Доктор Хоакин Касаньяс Синтес имеет 32-летний опыт в области замены плечевого сустава, проведя более 1100 процедур в ортопедической хирургии. Стоимость пакета услуг в Centro Médico Teknon может составлять около 25 000–30 000 евро. Эта стоимость обычно покрывает имплантаты, госпитализацию на 4–5 дней, анестезию и последующее наблюдение. Клиника, являющаяся учреждением, аккредитованным JCI, предлагает индивидуальные планы лечения. Доктор Касаньяс Синтес прошел обучение в клинике Майо и возглавляет Испанское общество хирургии кисти.
","text_type":"mt_wow_description","best_texts":{"techniques":"Эндопротезирование плечевого сустава, пластика вращательной манжеты плеча","good_fit_for":"Сложные случаи реконструкции плечевого сустава","why_its_ranked":"Клиника имеет аккредитацию JCI и штат профильных хирургов-ортопедов. Врачи выполнили более 460 процедур, уделяя особое внимание точным хирургическим методам, включая восстановление нервов. Учреждение обеспечивает комплексный послеоперационный уход."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":22680,"price_to":30620,"currency":"USD","id":35413},"operation":{"id":188,"name":"Замена плечевого сустава","alias":"zamena-plechevogo-sustava"}},{"prices":{"price_from":500,"price_to":900,"currency":"USD","id":35402},"diagnostic":{"id":96,"name":"КТ (компьютерная томография)","alias":"kt"}},{"prices":{"price_from":540,"price_to":790,"currency":"USD","id":60550},"diagnostic":{"id":490,"name":"КТ придаточных пазух носа","alias":"kt-pridatocnyh-pazuh-nosa"}}],"reviews":[],"clinic":{"id":78,"alias":"medicinskij-centr-teknon","name":"Клиника Текнон","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/78-6abd276198357.png","short_description":"Медицинский центр Teknon (Centro Médico Teknon) — частный многопрофильный медицинский центр в Барселоне, Испания, входящий в Quirónsalud, крупнейшую частную медицинскую группу Испании. Центр специализируется на нейрохирургии, ортопедии, онкологии и кардиохирургии, а также предлагает лечение в области кардиологии, репродуктивной медицины, офтальмологии и передовой диагностики. Имея аккредитацию JCI и статус одного из ведущих частных госпиталей Барселоны, Centro Médico Teknon проводит сложные операции и принимает иностранных пациентов, включая публичных людей, спортсменов и знаменитостей. Центр оказывает помощь только взрослым пациентам и ежегодно принимает около 10 000 пациентов, большинство из которых приезжают из русскоязычных стран, Европы и стран Содружества, США, Канады и Австралии.
\n","images":[{"base_url":"clinic/5c87be3904761","title":"Внешний вид клиники Centro Médico Teknon с широкой лестницей, Барселона, Испания"},{"base_url":"clinic/5ab24c738630b","title":"Фасад клиники Centro Médico Teknon с ландшафтным садом в Барселоне, Испания"},{"base_url":"clinic/5ac3164cd87d2","title":"Медицинская команда перед зданием клиники Centro Médico Teknon в Барселоне, Испания"},{"base_url":"clinic/5ac3156221add","title":"Вход в клинику Centro Médico Teknon в Барселоне, Испания"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Барселона","id":98,"alias":"barselona"},"address":"Carrer de Vilana, 12, 08022 Барселона, Испания"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"Аккредитация Европейского фонда управления качеством (EFQM)","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"Победитель премии IMTJ MEDICAL TRAVEL AWARD в 2019 году","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Выбор пациентов по неврологии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Выбор пациентов по нейрохирургии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Выбор пациентов для лечения эпилепсии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Лучшие клиники мира 2021 по версии журнала Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Детский госпиталь Сан Жоан де Деу (Hospital Sant Joan de Déu Barcelona) (Испания) принимает пациентов с младенческого возраста до 18 лет. Входит в тройку лучших медицинских учреждений Европы и является ведущим центром детской онкологии. В госпитале работает специализированная лаборатория молекулярной медицины, где разрабатываются инновационные методы лечения.
