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</ul>","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,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":176,"alias":"medical-diagnostic-and-treatment-center","name":"Medical Diagnostic and Treatment Center","short_description":"<p>Medical Diagnostic and Treatment Centerは、ヴィリニュスにあるJCI認定の民間クリニックで、年間6万人の患者にサービスを提供しています。200人の医師と53の診療科を擁し、リトアニア最大級の民間クリニックの一つです。主な診療分野は、診断、外科、リハビリテーションです。</p> <ul> <li>過去5年間、術後感染症ゼロ（年間2,500件以上の手術を実施）。</li> <li>600種類以上の検査と年間30万件の診察をカバーする1日健康診断。</li> <li>研究所は、ヨーロッパ最高水準のシステムであるLABQUALITY（フィンランド）の外部品質管理の下で運営されています。</li> <li>200の国際機関およびリトアニアの機関と協力し、ドイツの提携研究所とも連携しています。</li> <li>リハビリテーションプログラムでは、光、水、温熱などの自然の要素を活用して回復を促進します。</li> </ul>","images":[{"base_url":"clinic/5c88c27baf303","title":"Modern facade of Medical Diagnostic and Treatment Center clinic building"},{"base_url":"clinic/5ae9d0e407a9d","title":"room"},{"base_url":"clinic/5ae9d0dea6aea","title":"Ophthalmology exam room at Medical Diagnostic and Treatment Center with eye test equipment"},{"base_url":"clinic/5ae9d0df66a10","title":"Gynecology examination room at Medical Diagnostic and Treatment Center with modern equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"リトアニア","id":215,"alias":"lithuania","iso_code":"LT"},"city":{"name":"ビリニュス","id":310,"alias":"vilnius"},"address":"V. Grybo g. 32a, Vilnius 10318, Lietuva"},"rating":{"rating":4.6,"google":3.6,"percent_of_satisfied_clients":84},"statistics":{"number_of_reviews":26,"doctors_number":200,"year_foundation":1995},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"}]}}],"meta":{"total_count":3,"total_pages":1}},"reviews":{"reviews":[{"id":27917,"user":{"id":1099188,"name":"Ingrid ","country_code":"MT"},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"translation","value":2},{"name":"recommend","value":9},{"name":"manager","value":0},{"name":"relative_price","value":0}],"text":{"jp":"The contact coordinator was excellent. The doctor was warm, patient, and explained everything very well, though the English support in the hospital itself could be improved. I came in for a hip problem, but it turned out well; no surgery was needed, just specific exercises. The final price matched the quote with no unexpected additional expenses. I suppose there is no further contact from the clinic now that I am home. It was a good experience."},"order":{"operation":{"id":1150,"name":{"jp":"人工股関節再置換術","en":"Total hip replacement (arthroplasty) revision"}},"diagnostic":{"id":354,"name":{"jp":"整形外科医相談","en":"Consultation with an orthopaedist"}}},"clinic_info":{"id":253,"name":"Meliva Kardiolita Hospital ","alias":"kardiolita-private-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-10-21T07:32:59.464+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"coordinator_mentioned","value":true}],"client_response":{"what_like_text":{"jp":"Contact coordinator was TOP. Clinic was good and doctor was warm and patient and explained all verywell. Really recommendable"},"what_not_like_text":{"jp":"English  support in hospital must improve.\nNothing could be better"}},"summary":{"positive":{"jp":"The doctor was warm, patient, and explained everything very well."}}},{"id":2763,"user":{"id":17206,"name":"Jill ","country_code":"GB","country_name":{"jp":"イギリス","en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"jp":"医療と設備は素晴らしかったです。クリニックは非常に印象的で、スタッフは専門的で、忍耐強く、非常に注意深かったです。私たちが見たすべてのコンサルタントは徹底的な診察を行い、必要に応じて、即座にテストの手配を行ってくれました。テストはその場で実施されるか、受付スタッフが複雑なテストのために他の施設へ搬送し同行してくれました。イギリスで6年間診断を得るのに苦労した後、カーディオリトスでの5日間を経てようやく問題が何であるかを知り、その医療問題の管理方法について今後の見通しが立ちました。これはすべて、最初から最後まで旅行の手配をしてくれたBookimedのアンナと、クリニックの素晴らしい医療コーディネーターであるジョリータのおかげです。彼らは地元の宿泊施設や交通についての情報にも快く協力してくれました。