{"key":"op_1058_ES","page":{"url":"https://ru.bookimed.com/clinics/country=spain/procedure=protezirovanie-ruki/","procedure":{"id":1058,"slug":"protezirovanie-ruki","name":"Протезирование руки","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"non_surgical","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"orthopedics-and-traumatology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Испания"},"currency":"USD","data_date":"2026-10-03"},"pages":{"clinics_url":"https://ru.bookimed.com/clinics/country=spain/procedure=protezirovanie-ruki/","cost_url":"https://ru.bookimed.com/clinics/country=spain/procedure=protezirovanie-ruki/cost/","best_url":{"status":"missing","reason":"template not 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neurological impairment preventing safe device use or training."],"operation_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Per fitting visit; fabrication and training occur across separate visits."},"anesthesia":["none"],"sessions_or_stages":{"sessions":{"min":4,"max":10,"unit":"visits","qualifier":"Assessment, casting or scanning, test socket, final fitting and training sessions; more for myoelectric devices."},"stages":[{"code":"assessment","label":"Assessment, goal setting and device choice","after":{"min":0,"max":0,"unit":"days","qualifier":"First visit."}},{"code":"casting_scanning","label":"Residual limb casting or scanning","after":{"min":0,"max":2,"unit":"days","qualifier":"Often same visit as assessment."}},{"code":"test_socket","label":"Test socket fitting and adjustment","after":{"min":5,"max":10,"unit":"days","qualifier":"After socket fabrication."}},{"code":"final_fitting","label":"Definitive prosthesis 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independently.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Verify qualifications and credentials independently and request references before travel","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Qualifications and credentials should be independently verified and references should be requested prior to travel.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check whether the professional holds membership of specialist medical or dental organisations, which may indicate certain standards of care","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Membership of specialist medical or dental organisations may indicate certain standards of care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that a written contract from the clinic or hospital is provided","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask to meet former patients after arriving at the destination","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The traveller should ask to meet former patients once they arrive at their destination.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that medical advice does not come from an administrator, travel agent or sales team","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","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":"The treating professional is not available to talk by telephone or video call","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The health professional carrying procedures abroad should be available to talk to the traveller (via telephone or video call).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Medical advice comes from an administrator, a travel agent or a member of a sales team","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No written contract from the clinic or hospital is offered","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The consultation does not clearly explain risks or possible post-procedure problems","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"This consultation should provide a clear explanation of the planned treatment, including success/complication rates, potential risks and possible post-procedure problems.","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":"Pressure sores or chafing from improper fit","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Pressure sores or chafing due to an improper fit.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Muscle strain from overusing body-powered prosthetics","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Muscle strains from overusing body-powered prosthetics.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Mechanical breakdowns or electronic charging issues","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Mechanical failures and breakdowns and electronic charging issues.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Discomfort or complications related to your prosthesis","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Be sure to call on your healthcare team if discomfort or complications related to your prosthesis develop.","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":"Allows subsequent healthcare professionals to provide follow-up care","document":"medical records","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Remind medical tourists to request copies of their overseas medical records in English and to provide this information to any healthcare professionals they see subsequently for follow-up.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"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 copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"non_surgical","fields":{"anesthesia":["none"],"back_to_work_days":{"min":1,"max":14,"unit":"days","qualifier":"Desk work can resume after fitting with gradual wear; manual work depends on device control and wear tolerance."},"complication_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Skin irritation, pressure sores or socket-fit problems requiring adjustment within first year; serious complications rare."},"contraindications":["Unhealed, infected or unstable residual limb until ready (temporary).","Uncontrolled edema or severe socket-site skin breakdown (temporary).","Cognitive or neurological impairment preventing safe device use or training."],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Fitting and training are usually done as outpatient visits; admission is not routinely required for a standalone prosthesis fitting."