\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":"detskij-gospital-sant-joan-de-deu","name":"Детский госпиталь Сан Жоан де Деу (Hospital Sant Joan de Déu Barcelona)","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/272-6ac3a2ac80dbd.png","short_description":"Детский госпиталь Сан Жоан де Деу (Hospital Sant Joan de Déu Barcelona) (Испания) принимает пациентов с младенческого возраста до 18 лет. Входит в тройку лучших медицинских учреждений Европы и является ведущим центром детской онкологии. В госпитале работает специализированная лаборатория молекулярной медицины, где разрабатываются инновационные методы лечения.
\n","images":[{"base_url":"clinic/5c6186e4e289f","title":"Просторная зона ожидания в детской больнице SJD Барселоны с современным дизайном"},{"base_url":"clinic/64c909345a308","title":"Экстерьер SJD Barcelona Children’s Hospital с ярким современным фасадом"},{"base_url":"clinic/64c909b816e22","title":"Детская горка и эскалатор в интерьере SJD Barcelona Children’s Hospital"},{"base_url":"clinic/67b83b657382d","title":"Медперсонал перевозит пациента по коридору в SJD Barcelona Children’s Hospital"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Барселона","id":98,"alias":"barselona"},"address":"Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Барселона, Испания"},"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":"Награда Bookimed Awards: Лучшая детская клиника","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6361000490242.jpeg","name":"Лучшие специализированные клиники мира 2022 по версии журнала Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"1"}]}},{"text":"Больница HM Nou Delfos, входящая в крупнейшую в Испании сеть HM Hospitals, специализируется на ортопедических процедурах, включая замену плечевого сустава, и использует передовые диагностические инструменты, такие как EOS-визуализация, для обеспечения точности при лечении опорно-двигательного аппарата. Учреждение сотрудничает с Institut Guttmann, центром нейрореабилитации, сертифицированным JCI, что гарантирует комплексный послеоперационный уход.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":422,"alias":"klinika-hm-delfos","name":"Клиника HM Delfos","short_description":"Клиника HM Delfos (ЭйчЭм Делфос) — многопрофильный госпиталь в Барселоне, который входит в крупнейшую сеть Испании — HM Hospitales.
\n\nHM Delfos специализируется на хирургии, онкологии, ортопедии, кардиологии, гинекологии, урологии, неврологии (диагностике и лечении эпилепсии).
\n\nКлиника оборудована последними аппаратами для диагностики и лечения — EOS для высокоточных снимков опорно-двигательного аппарата, КТ и МРТ, двумя установками для радиотерапии опухолей без операции.
\n","images":[{"base_url":"clinic/61792839585ce","title":"Внешний вид клиники Hospital HM Nou Delfos в Барселоне, современный медицинский центр"},{"base_url":"clinic/6409ccb4c0348","title":"Стойка регистрации в Hospital HM Nou Delfos, современная клиника в Барселоне"},{"base_url":"clinic/6179278ad430b","title":"Палата с зоной отдыха в Hospital HM Nou Delfos, Барселона"},{"base_url":"clinic/61793493253c9","title":"Палата интенсивной терапии в Hospital HM Nou Delfos, Барселона с современным оборудованием"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Барселона","id":98,"alias":"barselona"},"address":"Av. Vallcarca 151, 08023 Barselona, Spain"},"rating":{"rating":4.6,"google":3.2,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":5,"doctors_number":200,"year_foundation":1966},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"Аккредитация Европейского фонда управления качеством (EFQM)","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725522d15.jpeg","name":"Сертификат качества TÜV NORD DIN EN ISO","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Joint Preservation Surgery Clinic — это специализированное ортопедическое отделение в Барселоне, Испания. Команда работает на базе больницы Hospital El Pilar. Они специализируются на сохранении суставов у спортсменов и молодых людей. Основные направления включают передовое лечение проблем тазобедренного, коленного и плечевого суставов. Доктор Луис Рамирес Нуньес руководит программой сохранения тазобедренного сустава. Он также возглавляет направление по сохранению тазобедренного сустава в Hospital Clínic de Barcelona.
В клинике есть специализированные отделения для лечения сложных заболеваний тазобедренного и коленного суставов. Они лечат фемороацетабулярный импиджмент, повреждения суставной губы и дисплазию тазобедренного сустава. Лечение коленного сустава охватывает повреждения мениска, травмы ПКС и остеоартрит. Хирурги выполняют реконструктивные операции и артроскопию тазобедренного сустава, чтобы отсрочить замену сустава. Каждый пациент получает мультидисциплинарный план лечения от диагностики до восстановления.