このサービスとカーディオリトスクリニックを心からお勧めします。","en":"The healthcare and equipment were superb. The clinic is very impressive and the staff were professional, patient and extremely attentive. All the consultants we saw provided thorough examinations, and where needed, arranged immediate tests which were either conducted on site or we were transported and escorted by the reception staff to other facilities for more complex tests. Having spent 6 frustrating years trying to get a diagnosis in the UK, we came away after 5 days at Kardiolitos finally knowing what the problems are, and how the management of those medical issues could be managed in the future. This was all made possible by Anna at Bookimed who arranged the entire trip from start to finish, together with the help of the wonderful medical coordinator, Jolita,  at the clinic.  They were more than happy to help with information about local accommodation and local logistics. I would thoroughly recommend this service and the Kardiolitos Clinic."},"order":{"illness":{"id":34,"name":{"jp":"強直性脊椎炎","en":"Ankylosing spondylitis"}}},"clinic_info":{"id":253,"name":"Meliva Kardiolita Hospital ","alias":"kardiolita-private-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-01-26T09:40:01.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"このサービスとカルディオリトスクリニックを強くお勧めします。 医師について：私たちが会ったすべてのコンサルタントは、徹底した検査を提供しました。 クリニックについて：医療サービスと設備は素晴らしかったです。クリニックは非常に印象的で、スタッフはプロフェッショナルで、忍耐強く、非常に注意深かったです。 結果について：英国で6年間も診断を受けるのに苦労した後、カルディオリトスで5日を過ごした結果、ついに問題が何であるか、今後どのようにそれらの医療問題を管理できるかを知ることができました。 体験について：これらすべては、最初から最後まで旅行を手配してくれたBookimedのアンナと、クリニックで素晴らしい調整をしてくれたジョリータのおかげで可能になりました。彼らは地元の宿泊施設や物流に関する情報を喜んで提供してくれました。 最も前向きな文章：このサービスとカルディオリトスクリニックを強くお勧めし","en":"I would thoroughly recommend this service and the Kardiolitos Clinic.About the Doctor: All the consultants we saw provided thorough examinations.About the Clinic: The healthcare and equipment were superb. The clinic is very impressive and the staff were professional, patient and extremely attentive.About the Results: Having spent 6 frustrating years trying to get a diagnosis in the UK, we came awa"}}},{"id":3632,"user":{"id":80351,"name":"Helen Perry-Hughes","country_code":"GB","country_name":{"jp":"イギリス","en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"jp":"クリニックで検査と相談を受けましたが、今回は希望する治療を受けることができませんでした。数週間後にクリニックに戻る予定です。私が出会った方々は非常に助けになり、完璧な英語を話し、とてもよく世話をしてくれました。","en":"I had tests and a consultation at the clinic but was unable to have the treatment I wanted at this time. I will be returning to the clinic in a few weeks. The people I met were really helpful, spoke perfect English and looked after me very well."},"order":{"operation":{"id":139,"name":{"jp":"幹細胞療法","en":"Stem Cell Therapy"}}},"clinic_info":{"id":253,"name":"Meliva Kardiolita Hospital ","alias":"kardiolita-private-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-04-20T13:36:39.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"私が出会った人々はとても親切で、完璧な英語を話し、私のことを非常によく世話してくれました。","en":"The people I met were really helpful, spoke perfect English and looked after me very well."}}},{"id":3332,"user":{"id":64468,"name":"Gennadii Mikhailov","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"jp":"クリニックに2019年3月18日から3月26日まで滞在しました。病室番号は210、スタッフは非常に注意深く、医師には大変満足しています。","en":"He stayed in the clinic from 18.03 to 26.03 2019. Chamber number 210, the staff is very attentive, extremely satisfied with the doctor"},"order":{"operation":{"id":671,"name":{"jp":"人工股関節置換術","en":"Hip replacement"}},"illness":{"id":3363,"name":{"jp":"股関節症","en":"Osteoarthritis of the hip"}}},"clinic_info":{"id":253,"name":"Meliva Kardiolita Hospital ","alias":"kardiolita-private-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-03-28T14:12:49.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/5c9e4e222809b_b.jpeg","preview_url":"review/5c9e4e222809b_s.jpeg"}],"summary":{"positive":{"jp":"スタッフは非常に注意深く、医師には極めて満足しています。","en":"\"The staff is very attentive, extremely satisfied with the doctor.