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":12,"unit":"weeks","qualifier":"Depends on socket comfort, wear tolerance, device type and completion of control training."},"final_result_months":{"min":2,"max":6,"unit":"months","qualifier":"Time to stable fit and trained functional use; myoelectric devices and limb volume changes extend it."},"fly_home_after_days":{"min":14,"max":28,"unit":"days","qualifier":"After final fitting, adjustments and basic training; no medical flight restriction 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shoulder; persistent phantom pain.","Mechanical or electronic failure requiring repair."],"pain":"Fitting is generally not painful, but pressure discomfort, skin soreness and fatigue are common while the limb adapts to the socket and device.","preparation":["Rehabilitation physician and prosthetist assess goals, limb and device choice.","Healed residual limb with controlled edema, often via compression.","Residual limb measurement, casting or scanning for socket fabrication."],"recovery_timeline":[{"phase":"Assessment and fabrication","description":"Evaluation, limb measurement or scanning, and socket and device fabrication; duration varies by clinic and device type.","restrictions":[]},{"phase":"Fitting and adjustment","description":"Test socket and definitive fitting, with progressive wear-time increases and adjustments for comfort.","restrictions":["Gradual increase in wearing time to protect skin."]},{"phase":"Training","description":"Occupational therapy or prosthetic training in 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fitting and training sessions; more for myoelectric devices."},"stages":[{"code":"assessment","label":"Assessment, goal setting and device choice","after":{"min":0,"max":0,"unit":"days","qualifier":"First visit."}},{"code":"casting_scanning","label":"Residual limb casting or scanning","after":{"min":0,"max":2,"unit":"days","qualifier":"Often same visit as assessment."}},{"code":"test_socket","label":"Test socket fitting and adjustment","after":{"min":5,"max":10,"unit":"days","qualifier":"After socket fabrication."}},{"code":"final_fitting","label":"Definitive prosthesis fitting","after":{"min":10,"max":17,"unit":"days","qualifier":"After final assembly of socket and components."}},{"code":"training","label":"Control and daily-use training","after":{"min":11,"max":28,"unit":"days","qualifier":"Starts after definitive fitting."}}],"qualifier":"Stages and timing vary by device type and clinic fabrication speed."},"success":{"metric":"Continued regular prosthesis use (non-abandonment)","value":75,"unit":"percent of fitted users","horizon":"2 years after fitting","population":"Adults with acquired upper-limb amputation fitted with a first prosthesis","evidence_status":"limited"},"techniques":[{"name":"Passive cosmetic prosthesis","suits_whom":"Users prioritizing appearance with limited functional demand.","recovery":"Short fitting period with minimal control training."},{"name":"Body-powered prosthesis (harness and cable)","suits_whom":"Users wanting a durable, lower-cost device with direct mechanical feedback.","recovery":"Training in harness control; duration varies."},{"name":"Myoelectric prosthesis","suits_whom":"Users with usable residual muscle signals who want powered hand, wrist or elbow function.","recovery":"Longer fitting and control training; duration varies."},{"name":"Activity-specific prosthesis","suits_whom":"Users needing a device for specific work, sport or hobby tasks.","recovery":"Task-specific training as needed."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Per fitting visit; fabrication and training occur across separate visits."},"initial_assessment_documents":["Photos of residual limb, front and side","Amputation or surgical report","Photos of the opposite arm for sizing","Recent medical or rehabilitation summary","Records of any previous prosthesis"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"Casting, test socket, final fitting and training need several visits; one 2-4 week trip possible for simpler devices."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Speak directly to the health professional who will perform the treatment before travel","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should speak directly to the health professional undertaking the planned treatment before travel and check their qualifications and references independently.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Verify qualifications and credentials independently and request references before travel","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Qualifications and credentials should be independently verified and references should be requested prior to travel.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check whether the professional holds membership of specialist medical or dental organisations, which may indicate certain standards of care","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Membership of specialist medical or dental organisations may indicate certain standards of care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that a written contract from the clinic or hospital is provided","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask to meet former patients after arriving at the destination","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The traveller should ask to meet former patients once they arrive at their destination.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that medical advice does not come from an administrator, travel agent or sales team","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","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":"The treating professional is not available to talk by telephone or video call","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The health professional carrying procedures abroad should be available to talk to the traveller (via telephone or video call).