","text_type":"short_description","best_texts":{"good_fit_for":"Молодые люди и спортсмены, нацеленные на сохранение функции суставов","why_its_ranked":"Специализируется на реконструктивной хирургии плечевого сустава с применением методики органосохраняющего лечения. Предлагает частичное и тотальное эндопротезирование, направленное на то, чтобы отсрочить или избежать полной замены сустава."},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8186,"alias":"joint-clinic-cirugia-de-preservacion-articular-ai","name":"Joint Preservation Surgery Clinic","short_description":"Joint Preservation Surgery Clinic — это специализированное ортопедическое отделение в Барселоне, Испания. Команда работает на базе больницы Hospital El Pilar. Они специализируются на сохранении суставов у спортсменов и молодых людей. Основные направления включают передовое лечение проблем тазобедренного, коленного и плечевого суставов. Доктор Луис Рамирес Нуньес руководит программой сохранения тазобедренного сустава. Он также возглавляет направление по сохранению тазобедренного сустава в Hospital Clínic de Barcelona.
В клинике есть специализированные отделения для лечения сложных заболеваний тазобедренного и коленного суставов. Они лечат фемороацетабулярный импиджмент, повреждения суставной губы и дисплазию тазобедренного сустава. Лечение коленного сустава охватывает повреждения мениска, травмы ПКС и остеоартрит. Хирурги выполняют реконструктивные операции и артроскопию тазобедренного сустава, чтобы отсрочить замену сустава. Каждый пациент получает мультидисциплинарный план лечения от диагностики до восстановления.
","images":[{"base_url":"clinic/6a3c3a0c530c1","title":"Вход в клинику Hospital El Pilar в Барселоне, Испания"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Барселона","id":98,"alias":"barselona"}},"rating":{"rating":0,"google":3.5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":4,"total_pages":1}},"clinicsMeta":{"total_count":4,"total_pages":1},"clinicsCount":4,"clinicsCountByEntity":{"clinic_count":147},"doctors":{"doctors":[{"card_text":"Более 35 лет новаторской работы в нервной хирургии – д-р Касаньяс руководит Отделением травматологии (Traumaunit) в Медицинском центре Текнон (Centro Médico Teknon), специализируясь на точной реконструкции верхней конечности.
Специалист по лечению заболеваний и травм рук. Один из немногих докторов в мире, которые проводят уникальные операции на кисти и на нервах. Среди его пациентов — испанская легенда мотоспорта Дани Педроса.
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\n","images":[{"base_url":"clinic/5c87be3904761","title":"Внешний вид клиники Centro Médico Teknon с широкой лестницей, Барселона, Испания"},{"base_url":"clinic/5ab24c738630b","title":"Фасад клиники Centro Médico Teknon с ландшафтным садом в Барселоне, Испания"},{"base_url":"clinic/5ac3164cd87d2","title":"Медицинская команда перед зданием клиники Centro Médico Teknon в Барселоне, Испания"},{"base_url":"clinic/5ac3156221add","title":"Вход в клинику Centro Médico Teknon в Барселоне, Испания"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Барселона","id":98,"alias":"barselona"},"address":"Carrer de Vilana, 12, 08022 Барселона, Испания"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"Аккредитация Европейского фонда управления качеством (EFQM)","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"Победитель премии IMTJ MEDICAL TRAVEL AWARD в 2019 году","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Выбор пациентов по неврологии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Выбор пациентов по нейрохирургии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Выбор пациентов для лечения эпилепсии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Лучшие клиники мира 2021 по версии журнала Newsweek","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":22680,"price_to":30620,"currency":"USD","id":35413},"operation":{"id":188,"name":"Замена плечевого сустава","alias":"zamena-plechevogo-sustava"}}]},{"doctor":{"id":10999,"alias":"eduard-alentorn-geli","name":"Эдуард Аленторн Жели","clinic_id":78,"photo":"doctor/691714612739f","first_year_working":2002,"created_at":"2025-11-14T11:37:04.084+00:00","description":"Dr. Eduard Alentorn-Geli combines world-class surgical skill with academic excellence, having trained at the Mayo Clinic and Hospital for Special Surgery (HSS) in New York. He is Associate Editor of KSSTA, a top sports medicine journal, and author of over 150 scientific publications with 6,500+ citations. Recognized as one of Europe’s most active knee surgeons, he specializes in minimally invasive techniques for athletes and active individuals, offering precision care with rapid recovery.