\""}}},{"id":16577,"user":{"id":636843,"name":"Mark Groder","country_code":"LV","country_name":{"jp":"ラトビア","en":"Latvia"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":4},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":8},{"name":"manager","value":5}],"text":{"jp":"官僚主義のスピードに戸惑いながらも、すべてうまくいった。","en":"Everything went fine, confused by the speed of the bureaucracy but nothing critical"},"order":{"illness":{"id":689,"name":{"jp":"漏斗胸","en":"Funnel chest deformity"}}},"clinic_info":{"id":253,"name":"Meliva Kardiolita Hospital ","alias":"kardiolita-private-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-08-31T10:52:16.604+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"すべて順調にいきました","en":"Everything went fine"}}},{"id":6854,"user":{"id":176504,"name":"Richard ","country_code":"GB","country_name":{"jp":"イギリス","en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"jp":"素晴らしい！とても丁寧に対応していただきました。","en":"Brilliant! I was well looked after."},"order":{"operation":{"id":667,"name":{"jp":"膝の幹細胞治療","en":"Stem cell therapy for knees"}}},"clinic_info":{"id":253,"name":"Meliva Kardiolita Hospital ","alias":"kardiolita-private-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-03-07T12:43:51.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"優れたサービス","en":"Excellent service"},"summary":{"positive":{"jp":"素晴らしい！","en":"Brilliant!"}}},{"id":20989,"user":{"id":695655,"name":"Viktor Besarabchuk","country_code":"UA","country_name":{"jp":"ウクライナ","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"relative_price","value":1},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":2},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"jp":"先生の力量が気に入りました。このクリニックに行くことをお勧めします。クリニックの管理者が私の来院日を古い日付で登録したのが気に食わなかった。その場で次回の来院日を登録しなければなりませんでした。当サイトBookimed.comのサポートは素晴らしいです。","en":"I liked the competence of the doctor. I recommend visiting this clinic. I did not like the registration of my visit to the clinic by the clinic administrator, as she indicated an outdated date of visit. I had to register my next visit to the clinic on the spot. Support from our website Bookimed.com is excellent"},"order":{"diagnostic":{"id":125,"name":{"jp":"整形外科診察","en":"Consultation with an orthopedist (traumatologist)"}}},"clinic_info":{"id":253,"name":"Meliva Kardiolita Hospital ","alias":"kardiolita-private-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-08-01T16:02:52.708+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"jp":"先生の力量が気に入りました。このクリニックに行くことをお勧めします。クリニックの管理者が私の来院日を古い日付で登録したのが気に食わなかった。その場で次回の来院日を登録しなければなりませんでした。当サイトBookimed.comのサポートは素晴らしいです。","en":"I liked the competence of the doctor. I recommend visiting this clinic. I did not like the registration of my visit to the clinic by the clinic administrator, as she indicated an outdated date of visit. I had to register my next visit to the clinic on the spot. Support from our website Bookimed.com is excellent"},"what_like_text":{"jp":"医師の能力","en":"Competence of the doctor"},"what_not_like_text":{"jp":"施設の管理者との交流","en":"Interaction of the administration of the institution"}},"comment_about_bookimed":{"jp":"Bookimedのサービスを利用することをお勧めする。","en":"I recommend using the services of Bookimed, as they will successfully select a clinic that will meet your needs"},"summary":{"positive":{"jp":"わたしたちのウェブサイトBookimed.comからのサポートは優れています","en":"Support from our website Bookimed.com is 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gradually improves over several weeks, with long-term pain relief typically better than before surgery.","preparation":["Pre-operative medical assessment and fitness for anesthesia","Blood tests, imaging (X-ray, CT/MRI) and surgical planning","Review of medications with the