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يتمتع الدكتور كرزيستوف تشيركاسو بخبرة تمتد لـ 32 عاماً في مجال جراحة العظام، حيث أجرى أكثر من 5000 عملية استبدال للمفاصل. قد تبلغ تكلفة عملية مراجعة تقويم مفصل الركبة حوالي 7,100 إلى 9,100 يورو، وهي تغطي عادةً الجراحة، وطرفاً اصطناعياً مضاداً للحساسية من إنتاج شركتي Zimmer Biomet أو DePuy Synthes، وإقامة لمدة 3 ليالٍ، وفحوصات ما قبل العملية، وعلاجاً طبيعياً متخصصاً. تقدم العيادة المعتمدة من منظمة الآيزو (ISO) اختياراً مخصصاً للغرسات ورعاية شاملة بعد العملية الجراحية. يترأس الدكتور تشيركاسو وحدة جراحة العظام ويشغل عضوية في جمعيات جراحة العظام البولندية والأوروبية.

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KCM Clinic Poland هو مركز طبي شامل في مدينة Jelenia Góra ، على بعد 90 كم من فروتسواف.

\n\n

الأطباء متخصصون في جراحة إنقاص الوزن والجراحة التجميلية وجراحة العظام وجراحة العمود الفقري طفيفة التوغل.

\n\n

يقدم المستشفى برامج حزمة خاصة للمرضى الدوليين.

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في كل عام ، يأتي 700 مريض من المملكة المتحدة وألمانيا وأيسلندا وإسبانيا وعمان إلى مدينة كيب تاون لتلقي العلاج.

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\n\n

الأطباء متخصصون في جراحة إنقاص الوزن والجراحة التجميلية وجراحة العظام وجراحة العمود الفقري طفيفة التوغل.

\n\n

يقدم المستشفى برامج حزمة خاصة للمرضى الدوليين.

\n\n

في كل عام ، يأتي 700 مريض من المملكة المتحدة وألمانيا وأيسلندا وإسبانيا وعمان إلى مدينة كيب تاون لتلقي العلاج.

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يستبدل الإجراء أجزاء مفصل الركبة البالية ، ويعزز الحركة ، ويقلل من الألم من خلال التدخل الجراحي.

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يستبدل الإجراء جزءًا واحدًا فقط من الركبة ، وهو أقل توغلًا ويوفر تعافيًا أسرع.

"},"1149":{"operation":{"name":"مراجعة استبدال مفصل الركبة بالكامل (رأب مفصل الركبة)","alias":"total-knee-replacement-arthroplasty-revision","use_for_listing":true},"country_price":{"US":{"amount":45000,"max_amount":72000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6600,"max_amount":11900,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":5900,"max_amount":13500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"PL":{"amount":9900,"max_amount":13500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":14500,"max_amount":21000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":true,"CA":false,"AE":false,"TH":true,"PL":true,"KR":false,"CZ":true,"AT":false,"ES":false,"IT":true,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false},"description":"

تعمل العملية على استعادة مفصل الركبة الضعيف عن طريق استبدال غرسة صناعية سابقة بأخرى جديدة.

"},"1211":{"operation":{"name":"مراجعة تقويم مفصل الركبة","alias":"revision-knee-arthroplasty","use_for_listing":true},"country_price":{"US":{"amount":42000,"max_amount":68000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6000,"max_amount":14500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":27500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"PL":{"amount":7500,"max_amount":12000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":15000,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"PL":false,"ES":false},"description":"

تحل العملية محل مفصل الركبة الاصطناعي البالي ، مما يخفف من الشعور بعدم الراحة ويعزز الحركة.