Dr. Eduard Alentorn-Geli is an internationally trained and highly respected orthopaedic surgeon and sports traumatologist, renowned for his exceptional expertise in arthroscopic surgery of the shoulder, elbow, and knee, and for his scientific contributions to the field of sports medicine. His primary mission is to enhance patients' quality of life by offering evidence-based, minimally invasive treatments that restore joint function and mobility. Empathetic, meticulous, and devoted, Dr. Alentorn stands out for his uncompromising professionalism and patient-centered approach. He tailors every treatment—conservative or surgical—to the needs, goals, and lifestyle of each individual, ensuring safe recovery and long-term results.
🌍 International Training & Experience
Mayo Clinic, Rochester (USA) – Recognized as the best hospital in the world, where he adopted the philosophy: \"The needs of the patient come first.\" Hospital for Special Surgery (HSS), New York, USA
– Ranked #1 in orthopaedics in the U.S., trained under global leaders in knee surgery. Centre Orthopédique Santy (Lyon, France) and Rizzoli Orthopaedic Institute (Bologna, Italy) European centers of excellence in sports traumatology.
💼 Clinical Expertise Knee:
ACL and PCL reconstruction (primary and revision)
Meniscus repair, meniscectomy, and transplantation
Cartilage regeneration: AMIC, microfractures, osteochondral grafts Osteotomies and realignment procedures (HTO, DFO)
Patellar instability and MPFL reconstruction Partial and total knee replacement with 3D planning and navigation Arthroscopic treatment of arthrofibrosis and joint degeneration
Shoulder & Elbow: Rotator cuff repair (arthroscopic & open) Shoulder instability and tendon transfers Glenohumeral and scapulothoracic fusions Elbow ligament reconstruction and nerve decompression Complex trauma and revision surgeries of humerus and elbow Joint replacements and biologic reconstructions
Sports Injuries:
🧠 Personalized management of ligamentous, meniscal, and cartilage injuries Rapid recovery protocols for elite and amateur athletes PRP, hyaluronic acid, and regenerative cell therapies Education & Academic Titles Medical Degree – Universitat Autònoma de Barcelona (UAB) Residency (MIR) – Orthopaedic Surgery and Traumatology PhD in Medicine – Universitat Internacional de Catalunya (UIC) Doctorate cum laude
🏅 Certifications & Memberships
ESSKA – European Society of Sports Traumatology, Knee Surgery and Arthroscopy ISAKOS – International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine Visiting International Fellow – Hospital for Special Surgery, NY
Recognized as one of Europe’s most active knee surgeons by volume and scientific publications.
📚 Publications & Scientific Work
Author of numerous high-impact peer-reviewed articles Speaker at international orthopaedic and sports medicine congresses Active in clinical research and development of advanced surgical techniques
🗣 Languages Native: Spanish, Catalan Fluent: English Conversational: Italian 💬
Patient Philosophy “I asked Dr. Alentorn how long the surgery would take. He answered: ‘As long as it takes to make it perfect.’”
– Patient testimonial Dr. Alentorn-Geli is a perfectionist in the operating room, deeply committed to pain-free, trauma free surgery, always ensuring a smooth and precise recovery process. His style combines human warmth, scientific rigor, and surgical excellence.
🌟 Wow Factors
Trained at the Mayo Clinic and Hospital for Special Surgery – the top two orthopaedic centers globally. 3 years of elite international fellowship training in the USA and Europe. Specialist in biological knee preservation in young and athletic patients.
