メリヴァ・カルディオリタ病院は、バルト三国で唯一のJCI認定施設です。同病院では、人工関節置換術後の合併症発生率が3％と低いことが報告されています。患者には耐久性に優れた人工関節が提供され、その平均使用期間は17～18年です。同センターには4室の手術室と、術後の回復を支援する独自のリハビリテーション部門があります。専任のコーディネーターが、海外からの患者の滞在をサポートします。ヴィリニュスにあるこの私立病院は、44床と専門検査室において、厳格な国際安全基準を遵守しています。
","text_type":"mt_wow_description","best_texts":{"good_fit_for":"足関節置換術後に院内リハビリを希望する患者","why_its_ranked":"足関節置換術：インプラントの耐用年数は17～18年、合併症率は3%。バルト諸国で唯一のJCI認定病院。関節鏡視下手術および観血的手術。"},"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":"人工足関節置換術","alias":"ankle-joint-replacement"}},{"prices":{"price_from":150,"price_to":150,"currency":"USD","id":60346},"diagnostic":{"id":457,"name":"治療計画作成相談","alias":"consultation-with-creation-of-treatment-plan"}},{"prices":{"price_from":200,"price_to":340,"currency":"USD","id":30624},"diagnostic":{"id":240,"name":"MRI検査","alias":"mri-of-the-spine"}}],"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","short_description":"Meliva Kardiolita Hospitalは、バルト三国で唯一JCI認証を取得した病院です。ヴィリニュスにあるこの私立病院は、年間約30万人の患者を受け入れています。主な専門分野は、整形外科、心臓外科、形成外科、肥満外科（バリアトリック手術）です。
Nordorthopaedicsは、リトアニアのカウナスとヴィリニュスにある民間の整形外科クリニックです。1971年に設立されました。人工関節置換術、関節鏡手術、小児整形外科を専門としています。5人の外科医が年間1,000件を超える手術を行っています。主任外科医のSarunas Tarasevicius教授は、7,000件を超える人工関節置換術を行ってきました。
外科医のVytautas Kimtysは、足関節置換術を500件、足関節固定術を1,000件行ってきました。Nordorthopaedicsは、この地域で唯一のSmith & Nephewセンター・オブ・エクセレンスです。患者はZimmer BiometやHintegraなどの新世代インプラントを選択できます。すべての回復プランに、10日間のリハビリテーションプログラムが含まれています。患者の80％以上が英国、アイルランド、ノルウェー、スウェーデンから来院しています。
","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は、リトアニアのカウナスとヴィリニュスにある民間の整形外科クリニックです。1971年に設立されました。人工関節置換術、関節鏡手術、小児整形外科を専門としています。5人の外科医が年間1,000件を超える手術を行っています。主任外科医のSarunas Tarasevicius教授は、7,000件を超える人工関節置換術を行ってきました。
外科医のVytautas Kimtysは、足関節置換術を500件、足関節固定術を1,000件行ってきました。Nordorthopaedicsは、この地域で唯一のSmith & Nephewセンター・オブ・エクセレンスです。患者はZimmer BiometやHintegraなどの新世代インプラントを選択できます。すべての回復プランに、10日間のリハビリテーションプログラムが含まれています。患者の80％以上が英国、アイルランド、ノルウェー、スウェーデンから来院しています。
","images":[{"base_url":"clinic/68beca0fbeb03","title":"Medical team at Nordorthopaedics clinic in Lithuania, doctors in surgical attire"},{"base_url":"clinic/68beca417aaf7","title":"Orthopedic surgeon at Nordorthopaedics clinic operating room, Vilnius, Lithuania"},{"base_url":"clinic/68beca4f6a396","title":"Orthopedic surgeon in operating room at Nordorthopaedics Clinic, Lithuania"},{"base_url":"clinic/68beca5aa28ed","title":"Waiting area at Nordorthopaedics Clinic with modern chairs and artwork in Vilnius"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"リトアニア","id":215,"alias":"lithuania","iso_code":"LT"},"city":{"name":"カウナス","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":[{"card_text":"Rimas Darijus医師は、医療診断治療センターで足関節置換術および関節鏡検査を専門とする経験豊富な整形外科医です。
リマス・ダリウス医師は、ヴィリニュスの医療診断・治療センターの整形外科医です。スペインで開発された独自の軟骨再生手術を提供しています。ダリウス医師は、外反母趾や足首の手術、および複雑な関節鏡手術を専門としています。JCI認定施設で勤務しており、患者ケアにおける米国の外科的安全基準を満たしています。
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。
Nordorthopaedicsは、リトアニアのカウナスとヴィリニュスにある民間の整形外科クリニックです。1971年に設立されました。人工関節置換術、関節鏡手術、小児整形外科を専門としています。5人の外科医が年間1,000件を超える手術を行っています。主任外科医のSarunas Tarasevicius教授は、7,000件を超える人工関節置換術を行ってきました。
外科医のVytautas Kimtysは、足関節置換術を500件、足関節固定術を1,000件行ってきました。Nordorthopaedicsは、この地域で唯一のSmith & Nephewセンター・オブ・エクセレンスです。患者はZimmer BiometやHintegraなどの新世代インプラントを選択できます。すべての回復プランに、10日間のリハビリテーションプログラムが含まれています。患者の80％以上が英国、アイルランド、ノルウェー、スウェーデンから来院しています。
