le résident ayant le meilleur CV en Espagne. Le Dr Leyes effectue des remplacements robotisés du genou et des chirurgies arthroscopiques. Il est directeur des droits et des partenariats chez Olympia Quironsalud.
Olympia, qui fait partie du groupe Quirónsalud, est un projet unique en Espagne qui combine l'essence de Quirónsalud et ses soins centrés sur la personne en mettant l'accent sur les nouvelles tendances en matière de santé et la préservation de la santé physique, mentale et émotionnelle.
\n","images":[{"base_url":"clinic/64522c8646b4f","title":"Façade de la clinique Olympia Quironsalud avec architecture moderne et jardins paysagers"},{"base_url":"clinic/64522c873dc0d","title":"Espace fitness à la clinique Olympia Quironsalud avec tapis de course et point d'eau"},{"base_url":"clinic/64522c87ee560","title":"Consultation orthopédique à la clinique Olympia Quironsalud, examen du bras du patient"},{"base_url":"clinic/64522c88b996f","title":"Accueil et salle d'attente à la clinique Olympia Quironsalud avec sièges modernes"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Espagne","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"P.º de la Castellana, 259B, 28029 Madrid, Испания"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":30,"year_foundation":2022},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}]}},{"doctor":{"id":9047,"alias":"inmaculada-gomez-arrayas","name":"Inmaculada Gómez Arrayás","clinic_id":6225,"photo":"doctor/6757244eece54","first_year_working":1992,"created_at":"2024-12-09T17:09:34.066+00:00","short_description":"Le Dr Inmaculada Gómez Arrayás figure parmi les 100 meilleurs médecins d'Espagne selon Forbes. Elle est chef du service de traumatologie à l'hôpital Ruber Internacional de Madrid. Le Dr Arrayás est une pionnière dans l'utilisation de systèmes de navigation pour des chirurgies de remplacement articulaire précises. Elle est spécialisée dans les procédures mini-invasives de la hanche et du genou ainsi que dans les protocoles de récupération accélérée.
L'Hospital Ruber Internacional est un hôpital privé accrédité par la JCI à Madrid, en Espagne. Classé parmi les 6 meilleurs hôpitaux d'Espagne par Forbes. Spécialisé en neurochirurgie, orthopédie et cardiologie.
Le Dr Pablo de la Cuadra est spécialisé dans la reconstruction articulaire mini-invasive à l'Hospital Ruber Internacional, avec plus de 25 ans d'expérience en chirurgie orthopédique.
Le Dr Pablo De La Cuadra est chirurgien orthopédique à l'Hôpital Ruber Internacional de Madrid. Il dirige une équipe spécialisée en traumatologie et la unité des blessures sportives. Le Dr De La Cuadra est spécialisé dans les techniques arthroscopiques et reconstructives pour les troubles complexes de l'épaule. Il est titulaire d'un doctorat en médecine de l'Université autonome de Madrid.
L'Hospital Ruber Internacional est un hôpital privé accrédité par la JCI à Madrid, en Espagne. Classé parmi les 6 meilleurs hôpitaux d'Espagne par Forbes. Spécialisé en neurochirurgie, orthopédie et cardiologie.
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"},"DE":{"amount":23400,"max_amount":25500,"currency":"USD","clinic_count":1,"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"}},"available_clinics":{"US":false,"TR":true,"DE":true,"TH":false,"ES":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"},"DE":{"amount":21000,"max_amount":23800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","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,"DE":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"},"DE":{"amount":11800,"max_amount":12900,"currency":"USD","clinic_count":1,"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,"DE":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=spain/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":4},"manualSeo":[],"updatedAt":"2026-11-13T16:50:51.000Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}