Кирон Мадрид (Quiron Madrid Hospital) — ведущая клиника Испании и Европы, самая крупная в сети Quironsalud по ежегодному количеству пациентов.
\n\nСпециализация — онкология, нейрохирургия, кардиохирургия, пластика и ЭКО.
\n\nНа базе госпиталя Кирон Мадрид проводятся исследования в области лечения рака и нейродегенеративных расстройств (болезней Альцгеймера, Паркинсона, Хантингтона). При желании и соответствии критериям пациенты могут бесплатно пройти лечение в рамках исследований.
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\n\nСпециализация — онкология, нейрохирургия, кардиохирургия, пластика и ЭКО.
\n\nНа базе госпиталя Кирон Мадрид проводятся исследования в области лечения рака и нейродегенеративных расстройств (болезней Альцгеймера, Паркинсона, Хантингтона). При желании и соответствии критериям пациенты могут бесплатно пройти лечение в рамках исследований.
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Д-р Хавьер Альбиньяна — детский хирург-ортопед в клинике Quironsalud Madrid. Он специализируется на лечении дисплазии тазобедренного сустава, опухолей костей и болезни Пертеса. Д-р Альбиньяна прошел стажировку по ортопедическим исследованиям в Оксфордском университете и Университете Айовы.
Кирон Мадрид (Quiron Madrid Hospital) — ведущая клиника Испании и Европы, самая крупная в сети Quironsalud по ежегодному количеству пациентов.
\n\nСпециализация — онкология, нейрохирургия, кардиохирургия, пластика и ЭКО.
\n\nНа базе госпиталя Кирон Мадрид проводятся исследования в области лечения рака и нейродегенеративных расстройств (болезней Альцгеймера, Паркинсона, Хантингтона). При желании и соответствии критериям пациенты могут бесплатно пройти лечение в рамках исследований.
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Госпиталь Ruber Internacional — частный медицинский центр узкой специализации в Мадриде, Испания, специализирующийся на нейрохирургии, ортопедии и кардиологии. Клиника принимает взрослых и детей, предоставляя медицинскую помощь примерно 25 000 пациентам каждый год. Большинство пациентов приезжают из стран СНГ, Европы и Содружества, а также из США, Канады и Австралии.
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Доктор Пабло де ла Куадра (Pablo Cuadra de la Virgili) — ортопед-травматолог в Мадриде. Специализируется на спортивных травмах и хирургии плечевого сустава в госпитале Ruber Internacional, где работает с 1999 года. Имеет более 25 лет опыта. Руководит междисциплинарным подразделением и возглавляет специализированную команду травматологов. Признанный эксперт по сложной патологии плечевого сустава. Применяет передовые артроскопические и реконструктивные методики при нестабильности и повреждениях вращательной манжеты плеча.
\nКвалификация: степень MD (1993) и PhD по медицине (2001), Автономный университет Мадрида. Специалист по ортопедической хирургии и травматологии после резидентуры в больнице Puerta de Hierro (1995–1999). Текущие должности: ортопед в Centro Médico Habana (1999–н.в.) и врач-специалист в больнице Puerta de Hierro (2000–н.в.). Также доцент в области наук о здоровье Автономного университета Мадрида.
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Он провел первые в Турции роботизированные операции по замене коленного и тазобедренного суставов и выполнил более 3500 роботизированных операций.","linkedin":"https://www.linkedin.com/in/drkayhanturan/","specialities":[{"id":"sur.016","name":"Хирург-ортопед","illness_kind_id":33}]},"direction":{"id":3,"name":"Ортопедия и травматология","alias":"ortopediya-i-travmatologiya"},"illness_kind":{"id":3,"name":{"en":"Orthopedics"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk work with foot elevated, in a boot. Standing or walking jobs take 8-12 weeks or longer."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within about 1 year: delayed union, nonunion, hardware irritation, wound problems. Varies with fixation and smoking."},"contraindications":["Active foot infection or open skin lesions at surgical site","Severe peripheral arterial disease or inadequate foot perfusion","Uncontrolled diabetes, especially with neuropathy (relative)","Active smoking or nicotine use (relative; raises nonunion risk)","Inability to comply with protected weight bearing (relative)","Skeletal immaturity with open growth plates","Severe osteoporosis or poor bone quality (relative)","Advanced first MTP joint arthritis (relative)","Unfitness for anesthesia or unaddressed thromboembolism risk (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Uncomplicated same-day surgery; discharge after anesthesia recovery and safe mobilization, with zero overnight stays."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":12,"max":24,"unit":"weeks","qualifier":"Running and impact exercise wait for radiographic union, recovered strength and surgeon clearance. Boot walking follows the weight-bearing plan."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"After Lapidus surgery: Swelling gradually settles and the fusion matures; some residual swelling or stiffness may persist toward 12 months."},"fly_home_after_days":{"min":14,"max":21,"unit":"days","qualifier":"Usually after first wound check, with controlled pain, safe boot mobility, surgeon approval and a clot-prevention plan."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"After Lapidus surgery: Wound check and suture removal; timing depends on surgeon protocol and wound healing."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":56,"unit":"days","qualifier":"After Lapidus surgery: Review with X-rays and weight-bearing progression; depends on fixation and surgeon plan."}},{"purpose":"result_review","requirement":"routine","after":{"min":84,"max":120,"unit":"days","qualifier":"After Lapidus surgery: Review of radiographic union and return to normal shoes."}},{"purpose":"assessment","requirement":"conditional","after":{"min":150,"max":210,"unit":"days","qualifier":"After Lapidus surgery: Additional X-ray review only if union is delayed or incomplete at the earlier review."