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Medical advice comes from an administrator, a travel agent or a member of a sales team","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No written contract from the clinic or hospital is offered","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The consultation does not clearly explain risks or possible post-procedure problems","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"This consultation should provide a clear explanation of the planned treatment, including success/complication rates, potential risks and possible post-procedure problems.","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":"Pressure sores or chafing from improper fit","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Pressure sores or chafing due to an improper fit.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Muscle strain from overusing body-powered prosthetics","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Muscle strains from overusing body-powered prosthetics.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Mechanical breakdowns or electronic charging issues","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Mechanical failures and breakdowns and electronic charging issues.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Discomfort or complications related to your prosthesis","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Be sure to call on your healthcare team if discomfort or complications related to your prosthesis develop.","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":"Allows subsequent healthcare professionals to provide follow-up care","document":"medical records","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Remind medical tourists to request copies of their overseas medical records in English and to provide this information to any healthcare professionals they see subsequently for follow-up.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"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 copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather adapt by using other body parts","name":"Adapting with other body parts","source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Some people learn to adapt in other ways — for instance, by using other body parts.","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":"passive-cosmetic-prosthesis","name":"Passive cosmetic prosthesis","how_it_works":{"text":"A lifelike silicone arm that looks like a natural one","source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"You can get a custom, lifelike silicone arm (called a silicone restoration) that’s modeled and painted to look just like a natural arm.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"body-powered-prosthesis","name":"Body-powered prosthesis (harness and cable)","how_it_works":{"text":"Cables connect to body muscles to operate a mechanical device","source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Cables connect the device to muscles elsewhere on your body, such as your shoulder.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"myoelectric-prosthesis","name":"Myoelectric prosthesis","how_it_works":{"text":"Electrodes on your skin read muscle signals to move the joints","source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Electrodes on your skin read your muscle contractions and signal to the device to make the joints move.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"activity-specific-prosthesis","name":"Activity-specific prosthesis","how_it_works":{"text":"A custom device designed for one specific job, sport or hobby","source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"If you need a prosthesis to perform a specific job, sport or hobby, you can get one specifically designed for that purpose.","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}}},"techniques":[{"id":"passive-cosmetic-prosthesis","name":"Passive cosmetic prosthesis","how_it_works":{"id":"H1","text":"A lifelike silicone arm that looks like a natural one","source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"You can get a custom, lifelike silicone arm (called a silicone restoration) that’s modeled and painted to look just like a natural arm.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Users prioritizing appearance with limited functional demand.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Short fitting period with minimal control training."},{"id":"body-powered-prosthesis","name":"Body-powered prosthesis (harness and cable)","how_it_works":{"id":"H1","text":"Cables connect to body muscles to operate a mechanical device","source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Cables connect the device to muscles elsewhere on your body, such as your shoulder.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Users wanting a durable, lower-cost device with direct mechanical feedback.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Training in harness control; duration varies."},{"id":"myoelectric-prosthesis","name":"Myoelectric prosthesis","how_it_works":{"id":"H1","text":"Electrodes on your skin read muscle signals to move the joints","source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Electrodes on your skin read your muscle contractions and signal to the device to make the joints move.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Users with usable residual muscle signals who want powered hand, wrist or elbow function.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer fitting and control training; duration varies."},{"id":"activity-specific-prosthesis","name":"Activity-specific prosthesis","how_it_works":{"id":"H1","text":"A custom device designed for one specific job, sport or hobby","source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"If you need a prosthesis to perform a specific job, sport or hobby, you can get one specifically designed for that purpose.