Known for innovative, minimally invasive procedures with short recovery times. Trusted by professional athletes and sports institutions. Dr. Eduard Alentorn-Geli offers elite-level care to every patient, whether professional athletes or individuals seeking to return to active, pain-free lives. His reputation extends across Europe and the United States, combining innovation, dedication, and compassion
","specialities":[{"id":"ort.001","name":"Ортопед","illness_kind_id":3},{"id":"sur.016","name":"Хирург-ортопед","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":78,"alias":"medicinskij-centr-teknon","name":"Клиника Текнон","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/78-6abd276198357.png","short_description":"Медицинский центр Teknon (Centro Médico Teknon) — частный многопрофильный медицинский центр в Барселоне, Испания, входящий в Quirónsalud, крупнейшую частную медицинскую группу Испании. Центр специализируется на нейрохирургии, ортопедии, онкологии и кардиохирургии, а также предлагает лечение в области кардиологии, репродуктивной медицины, офтальмологии и передовой диагностики. Имея аккредитацию JCI и статус одного из ведущих частных госпиталей Барселоны, Centro Médico Teknon проводит сложные операции и принимает иностранных пациентов, включая публичных людей, спортсменов и знаменитостей. Центр оказывает помощь только взрослым пациентам и ежегодно принимает около 10 000 пациентов, большинство из которых приезжают из русскоязычных стран, Европы и стран Содружества, США, Канады и Австралии.
\n","images":[{"base_url":"clinic/5c87be3904761","title":"Внешний вид клиники Centro Médico Teknon с широкой лестницей, Барселона, Испания"},{"base_url":"clinic/5ab24c738630b","title":"Фасад клиники Centro Médico Teknon с ландшафтным садом в Барселоне, Испания"},{"base_url":"clinic/5ac3164cd87d2","title":"Медицинская команда перед зданием клиники Centro Médico Teknon в Барселоне, Испания"},{"base_url":"clinic/5ac3156221add","title":"Вход в клинику Centro Médico Teknon в Барселоне, Испания"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Барселона","id":98,"alias":"barselona"},"address":"Carrer de Vilana, 12, 08022 Барселона, Испания"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"Аккредитация Европейского фонда управления качеством (EFQM)","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"Победитель премии IMTJ MEDICAL TRAVEL AWARD в 2019 году","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Выбор пациентов по неврологии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Выбор пациентов по нейрохирургии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Выбор пациентов для лечения эпилепсии","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Лучшие клиники мира 2021 по версии журнала Newsweek","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":22680,"price_to":30620,"currency":"USD","id":35413},"operation":{"id":188,"name":"Замена плечевого сустава","alias":"zamena-plechevogo-sustava"}}]}],"meta":{"total_count":2,"total_pages":1}},"reviews":{"reviews":[{"id":7110,"user":{"id":172274,"name":"Майя ","country_code":"BY"},"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":3}],"text":{"ru":"Очень комфортная клиника.\r\nКрасивая территория, удобное расположение.\r\nПриятный средний медицинский персонал.\r\nВсе доброжелательны и приветливы.\r\nПервое знакомство с доктором scype консультация, длительная с подробным обсуждением нашей ситуации.\r\nЗатем полное сопровождение в оформлении документов и виз.\r\nПомощь кураторов во всем с четкими подробными инструкциями. Подбор жилья на время обследования, помощь 24/7.\r\nПо приезду личное знакомство с доктором Касаньяс, подробное обсуждение предстоящей операции.\r\nМаксимальная поддержка переводчика. Отдельное спасибо Ольге, очень интеллектуальная и тактичная. Была с ребенком всё время до того, пока не уснул( наркоз).\r\nВсе, чтобы мой мальчик не боялся и не нервничал.\r\nУ нас было сложное лечение, длительная операция. Аутотрансплантация по типу Sacai, с остеосинтезем.Почти 8 часов.\r\nЧеткие и слаженные действия всего персонала, добрые, все делали ,чтобы их пациенту было комфортно, и не больно.\r\nМне все рассказывали о ребенке максимально подробно. И я была со своим сыном во время нахождения в клинике всегда. Обход врача каждый день.\r\nДаже в выходные доктор приезжал осмотреть своего пациента.\r\nНаблюдение, контроль, обследование всё было сделано качественно.