}}],"indications":["Symptomatic moderate to severe hallux valgus with increased intermetatarsal angle","Hallux valgus with first ray hypermobility or instability","Pain or shoe-wear and walking limitation despite conservative treatment","Recurrent hallux valgus after prior surgery","First tarsometatarsal joint arthritis","Hallux valgus with transfer metatarsalgia from first ray insufficiency"],"main_risks":["Nonunion or delayed union of the first TMT fusion","Malunion (elevated, shortened or plantarflexed first ray)","Recurrence of deformity","Hardware irritation or failure, sometimes requiring removal","Wound or bone infection","Hematoma and wound-healing problems","Nerve irritation, numbness or neurovascular injury","Stiffness or reduced motion","Hallux varus (overcorrection)","Transfer metatarsalgia","Deep vein thrombosis or pulmonary embolism","Prolonged swelling"],"pain":"Moderate to significant pain in the first days, managed with analgesics, elevation and often a regional ankle or popliteal block as an adjunct. Pain usually eases markedly over about 2-6 weeks.","preparation":["Weight-bearing foot X-rays, sometimes CT, for planning","Pre-anesthetic assessment and tests as indicated by age and comorbidity","Stop smoking and nicotine before and after surgery","Optimize blood sugar in diabetes","Review blood thinners and supplements with the surgeon","Fasting before anesthesia as instructed","Arrange crutches, knee scooter or boot, and help at home","Plan time off work and transport home"],"recovery_timeline":[{"phase":"Day of surgery","description":"Same-day discharge; foot in dressing and splint or boot, kept elevated. A nerve block may leave it numb for hours.","restrictions":["Keep the foot elevated","Protect the numb foot","Follow the surgeon's weight-bearing plan"]},{"phase":"Weeks 0-2","description":"Crutches or knee scooter, with weight bearing per fixation. 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Running and sport are generally allowed after confirmed union and surgeon clearance.","restrictions":["Return to impact sport only with clearance"]},{"phase":"Months 6-12","description":"Residual swelling settles and the final result matures.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for fever, spreading redness, wound drainage, worsening pain, calf pain or swelling, chest pain, cold or blue toe, or new numbness.","restrictions":["Do not wait for a scheduled review"]}],"rehabilitation_days":{"min":56,"max":84,"unit":"days","qualifier":"Protected weight bearing in boot or cast, then normal shoes at about 8-12 weeks. Swelling may last longer."},"result_longevity":"Once the joint fuses and the deformity is corrected, results are generally durable long term. A minority develop recurrence, nonunion or hardware problems.","revision_rate_pct":{"min":5,"max":10,"unit":"percent","qualifier":"Any reoperation within about 2 years: hardware removal, nonunion or malunion revision, recurrence. Varies by fixation."},"scars":"A single scar on the medial or dorsomedial foot, about 4-8 cm over the first TMT joint, usually fading to a thin line.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operative session for a single foot; a second foot, if needed, is a separate planned operation."},"stages":[{"code":"wound_review","label":"Planned wound check and suture removal","after":{"min":10,"max":21,"unit":"days","qualifier":"After Lapidus surgery: Timing depends on surgeon protocol and wound healing."}},{"code":"early_radiograph_review","label":"Planned review with X-rays and weight-bearing progression","after":{"min":42,"max":56,"unit":"days","qualifier":"After Lapidus surgery: Weight-bearing progression depends on fixation and surgeon plan."}},{"code":"union_review","label":"Planned review for radiographic union and return to normal shoes","after":{"min":84,"max":120,"unit":"days","qualifier":"After Lapidus surgery: Later review if union is delayed."}}],"qualifier":"Single-stage open Lapidus with plate or screw fixation; scheduled reviews vary by surgeon."},"success":{"metric":"Radiographic bony union of first TMT joint","value":95,"unit":"percent","horizon":"3-6 months after surgery","population":"Adults after primary Lapidus arthrodesis for moderate to severe hallux valgus; nonunion rises with smoking","evidence_status":"limited"},"techniques":[{"name":"Open Lapidus first TMT arthrodesis with plate or screw fixation","suits_whom":"Adults with moderate to severe symptomatic hallux valgus, first ray hypermobility or TMT arthritis","recovery":"Protected weight bearing in a boot or cast; union often takes about 8-12 weeks or longer."},{"name":"Minimally invasive or instrumented 3D (Lapiplasty-type) variants","suits_whom":"Adults with hypermobile moderate to severe deformity needing three-plane correction","recovery":"Protected weight bearing in a boot; timing follows the fixation used."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for one open Lapidus with fixation and soft-tissue release; excludes anesthesia induction and recovery."},"initial_assessment_documents":["Weight-bearing foot X-rays, front and side views","Front and back photos of both feet standing","Foot MRI or CT report (if available)","Previous foot surgery reports (if available)","List of blood thinners","Diabetes and smoking status"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay about 14-21 days until first wound check and travel clearance. Later X-ray reviews can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you abroad","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":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you can ask the treating team questions about your 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":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards where you will be 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