","images":[{"base_url":"clinic/68beca0fbeb03","title":"Medical team at Nordorthopaedics clinic in Lithuania, doctors in surgical attire"},{"base_url":"clinic/68beca417aaf7","title":"Orthopedic surgeon at Nordorthopaedics clinic operating room, Vilnius, Lithuania"},{"base_url":"clinic/68beca4f6a396","title":"Orthopedic surgeon in operating room at Nordorthopaedics Clinic, Lithuania"},{"base_url":"clinic/68beca5aa28ed","title":"Waiting area at Nordorthopaedics Clinic with modern chairs and artwork in Vilnius"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"リトアニア","id":215,"alias":"lithuania","iso_code":"LT"},"city":{"name":"カウナス","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":2,"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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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":"Ask questions directly to the treating clinicians before treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check whether the clinic or hospital has satisfactory facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Confirm that the treatment plan includes coordinated aftercare","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Choose an internationally accredited clinic or hospital","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":"2026-11-12","http_status":403}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell or pressure to make a quick decision is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"- a hard sell - a lack of information - pressure to make a quick decision - no discussion of possible complications - no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The consultation does not explain possible complications","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"- a hard sell - a lack of information - pressure to make a quick decision - no discussion of possible complications - no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The consultation does not mention aftercare","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"- a hard sell - a lack of information - pressure to make a quick decision - no discussion of possible complications - no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Redness, warmth, drainage, or bad incision smell","urgency":"contact_clinic","general":false,"source":{"url":"https://healthcare.utah.edu/orthopaedics/specialties/foot-ankle-pain/surgery/total-ankle-replacement","host":"healthcare.utah.edu","quote":"Redness, warmth, drainage, or a bad smell from the incision (signs of an infection)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Worsening or newly returning ankle pain","urgency":"contact_clinic","general":false,"source":{"url":"https://healthcare.utah.edu/orthopaedics/specialties/foot-ankle-pain/surgery/total-ankle-replacement","host":"healthcare.utah.edu","quote":"Increasing pain that does not slowly improve or that returns after a period of feeling better","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Pus or heavy incision bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/14595-total-ankle-replacement","host":"my.clevelandclinic.org","quote":"Pus or a lot of blood draining from the incision","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"It lets clinicians at home continue follow-up care","document":"medical care documentation","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"They provide imaging information for follow-up care","document":"x-rays and scans","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure [4].","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written 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ankle arthroplasty via anterior approach with fixed-bearing or mobile-bearing implant","how_it_works":{"text":"The surgeon replaces damaged ankle bones and cartilage with a prosthetic implant","source":{"url":"https://my.clevelandclinic.org/health/treatments/14595-total-ankle-replacement","host":"my.clevelandclinic.org","quote":"replaces damaged bones and cartilage in your ankle joint with a prosthetic implant","tier":"tier1_medical","fetched_at":"2026-11-12","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":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=litva/procedure=zamena-loduzhechnogo-sustava/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}