\r\nОгромное спасибо всем.","en":"Nice staff"},"order":{"illness":{"id":104,"name":{"ru":"Травмы костей и суставов","en":"Injuries of bones and joints"}}},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-12-04T13:45:32.000+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":{"ru":"Да","en":"Yes"}},{"id":6792,"user":{"id":176267,"name":"Robert ","country_code":"KZ","country_name":{"ru":"Казахстан","en":"Kazakhstan"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":5},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":5},{"name":"relative_price","value":0}],"text":{"ru":"Skype консультация прошла хорошо. На протяжении часа получил ответы на все вопросы, они конечно отличаются от тех, которые получаем дома, но проф. Ферран Монсеррат позитивный, в целом хорошее настроение после консультации. \nОрганизовали все хорошо, перед консультацией нам позвонили, помогли настроить Скайп.","en":"Skype consultation went well. Within an hour I received answers to all questions, they certainly differ from those that we receive at home, but prof. Ferrand Montserrat is positive, generally in a good mood after consultation. They organized everything well, before the consultation they called us and helped set up Skype."},"order":{"diagnostic":{"id":125,"name":{"ru":"Консультация ортопеда-травматолога","en":"Consultation with an orthopedist (traumatologist)"}}},"doctor_info":{"id":637,"name":"Ферран Монсеррат","alias":"ferran-monserrat"},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-02-28T14:04:46.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"В течение часа я получил ответы на все вопросы.","en":"Within an hour I received answers to all questions."}}},{"id":6671,"user":{"id":171481,"name":"Лидия ","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Остались довольны организацией визита - оперативно, информационное сопровождение вовремя подготовки и перед консультацией; и результатами консультации- попали именно к тому Доктору, у которого хотели получить консультацию. Благодарим представителя Bookimed","en":"We were satisfied with the organization of the visit - promptly, information support during the preparation and before the consultation; and the results of the consultation, they got to the Doctor from whom they wanted to get a consultation. Thanks to the representative of Bookimed"},"order":{"operation":{"id":671,"name":{"ru":"Замена тазобедренного сустава","en":"Hip replacement"}},"illness":{"id":170,"name":{"ru":"Коксартроз","en":"Coxarthrosis"}}},"doctor_info":{"id":1699,"name":"Рафаэль Гонсалес-Адрио Вагнер","alias":"rafael-gonsales-adrio-vagner"},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-02-10T07:28:16.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"Они попали к Доктору, у которого хотели получить консультацию.","en":"They got to the Doctor from whom they wanted to get a consultation."}}},{"id":15107,"user":{"id":601401,"name":"Ol'ga Dann ","country_code":"GB","country_name":{"ru":"Великобритания","en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":9},{"name":"manager","value":5}],"text":{"ru":"Я в восторге от предоставленного клиникой переводчика. Не было никаких проблем в общении с доктором. Консультация по поводу операции длилась около получаса и доктор очень подробно и понятно объяснил мне, что делать и как решить мою проблему.","en":"I am delighted with the interpreter provided by the clinic. There were no problems in communicating with the doctor. The consultation about the surgery lasted about half an hour and the doctor explained to me in a very detailed and clear way what to do and how to solve my problem."},"order":{"operation":{"id":478,"name":{"ru":"Операция при вальгусной деформации","en":"Surgical treatment of valgus deformity"}},"illness":{"id":121,"name":{"ru":"Вальгусная деформация","en":"Valgus Deformity"}}},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-04-27T15:09:14.106+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":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ru":"Как только я зарегестрировалась на Bookined, cо мной сразу же связались консультанты, сразу же скинули ссылки на клиники в интересующих меня странах ( я выбрала 3 страны). А потом организовали консультации в докторами этих клиник. И все это быстро, четко и без больших усилий с моей стороны.. Теперь у меня есть выбор и я думаю, скоро приму решение.","en":"As soon as I registered on Bookined, I was immediately contacted by the consultants, they immediately sent me links to clinics in the countries I was interested in (I chose 3 countries). And then they organised consultations with the doctors of these clinics. And all of this quickly, clearly and without much effort on my part... Now I have a choice and I think I will make a decision soon."