"},"1635":{"operation":{"name":"استبدال الركبة بالكامل باستخدام OMNI","alias":"total-knee-replacement-tkr-with-omni","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":55000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":11000,"max_amount":11500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9500,"max_amount":14500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":7500,"max_amount":10800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":12500,"max_amount":17000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"PL":false,"ES":false}},"1749":{"operation":{"name":"استبدال مفصل الركبة الكلي","alias":"total-knee-replacement-arthroplasty","use_for_listing":true},"country_price":{"US":{"amount":28000,"max_amount":48000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":9300,"max_amount":13500,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":7900,"max_amount":13000,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"PL":{"amount":8800,"max_amount":9800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":12700,"max_amount":15500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"PL":true,"ES":true}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":14,"rehabilitation_days":6,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":23249}},"responsibleDoctor":{"id":3065,"alias":"kayhan-turan","name":"Kayhan Turan ","photo":"doctor/612e235a45616","advisory_text":"الدكتور كيهان توران جراح عظام متخصص في جراحة استبدال المفاصل بمساعدة الروبوت والطب الرياضي. وقد أجرى أول عمليات استبدال الركبة والورك الروبوتية في تركيا، وأكمل أكثر من 3500 عملية جراحية روبوتية.","linkedin":"https://www.linkedin.com/in/drkayhanturan/","specialities":[{"id":"sur.016","name":"جراح العظام","illness_kind_id":33}]},"direction":{"id":3,"name":"طب العظام","alias":"orthopedics-and-traumatology"},"illness_kind":{"id":3,"name":{"en":"Orthopedics"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":56,"max":120,"unit":"days","qualifier":"Typical for desk work after single-stage revision; physically demanding work often takes longer or may not resume."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within 90 days (infection, stiffness, wound problems, thromboembolism); serious events lower."},"contraindications":["Active infection outside a planned infection-directed (e.g., staged) revision","Medical instability or unfitness for major surgery and anesthesia","Non-reconstructable soft-tissue deficiency or extensor mechanism failure (relative)","Uncontrolled diabetes or severe cardiopulmonary disease (relative)","Active smoking or severe malnutrition (relative; optimize first)","Patient unable to take part in rehabilitation (relative)","Pain without clear cause (relative; establish diagnosis first)"],"days_in_clinic":{"min":2,"max":5,"unit":"nights","qualifier":"Typical inpatient stay after single-stage revision TKA; longer if complex reconstruction or complications."},"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":"Low-impact activity such as walking, stationary cycling and swimming once cleared by the surgeon; high-impact sport generally discouraged."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Maximal functional improvement after single-stage revision; often slower than primary arthroplasty."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After single-stage revision; depends on surgeon clearance at wound check, thrombosis risk, mobility and flight length."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"From surgery; before the flight home."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"From surgery; clinical and radiographic review."}},{"purpose":"result_review","requirement":"routine","after":{"min":300,"max":400,"unit":"days","qualifier":"From surgery; around 1 year review with imaging."}}],"indications":["Aseptic loosening of a previous knee prosthesis component","Instability of the knee replacement","Wear or osteolysis of the implant, including polyethylene wear","Periprosthetic fracture involving implant stability","Component malposition or malrotation causing pain or stiffness","Arthrofibrosis or stiffness with identifiable mechanical cause"],"main_risks":["Infection","Venous thromboembolism","Stiffness or limited range of motion","Persistent pain","Instability or dislocation","Periprosthetic fracture","Bone loss and need for augments, cones or stems","Wound healing problems","Neurovascular injury","Extensor mechanism problems","Need for further revision","Anesthesia and cardiopulmonary complications","Bleeding and transfusion"],"pain":"Moderate to severe postoperative pain in the first days to weeks, managed with multimodal analgesia (possibly including nerve blocks); gradually improving over several weeks.","preparation":["Surgical and anesthesia assessment, blood tests, cardiac evaluation if indicated","Knee and implant imaging; infection workup (markers, aspiration)","Review prior operative records and implant details for planning","Optimize diabetes, anemia, nutrition; stop smoking","Medication review with the surgical and anesthesia team","Fasting as instructed by the anesthesia team","Planning home support, walking aids and physiotherapy"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Pain control, thromboprophylaxis, early mobilization with physiotherapy and walking aid.","restrictions":["Weight-bearing as surgeon instructs; may be protected after bone reconstruction","Keep wound dry and clean"]},{"phase":"Early recovery (weeks 1-6)","description":"Home exercises and outpatient physiotherapy to regain knee motion and strength; swelling management.","restrictions":["No driving until cleared","Use walking aids","Avoid kneeling and twisting"]},{"phase":"Functional recovery (weeks 6-12)","description":"Progressive strengthening, walking without aids and return to light activities or desk work.","restrictions":["Avoid heavy lifting and impact activity"]},{"phase":"Late recovery (3-12 months)","description":"Continued gains in strength and function; final result reached.","restrictions":["Avoid high-impact sports"]}],"rehabilitation_days":{"min":60,"max":120,"unit":"days","qualifier":"Ordinary functional recovery for walking and daily activities after uncomplicated single-stage revision TKA; formal physiotherapy often continues longer."},"result_longevity":"Variable depending on indication, bone quality, implant constraint and patient factors; revision implants generally have lower survivorship than primary knee replacements, and long-term follow-up is needed.