キロンサルード・トレビエハは、スペインのアリカンテに位置する民間の多診療科医療センターです。スペイン南東部における民間病院の最高峰として、地中海の環境のもとで最高水準の医療を提供しています。同病院は整形外科、神経内科、内分泌科、および健康診断を専門とし、スペイン最大手の医療グループの一員です。
\n\nキロンサルード・トレビエハは、国際患者向けに高度な診断、専門医による診療、および個別化された治療を提供しており、特に腫瘍科、外科、および健康診断の分野に強みを持っています。同病院は、CIS諸国、ヨーロッパ、英連邦、米国、カナダ、およびオーストラリアからの患者を対象に、多言語サポートと優先受診を提供しています。成人・小児の双方に対応し、包括的な医療を提供しています。
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Turan ","photo":"doctor/612e235a45616","advisory_text":"カイハン・トゥラン医師は、ロボット支援関節置換術およびスポーツ医学を専門とする整形外科医です。同医師はトルコ初のロボット支援膝関節置換術および股関節置換術を執刀し、3500件以上のロボット支援手術を施行しています。","linkedin":"https://www.linkedin.com/in/drkayhanturan/","specialities":[{"id":"sur.016","name":"Orthopedic surgeon ","illness_kind_id":33}]},"direction":{"id":3,"name":"整形外科","alias":"orthopedics-and-traumatology"},"illness_kind":{"id":3,"name":{"en":"Orthopedics"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["regional","general"],"back_to_work_days":{"min":28,"max":84,"unit":"days","qualifier":"Primary total hip replacement; desk-based work earlier (about 4-6 weeks), physically demanding work later (about 8-12 weeks)."},"complication_rate_pct":{"min":2,"max":5,"unit":"percent","qualifier":"Major complications within 90 days: infection, clots, dislocation, fracture. Higher with low-volume surgeons and comorbidity."},"contraindications":["Active infection in the hip or elsewhere (absolute)","Severe uncontrolled medical illness making anesthesia unsafe","Insufficient bone stock or severely compromised abductor function (case-dependent)","Neuropathic joint or severe neuromuscular hip instability (relative)","Poorly controlled diabetes, very high BMI, smoking (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical primary total hip replacement; many centers discharge in 1-2 nights, some enhanced-recovery pathways use same day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":8,"max":12,"unit":"weeks","qualifier":"Low-impact activities such as walking, swimming and cycling after surgeon clearance; high-impact sport is often discouraged."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Full strength, gait and pain relief usually continue to improve up to about a year."},"fly_home_after_days":{"min":14,"max":42,"unit":"days","qualifier":"Short-haul from about 2 weeks if wound healed and walking safe; long-haul at 4-6 weeks."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound review and suture or staple removal if non-absorbable closure used."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":56,"unit":"days","qualifier":"Clinical and sometimes radiographic review at about 6-8 weeks."}},{"purpose":"result_review","requirement":"routine","after":{"min":84,"max":365,"unit":"days","qualifier":"Later review at about 3-12 months after surgery, with timing varying by surgeon."}}],"indications":["Advanced hip osteoarthritis with pain despite non-surgical treatment","Inflammatory arthritis, e.g. rheumatoid, with joint destruction","Avascular necrosis of the femoral head with collapse","Displaced femoral neck fracture in suitable patients","Post-traumatic hip arthritis","Hip dysplasia with secondary degenerative arthritis"],"main_risks":["Deep vein thrombosis and pulmonary embolism","Infection of the joint or wound","Dislocation of the prosthesis","Leg length difference","Periprosthetic fracture","Nerve or blood vessel injury","Implant loosening or wear over time","Persistent pain or stiffness","Bleeding and anesthesia-related risks"],"pain":"Moderate to significant pain in the first days, controlled with multimodal analgesia; usually settles substantially over 2-6 weeks, with residual ache possible for some months.","preparation":["Pre-operative medical assessment with blood tests and ECG as indicated","Hip imaging (X-ray, sometimes CT/MRI) and implant planning","Review of all medications and allergies with the surgical team","Optimise diabetes, anemia and weight; stop smoking","Dental, skin and urinary infection screening","Fasting before surgery as instructed","Home preparation, walking aids, pre-operative exercises and education"],"recovery_timeline":[{"phase":"Hospital stay (day 0-3)","description":"Mobilisation with physiotherapist on the day of or after surgery, pain control, and thrombosis prevention.","restrictions":["Walking with frame or crutches","Follow hip precautions if advised by surgeon"]},{"phase":"Early recovery (weeks 1-6)","description":"Progressive walking, home exercises, wound healing; transition from two crutches to one or a stick.","restrictions":["No driving until cleared","Avoid extreme hip flexion or twisting as advised","Avoid heavy lifting"]},{"phase":"Functional recovery (weeks 6-12)","description":"Walking without aids in most patients, return to desk work and light activity, strength rehabilitation.","restrictions":["Avoid high-impact activity"]},{"phase":"Late recovery (3-12 months)","description":"Continued strength gains and gradual return to low-impact recreational activity; final outcome reached.","restrictions":["Avoid high-impact and contact sports unless cleared"]}],"rehabilitation_days":{"min":42,"max":84,"unit":"days","qualifier":"Walking aids for 2-6 weeks; daily activities and driving resume at 6-12 weeks."},"result_longevity":"Modern implants often last 15-20 years or longer, but durability varies with implant type, age, activity level and weight.","revision_rate_pct":{"min":3,"max":7,"unit":"percent","qualifier":"Revision within about 10 years; higher at 15-20 years and varies with implant and age."},"scars":"One scar: 10-20 cm on the side or back of the hip, or 8-12 cm on the front. It fades to a thin line over 6-12 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for one hip; bilateral surgery is a separate or combined scenario."},"stages":[{"code":"hip_replacement_surgery","label":"Total hip replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Primary unilateral total hip replacement in one operation."},"success":{"metric":"Implant survival (freedom from revision for any cause)","value":95,"unit":"percent","horizon":"10 years","evidence_status":"proven","population":"Adults after primary total hip replacement for osteoarthritis; about 85-90% survive at 15-20 years."},"techniques":[{"name":"Posterior approach","suits_whom":"Most common approach, suitable for a wide range of patients and complex anatomy.","recovery":"Early walking; hip precautions often advised for several weeks."},{"name":"Direct anterior approach","suits_whom":"Selected patients, often with lean build, by experienced surgeons.","recovery":"Often quicker early mobilisation; fewer movement precautions in some protocols."},{"name":"Lateral (anterolateral) approach","suits_whom":"Patients where lower dislocation risk is prioritised.","recovery":"Possible temporary limp from abductor irritation; recovery otherwise similar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for primary unilateral total hip replacement, excluding anesthesia preparation and recovery."},"initial_assessment_documents":["Pelvis and hip X-ray, AP and lateral","Hip MRI or CT report (if available)","Orthopedic surgeon's report or clinical summary","List of blood thinners","Previous hip or spine surgery records (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 2-6 weeks until flight clearance. Later reviews usually at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the qualifications of the medical team who will treat you","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 checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Talk to the surgeon who will operate before you give consent, so you know who is doing the operation","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure that you talk to the surgeon who will be performing your procedure before you give your consent to have surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon is fully insured 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procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/Yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}},{"id":"C6","text":"Confirm the surgeon speaks English or another language you speak well enough","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure your surgeon speaks English or another language you speak well enough.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The operating surgeon will not talk with you before you consent to 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