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Users needing a device for specific work, sport or hobby tasks.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Task-specific training as needed."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather adapt by using other body parts","name":"Adapting with other body parts","source":{"url":"https://my.clevelandclinic.org/health/treatments/prosthetic-arm","host":"my.clevelandclinic.org","quote":"Some people learn to adapt in other ways — for instance, by using other body parts.","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},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["china","poland","turkey"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":5,"count":3,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>The cost of a prosthetic arm in Spain typically ranges <strong>from _price_from_ to _price_to_</strong>. Pricing varies depending on the type of prosthesis (myoelectric, body-powered, or cosmetic), the materials used (carbon fiber, silicone, titanium), and the clinic’s expertise. In the United States, the average price is <strong>_price_compare_us_average_</strong> (according to AAOP). This means prosthetic arm procedures in Spain are about _price_percent_discount_% less expensive than in the U.S.</p>\n\n<p>Spanish clinics usually include the initial assessment, custom fitting, the prosthetic device, fitting sessions, and follow-up adjustments. Physical therapy and training for device use are often part of the package. In the U.S., initial fittings, device upgrades, and therapy sessions are often billed separately. Always confirm exactly what’s included with your chosen clinic.</p>","faq":[{"q":"What are the different types of prosthetic arms available?","a":"<p>Articulated upper limb prosthetics range from passive cosmetic replacements to advanced bionic systems controlled by muscle signals. These devices include body-powered mechanical models using harness systems, motorized myoelectric arms for multi-grip functionality, and surgical osseointegration which attaches the prosthetic directly to the bone.</p> <ul> <li><strong>Passive prosthetics:</strong> Designed for anatomical symmetry and appearance without active grip functionality.</li> <li><strong>Body-powered systems:</strong> Use shoulder-operated cables and harnesses to control mechanical hooks or hands.</li> <li><strong>Myoelectric arms:</strong> Utilize skin electrodes to detect muscle contractions for motorized hand movements.</li> <li><strong>Osseointegration:</strong> Surgical procedure anchoring the device directly into the bone to avoid sockets.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain ranks among the top two global destinations for complex orthopedic care. Surgeons like Dr. Joaquim Casañas at Centro Médico Teknon specialize in peripheral nerve microsurgery. This expertise is critical because successful bionic prosthetic use often relies on precise nerve mapping and reconstruction to improve signal detection.</p> <p><strong>Patient Consensus:</strong> Active users often prefer mechanical hooks for daily reliability. While bionic arms offer high-tech appeal, many find them heavy or difficult to maintain in humid conditions.</p>"},{"q":"Are all prosthetics custom-made?","a":"<p>Not all prosthetics are custom-made, but major functional devices like prosthetic arms usually require specific customization. While standardized modular systems exist for general sizing, clinics in Spain utilize 3D scanning and custom molding to ensure proper medical alignment and myoelectric sensor placement for the individual.</p> <ul> <li><strong>Custom-made:</strong> Specialists use 3D scans or plaster casts for precise socket and functional fit.</li> <li><strong>Modular systems:</strong> These hybrid solutions combine standardized components with custom-adapted interfaces for faster delivery.</li> <li><strong>Prefabricated models:</strong> Mass-produced devices often serve as temporary preparatory tools during early recovery phases.</li> <li><strong>3D printing:</strong> This technology allows for personalized cosmetic and functional designs at a reduced cost.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain ranks highly for complex orthopedics because top centers like Hospital Ruber Internacional combine JCI-accredited safety with 3D technologies. While standard components exist, our data shows that specialized surgeons like Dr. Joaquim Casañas focus on nerve-integrated fittings. A custom interface is vital for these advanced myoelectric arms to function correctly.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that off-the-shelf models rarely meet comfort expectations for long-term use. Most find that a custom fit is essential because every amputation site has unique contours and nerve sensitivities.</p>"},{"q":"Who are the main domestic prosthetic manufacturers in Spain?","a":"<p>Spain is a global leader in prosthetic innovation, featuring domestic manufacturers like PRIM Ortopedia, Ortosur, and BRECA HC. These companies specialize in advanced myoelectric limbs, 3D-printed orthopedic solutions, and biomimetic implants. High-tech production hubs in Madrid and Barcelona support local orthopedic centers and international markets.</p> <ul> <li><strong>PRIM Ortopedia:</strong> Offers 150 years of expertise in high-quality prosthetic limb solutions and innovation.</li> <li><strong>Ortosur (Getafe):</strong> Manufactures advanced myoelectric and silicone prostheses, including bionic hands and electronic knees.</li> <li><strong>BRECA HC (Armilla):</strong> Specializes in patient-specific, 3D-printed medical devices and innovative orthopedic reconstructive solutions.</li> <li><strong>Bioreplica (Las Palmas):</strong> Focuses on developing pioneering biomimetic spinal prostheses using cutting-edge medical technologies.