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Re-revision of aseptic revision TKA within about 10 years; higher in infection or complex cases."},"scars":"Usually through the previous anterior midline incision, producing a longer linear scar around the front of the knee; extended exposures may lengthen it.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation for typical aseptic single-stage revision; infection cases may need two stages, which are a different protocol."},"stages":[{"code":"single_stage_revision","label":"Removal of old components and implantation of revision prosthesis in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Describes aseptic single-stage revision."},"success":{"metric":"Implant survival free from re-revision","value":85,"unit":"percent","horizon":"10 years","population":"Adults after aseptic single-stage revision knee replacement","evidence_status":"limited"},"techniques":[{"name":"Single-stage revision TKA with stemmed components and augments/cones","suits_whom":"Aseptic loosening, wear, instability or malposition with bone loss needing reconstruction.","recovery":"Inpatient stay of a few days, rehabilitation over several months."},{"name":"Isolated component or polyethylene insert exchange","suits_whom":"Selected patients with well-fixed components and limited problems such as wear or instability.","recovery":"Usually faster recovery than full revision."},{"name":"Two-stage revision for periprosthetic infection","suits_whom":"Chronic periprosthetic joint infection needing staged treatment.","recovery":"Spacer placement, then months of antibiotics before reimplantation."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for typical single-stage revision TKA; longer for complex reconstruction."},"initial_assessment_documents":["Standing knee X-rays, front and side views","Operative report of original knee replacement","Implant sticker or implant brand and model","Recent CRP and ESR blood results","Knee CT scan (if available)","Knee aspiration culture results (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage aseptic revision; stay 10-14 days until wound check. Second trip only for in-person 1-year review."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the orthopedic surgeon to discuss your concerns thoroughly before surgery","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Discuss your concerns thoroughly with your orthopaedic surgeon prior to surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgeon will explain the risks and complications of the operation, including those that can occur over time","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"In addition, your orthopaedic surgeon will explain the potential risks and complications of total knee replacement, including those related to the surgery itself and those that can occur over time after your surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand what the procedure can and cannot do before deciding on it","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"An important factor in deciding whether to have total knee replacement surgery is understanding what the procedure can and cannot do.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that the surgeon reviews your evaluation results and whether surgery is the best option","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Your orthopaedic surgeon will review the results of your evaluation with you and discuss whether total knee replacement is the best method to relieve your pain and improve your function.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the surgeon takes your medical history and asks about your pain and function","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Your orthopaedic surgeon will gather information about your general health and ask you about the extent of your knee pain and your ability to function.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask the surgeon questions until you understand the answers","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Never hesitate to ask your doctor questions when you do not understand.","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":"Surgery is offered without a thorough evaluation by an orthopedic surgeon first","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"Your primary care doctor may refer you to an orthopaedic surgeon for a thorough evaluation to determine if you might benefit from this surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The surgeon does not explain the risks and complications before booking","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"In addition, your orthopaedic surgeon will explain the potential risks and complications of total knee replacement, including those related to the surgery itself and those that can occur over time after your surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"A clinic promises more function than the procedure can give","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-knee-replacement/","host":"orthoinfo.aaos.org","quote":"But total knee replacement will not allow you to do more than you could before you developed arthritis.","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":"Increasing redness, tenderness, or swelling at incision","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Increasing redness, tenderness, or swelling of the incision wound","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Drainage from the incision wound","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Drainage from the incision wound","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Increasing pain during activity and rest","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Increasing pain with both activity and rest","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Persistent fever","urgency":"contact_clinic","general":true,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/preventing-infection-after-joint-replacement-surgery-video","host":"orthoinfo.aaos.org","quote":"Persistent fever (higher than 100 degrees orally)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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infection","how_it_works":{"text":"Infection is cleared in stages, with a new implant placed later","source":{"url":"https://www.wwl.nhs.uk/pdfreader/cnv-wwl-68ca8bced1bae4.76938245","host":"wwl.nhs.uk","quote":"If infection is found, the knee replacement may need to be performed in two 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