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День 1 - Прибытие

День 2 - Предоперационный

День 3 - Хирургия

День 4-7 - После операции

Неделя 1-2 - Реабилитация

Неделя 3-6 - Реабилитация

Неделя 7 и далее - Реабилитация

Обратите внимание, что сроки восстановления каждого пациента могут варьироваться в зависимости от индивидуальных обстоятельств.

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Excludes tendon re-tear."},"contraindications":["Active shoulder or systemic infection","Medically unfit for general anesthesia","Massive irreparable tear with advanced cuff arthropathy","Relative: smoking, uncontrolled diabetes, fatty muscle degeneration, poor tissue quality"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typical arthroscopic repair is done as a day case; occasionally one night is needed for pain control or comorbidities."},"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":"Light conditioning earlier; strengthening from about 12 weeks; overhead or contact sports usually 6+ months, depending on tear size."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Strength and function continue to improve for up to a year, especially after larger tears."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"Usually once the surgeon clears; sling worn in flight, with thrombosis precautions. 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(rare)","Anchor-related problems","Anesthesia-related risks and venous thromboembolism (rare)"],"pain":"Moderate to significant pain for the first days to weeks, managed with analgesics, nerve block and ice; night pain can last several weeks and gradually improves.","preparation":["Preoperative assessment with shoulder imaging (MRI or ultrasound)","Anesthesia and medical fitness evaluation","Fasting as instructed by the anesthesia team","Review of current medicines with the surgical team","Smoking cessation advised","Arrange help at home and a sling; discuss rehabilitation expectations"],"recovery_timeline":[{"phase":"Weeks 0-6","description":"Sling immobilization; pendulum and passive motion started as directed by the surgeon.","restrictions":["No active lifting or reaching with the operated arm","No driving while in sling or on opioids","Keep wound dry until cleared"]},{"phase":"Weeks 6-12","description":"Gradual active-assisted then active range-of-motion with 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repair leaves several small portal scars of about 0.5-1 cm each; open or mini-open repair leaves a larger scar of a few centimeters.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Arthroscopic rotator cuff repair","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"One surgical session; follow-up and rehabilitation are separate."},"success":{"metric":"Patients with significant pain relief and improved function","value":85,"unit":"percent","horizon":"12 months after surgery","population":"Adults with repairable symptomatic full-thickness rotator cuff tear, arthroscopic repair","evidence_status":"limited"},"techniques":[{"name":"Arthroscopic repair (single- or double-row anchor fixation)","suits_whom":"Most patients with repairable partial or full-thickness tears; the usual approach.","recovery":"Day case; sling for about 4-6 weeks then staged rehabilitation."},{"name":"Mini-open repair","suits_whom":"Selected tears or surgeon preference, often with arthroscopic assessment first.","recovery":"Similar sling and rehabilitation course; slightly more early pain from deltoid handling."},{"name":"Open repair","suits_whom":"Large or complex tears in selected cases.","recovery":"Similar to or slightly longer than arthroscopic repair, with a larger incision."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Operating time for a typical arthroscopic repair of one tendon to a moderate tear; larger tears take longer."},"initial_assessment_documents":["Shoulder MRI report and images","Shoulder X-rays","Surgeon's clinical notes","List of blood thinners","Previous shoulder surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-7 days; wound check at home around day 10-14; later follow-up at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's experience and familiarity with this procedure, because the type of repair depends on it","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/?utm","host":"orthoinfo.aaos.org","quote":"Your surgeon's experience and familiarity with a particular procedure The size of your tear Your anatomy The quality of the tendon tissue and bone","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that an orthopedic surgeon reviews both surgical and nonsurgical options before treatment starts","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears-frequently-asked-questions?webid=2FDEE455","host":"orthoinfo.aaos.org","quote":"If your primary physician has already made the diagnosis, an orthopaedic surgeon can review both surgical and nonsurgical options, 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surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the clinic assesses tear size, anatomy, tendon tissue, and bone before selecting the repair","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/?utm","host":"orthoinfo.aaos.org","quote":"Your surgeon's experience and familiarity with a particular procedure, The size of your tear, Your anatomy, The quality of the tendon tissue and bone.","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":"Surgeon does not discuss which procedure suits your individual health needs","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/?utm","host":"orthoinfo.aaos.org","quote":"Your orthopaedic surgeon will discuss with you the best procedure to meet your individual health needs.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Surgery is offered with no mention of nonsurgical options","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears-frequently-asked-questions?webid=2FDEE455","host":"orthoinfo.aaos.org","quote":"Even though most tears cannot heal on their own, you can often achieve good function without surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"One repair technique is promised before the tear is assessed","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears-frequently-asked-questions?webid=2FDEE455","host":"orthoinfo.aaos.org","quote":"The type of repair performed is based on the findings at surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The offer comes without a consultation with an orthopedic surgeon first","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears-frequently-asked-questions?webid=2FDEE455","host":"orthoinfo.aaos.org","quote":"If you have injured your shoulder or have chronic (ongoing) shoulder and arm pain, it is best to see an orthopaedic surgeon.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Infection developing after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/?utm","host":"orthoinfo.aaos.org","quote":"If an infection develops, additional surgery and/or prolonged antibiotic treatment may be needed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Severe pain or loss of function","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/?utm","host":"orthoinfo.aaos.org","quote":"Repeat surgery is needed only if there is severe pain or loss of function.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Excessive bleeding","urgency":"emergency","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder%5C","host":"orthoinfo.aaos.org","quote":"- Infection - Excessive bleeding - Blood clots - Damage to blood vessels or nerves","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Blood clots","urgency":"emergency","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder%5C","host":"orthoinfo.aaos.org","quote":"- Infection - Excessive bleeding - Blood clots - Damage to blood vessels or nerves","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":"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":"T2","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 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