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While domestic manufacturing is robust, the most successful outcomes often come from clinics that integrate these devices with specialized surgery. Top surgeons like Dr. Joaquim Casañas at Centro Médico Teknon focus on peripheral nerve microsurgery to maximize prosthetic control. This surgical expertise is crucial for patients seeking the functionality offered by high-end Spanish robotic limbs.</p> <p><strong>Patient Consensus:</strong> Patients recommend consulting orthopedists who specialize in robotics and limb reconstruction. Many advise verifying accredited providers through official Ministry of Health channels to ensure high standards of care.</p>"},{"q":"Is advanced technology like 3D printing used in Spain?","a":"<p>Spain is a global hub for 3D printing in orthopedics, utilizing the technology for prosthetic components and surgical planning. Barcelona and Madrid centers integrate 3D scanning with advanced materials like Nylon 12 and TPU to create personalized, lightweight prosthetic solutions and anatomical models.</p> <ul> <li><strong>Digital scanning:</strong> Patients use iPhone Lidar or iPad apps for precise 3D limb mapping.</li> <li><strong>Advanced materials:</strong> Fabrication utilizes durable Nylon 12 frames and flexible TPU sockets for comfort.</li> <li><strong>Mechanical control:</strong> Specialized 3D-printed hands integrate EMG muscle sensors and Raspberry Pi controllers.</li> <li><strong>Custom components:</strong> Surgeons use Polylactic Acid (PLA) covers for modular and repairable prosthetic designs.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish orthopedics excels by combining 3D printing with advanced surgical navigation. Dr. Inmaculada Gómez Arrayás at Hospital Ruber Internacional utilizes these navigation systems for complex cases. This dual approach ensures the prosthetic fit aligns perfectly with the patient’s unique skeletal structure and movement patterns.</p> <p><strong>Patient Consensus:</strong> Patients value how 3D-printed components provide an affordable, repairable alternative to classic industrial prosthetics. Many recommend organizations like AyudaMe3D.org for accessing these customized and modular medical devices locally.</p>"},{"q":"How often will I need to replace my prosthetic arm?","a":"<p>Most adults replace a prosthetic arm every 3 to 5 years, while growing children usually require new devices every 18 to 24 months. Total lifespan depends on activity levels, device type, and physiological changes in the residual limb that affect the socket fit.</p> <ul> <li><strong>Socket replacement:</strong> Sockets require updates every 6 to 24 months as limb volume changes.</li> <li><strong>Soft components:</strong> Gel liners and sleeves typically need replacement every 8 to 12 months.</li> <li><strong>Childhood growth:</strong> Rapid physical growth in adolescents necessitates new prosthetics every 12 to 24 months.</li> <li><strong>Maintenance schedule:</strong> Annual professional evaluations are recommended to extend the functionality of mechanical components.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Advanced clinics like Hospital Ruber Internacional now offer osseointegration as a long-term alternative. This surgical technique eliminates the prosthetic socket entirely by anchoring the device to the bone. This path significantly reduces the frequent costs and discomfort associated with recurring socket replacements.</p> <p><strong>Patient Consensus:</strong> Many find that minor fit issues can be managed with specialized socks, but pain often signals it is time for a new socket. Wearers recommend keeping a clear log of maintenance to maximize the lifespan of expensive electronic components.</p>"},{"q":"What components are used for comfort?","a":"<p>Prosthetic arm comfort in Spain centers on advanced structural components that optimize weight distribution and limb interface. Clinics utilize rigid Dacron harnesses for stability, micro-adjustable line-of-pull systems for tension control, and custom-fabricated pads to protect high-pressure areas and prevent tissue irritation during daily use.</p> <ul> <li><strong>Stability harness:</strong> Rigid Dacron provides a non-stretching foundation to distribute prosthetic weight safely.</li> <li><strong>Tension control:</strong> Micro-adjustment of the line-of-pull allows precision tuning to reduce physical strain.</li> <li><strong>Anti-chafing interface:</strong> Sockets use leather strips under metal hangers to prevent skin friction.</li> <li><strong>Axilla protection:</strong> Soft fabric tubes around armpit rings minimize pressure on sensitive nerve clusters.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While bionic arms offer high tech, many patients choose body-powered systems for reliability. Data shows Spanish orthopedic centers like Hospital Ruber Internacional prioritize custom harnessing over generic fittings. This focus on individual padding fabrication significantly improves long-term wearability compared to standard off-the-shelf components.</p> <p><strong>Patient Consensus:</strong> Accuracy in line-of-pull adjustments is crucial for comfort. Even shifting the cable tension by a few millimeters makes a noticeable difference in daily shoulder fatigue.</p>"}],"h2":[{"text":"Какая цена протезирования руки в Испании?","kind":"content"},{"text":"Преимущества и гарантии Bookimed","kind":"content"},{"text":"Ваш личный врач-координатор Bookimed","kind":"content"},{"text":"Лучшие клиники по протезированию руки в Испании — 1 проверенный вариант с ценами","kind":"content"},{"text":"Обзор процедуры Протезирование руки в Испании","kind":"content"},{"text":"Получите медицинскую консультацию по протезированию руки в Испании: Выбирайте среди лучших специалистов в этой области","kind":"content"},{"text":"Отзывы о Bookimed: узнайте о реальном опыте пациентов","kind":"content"},{"text":"Поделитесь этим материалом","kind":"content"},{"text":"Видеоистории пациентов Bookimed","kind":"content"},{"text":"Ключевые факты о протезировании руки","kind":"content"},{"text":"FAQ по протезированию руки в Испании","kind":"content"},{"text":"Получить бесплатную консультацию","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}