},"summary":{"positive":{"ru":"Доктор очень подробно и понятно объяснил мне, что делать и как решить мою проблему.","en":"The doctor explained to me in a very detailed and clear way what to do and how to solve my problem."}}},{"id":5350,"user":{"id":92670,"name":"Наталия ","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"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":3}],"text":{"ru":"Добрый день! Впечатления от клиники Сан Жоан были восторгом, масштаб клиники меня поразил !! Консультация врача длилась более часа, доктор смог ответить на все заданные вопросы нам!!!!! Спасибо Вам за консультацию!!!","en":"Good afternoon! Impressions from the clinic of San Joan were a delight, the scale of the clinic amazed me !! The doctor’s consultation lasted more than an hour, the doctor was able to answer all the questions asked to us !!!!! Thank you for the consultation !!!"},"order":{},"clinic_info":{"id":272,"name":"Детский госпиталь Сан Жоан де Деу (Hospital Sant Joan de Déu Barcelona)","alias":"detskij-gospital-sant-joan-de-deu","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-09-26T09:21:19.000+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/5d9ff9cd5631f_b.jpeg","preview_url":"review/5d9ff9cd5631f_s.jpeg"}],"comment_about_bookimed":{"ru":"Да","en":"Yes"},"summary":{"positive":{"ru":"Спасибо за консультацию!!!","en":"Thank you for the consultation!!!"}}},{"id":6171,"user":{"id":158733,"name":"Михаил ","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":4},{"name":"coordination","value":0},{"name":"doctor","value":5},{"name":"manager","value":0},{"name":"personal","value":5},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Очень понравился сам врач, Рамон Кугат. Кроме того что великолепный специалист, еще очень добродушный человек без пафоса.","en":"I really liked the specialist himself, a very good-natured man without pathos, n"},"order":{"diagnostic":{"id":125,"name":{"ru":"Консультация ортопеда-травматолога","en":"Consultation with an orthopedist (traumatologist)"}}},"clinic_info":{"id":279,"name":"Клиника Кирон Барселона","alias":"klinika-kiron-barselona","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-12-19T09:23:47.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"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":{"ru":"Все достаточно хорошо, помогли, когда отменили рейс. Помогли и с хостелом.","en":"Everything is quite good, they helped when the flight was cancelled. They also helped with the hostel."},"summary":{"positive":{"ru":"«Результаты превзошли мои ожидания».","en":"\"The results exceeded my expectations.\""}}},{"id":17296,"user":{"id":687916,"name":"Tahir ","country_code":"UZ","country_name":{"ru":"Узбекистан","en":"Uzbekistan"}},"ratings":[{"name":"main","value":5},{"name":"consultation_arrangement","value":5},{"name":"consultation_duration","value":5},{"name":"consultation_value","value":5},{"name":"consultation_connection","value":5},{"name":"relative_price","value":2},{"name":"nps","value":10},{"name":"manager","value":5},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"personal","value":0},{"name":"translation","value":0}],"text":{"ru":"Задавали вопросы. Врач не торопясь ответил на все вопросы","en":"Asked questions. The doctor took his time to answer all the questions"},"order":{"operation":{"id":473,"name":{"ru":"Консервативное лечение сколиоза","en":"Conservative treatment of scoliosis"}}},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-10-24T13:42:12.550+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}],"comment_about_bookimed":{"ru":"Во время отзываютса","en":"In time to respond"},"summary":{"positive":{"ru":"Врач не торопился, отвечая на все вопросы.","en":"The doctor took his time to answer all the questions"}}},{"id":9893,"user":{"id":408278,"name":"Frank ","country_code":"US","country_name":{"ru":"Соединенные Штаты Америки","en":"United States of America"}},"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":{"ru":"Все идет нормально. Операция назначена на 14 число.","en":"So far so good. 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День 2: Замена плеча
День 3-7: послеоперационный период и пребывание в больнице
Неделя 1-6: Реабилитация
Неделя 6-12: Возвращение к обычной деятельности
Обратите внимание: сроки восстановления каждого пациента могут варьироваться в зависимости от индивидуального состояния здоровья и прогресса.