surgical and anesthesia team","Fasting before general anesthesia as instructed","Smoking cessation and optimization of chronic conditions","Plan home help and sling/one-handed activity arrangements","Screening for infection (e.g., dental, skin)"],"recovery_timeline":[{"phase":"Hospital stay (days 0-2)","description":"Pain control, sling, early gentle movement guided by therapist.","restrictions":["Sling use","No active lifting of the arm"]},{"phase":"Early recovery (weeks 1-6)","description":"Passive and assisted motion, wound healing, sling use as directed.","restrictions":["No lifting or pushing with the operated arm","No driving while in sling or on opioids"]},{"phase":"Active motion (weeks 6-12)","description":"Sling weaned; active range of motion and daily activities resume.","restrictions":["Avoid heavy lifting","Avoid forceful overhead movements"]},{"phase":"Strengthening (months 3-6)","description":"Progressive strengthening and return to light recreational activity.","restrictions":["Avoid heavy repetitive or impact loading"]},{"phase":"Final recovery (6-12 months)","description":"Continued gains in strength and function.","restrictions":["Long-term avoidance of heavy overhead lifting as advised"]}],"rehabilitation_days":{"min":90,"max":180,"unit":"days","qualifier":"Ordinary functional recovery with supervised physiotherapy and home exercises until daily activities are comfortable; strength continues improving later."},"result_longevity":"Many implants function well for 10-20 years or more, but longevity depends on implant type, patient activity, bone quality and indication.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Revision surgery within about 10 years of primary replacement; lower in first 2 years."},"scars":"A single scar about 10-15 cm, usually along the front of the shoulder (deltopectoral approach); fades over many months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for a primary one-sided shoulder replacement."},"stages":[{"code":"surgery","label":"Shoulder replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single-stage primary replacement of one shoulder."},"success":{"metric":"Patients with significant pain relief and improved function","value":90,"unit":"percent of patients","horizon":"2 years after surgery","population":"Adults with end-stage glenohumeral arthritis undergoing primary shoulder replacement","evidence_status":"limited"},"techniques":[{"name":"Anatomic total shoulder arthroplasty","suits_whom":"Arthritis with intact rotator cuff and adequate glenoid bone","recovery":"Sling about 4-6 weeks, progressive rehab over 3-6 months"},{"name":"Reverse total shoulder arthroplasty","suits_whom":"Cuff tear arthropathy, deficient rotator cuff, complex fractures, older patients","recovery":"Similar timeline; sling about 4-6 weeks, with specific motion precautions"},{"name":"Hemiarthroplasty","suits_whom":"Selected fractures or avascular necrosis with intact glenoid","recovery":"Similar to total replacement; rehab may be slower if tuberosities need healing"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operative time for a primary shoulder replacement, excluding anesthesia and recovery."},"initial_assessment_documents":["Shoulder X-rays","Shoulder MRI or CT scan report","Orthopedic clinic notes on shoulder","List of blood thinners","Previous shoulder surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; 1-2 nights in hospital, then about 10-14 days in country until wound check. Later reviews at home."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=litva/city=vilnus/procedure=zamena-plechevogo-sustava/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":104,"alias":"injuries-to-bones-and-joints","name":"骨折および関節の損傷"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}