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physical or overhead work about 3-6 months."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication within 90 days to 2 years; serious ones such as deep infection about 1-2%."},"contraindications":["Active joint or systemic infection","Irreparably damaged deltoid (and rotator cuff, anatomic type)","Severe neurological shoulder dysfunction (e.g., axillary nerve palsy)","Medical conditions making general anesthesia unsafe","Insufficient bone stock that cannot be reconstructed"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Typically 1-2 nights after primary shoulder replacement; longer if pain control or mobility lags."},"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":"Gentle strengthening from about 3 months; swimming or golf with surgeon clearance; long-term limits on heavy lifting and impact."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Full strength and pain relief typically continue improving up to about a year."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After wound check and surgeon clearance; depends on flight length, thrombosis risk and wound healing."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound check and suture/staple removal if not absorbable."}},{"purpose":"assessment","requirement":"routine","after":{"min":38,"max":52,"unit":"days","qualifier":"About 6 weeks with X-ray and progression of rehabilitation."}},{"purpose":"result_review","requirement":"routine","after":{"min":80,"max":100,"unit":"days","qualifier":"About 3 months."}},{"purpose":"result_review","requirement":"routine","after":{"min":170,"max":380,"unit":"days","qualifier":"6-12 months review with imaging."}}],"indications":["Advanced glenohumeral osteoarthritis with pain unresponsive to conservative treatment","Rheumatoid or other inflammatory arthritis of the shoulder","Complex proximal humerus fracture or fracture sequelae","Rotator cuff tear arthropathy","Avascular necrosis of the humeral head with joint collapse"],"main_risks":["Infection","Implant loosening or wear over time","Dislocation or instability","Stiffness","Rotator cuff failure (anatomic replacement)","Nerve injury","Periprosthetic fracture","Blood clots","Anesthesia-related risks","Scapular or acromial stress fracture (reverse replacement)"],"pain":"Moderate to severe pain in the first days to weeks, controlled with multimodal analgesia and often a nerve block; 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":{"status":"ok","items":[{"id":"C1","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}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Worsening pain in arm, hand or wrist","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"New or worsening pain in your arm, hand or wrist","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Leaking, swelling or odor at surgery site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Signs of infection at your surgery site including leaking, swelling, discoloration, odor or a feeling of warmth","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Shortness of breath","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/reverse-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Shortness of breath (dyspnea)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever higher than 101 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Fever higher than 101 degrees Fahrenheit (39 degrees Celsius)","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":"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 recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription 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changes, rest, therapy, or medication","name":"Physical therapy","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/shoulder-pain-and-common-shoulder-problems/?hootPostID=6d3ea18e5a3d4b4a698a08c670961d31","host":"orthoinfo.aaos.org","quote":"However, most patients with shoulder pain will respond to simple treatment methods such as altering activities, rest, physical therapy, and medication.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want to reduce inflammation and pain without surgery","name":"Cortisone shot","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder%5C","host":"orthoinfo.aaos.org","quote":"Corticosteroid injections in the shoulder can dramatically reduce the inflammation and pain.","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":"anatomic-total-shoulder","name":"Anatomic total shoulder arthroplasty","how_it_works":{"text":"Surgeons replace the damaged ball and socket with artificial parts","source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Your surgeon will replace the ball at the end of your humerus and the socket in your scapula it fits into.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"weeks","label":"2–3 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Most people can resume light daily activities with their shoulders (like getting dressed and doing simple chores) after two or three weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"reverse-total-shoulder","name":"Reverse total shoulder arthroplasty","how_it_works":{"text":"The ball and socket switch positions to reverse the joint","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder/","host":"orthoinfo.aaos.org","quote":"The metal ball is fixed to the glenoid, and the plastic cup is fixed to the upper end of the humerus.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"hemiarthroplasty","name":"Hemiarthroplasty","how_it_works":{"text":"Only the upper-arm bone head is replaced with an artificial component","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder%5C","host":"orthoinfo.aaos.org","quote":"Just the head of the humerus is replaced with an artificial component.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"en","language":"en","href":"https://us-uk.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"ar","language":"ar","href":"https://ar.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"id","language":"id","href":"https://id.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"uk","language":"ua","href":"https://ua.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"kk","language":"kz","href":"https://kz.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"es","language":"es","href":"https://es.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"pt","language":"pt","href":"https://pt.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"de","language":"de","href":"https://de.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"fr","language":"fr","href":"https://fr.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"pl","language":"pl","href":"https://pl.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"it","language":"it","href":"https://it.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"ja","language":"jp","href":"https://jp.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"},{"rel":"alternate","hreflang":"en-AU","language":"en","href":"https://au.bookimed.com/clinics/country=spain/city=barcelona/procedure=shoulder-replacement/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":104,"alias":"travmu-kostej-i-sustavov","name":"Травмы 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