يتخصص الدكتور شيافيغاتي في عمليات ترميم الأوتار المعقدة بنسبة نجاح عالية، حيث يقوم بإجراء جراحات تجميل وتر أخيل باستخدام الأساليب التنظيرية والمفتوحة. قد تبلغ تكلفة الإجراء حوالي 8,000 إلى 9,000 يورو، وهي تغطي عادةً الجراحة والتخدير والإقامة في المستشفى لليلة واحدة ومواد التثبيت الجراحي. وتعد العيادة، المركز الطبي تيكنون (Centro Médico Teknon)، مستشفى خاصاً متميزاً معتمداً من قبل اللجنة الدولية المشتركة (JCI) في برشلونة.
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\n\nيعد علم الصرع (علاج الصرع) وجراحة الأعصاب والأورام وجراحة القلب والعلاج بالخلايا الجذعية من التخصصات الأساسية في مستشفى تكنون.
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\n\nيعد علم الصرع (علاج الصرع) وجراحة الأعصاب والأورام وجراحة القلب والعلاج بالخلايا الجذعية من التخصصات الأساسية في مستشفى تكنون.
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بشكل أفضل.
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"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":23249}},"direction":{"id":3,"name":"طب العظام","alias":"orthopedics-and-traumatology"},"illness_kind":{"id":3,"name":{"en":"Orthopedics"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["regional","general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk work earlier with crutches or scooter; manual or standing work later."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within 6 months, mainly wound problems; deep infection and re-rupture are lower."},"contraindications":["Active local or systemic infection","Poor skin condition over the heel or tendon","Severe peripheral arterial disease","Uncontrolled diabetes","Heavy smoking without cessation","Unfitness for anesthesia"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually discharged same day or after one night; stay nearby until suture removal."},"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 sport depend on tendon healing and strength recovery."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Strength and tendon remodeling continue through rehabilitation."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After wound check and suture removal; depends on surgeon clearance and thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":10,"max":14,"unit":"days","qualifier":"Before departure home"},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":14,"unit":"days","qualifier":"Usually at same visit as wound check"},"requirement":"routine"},{"purpose":"splint_removal","after":{"min":14,"max":42,"unit":"days","qualifier":"Cast or boot changes, often at home"},"requirement":"routine"},{"purpose":"rehabilitation","after":{"min":42,"max":90,"unit":"days","qualifier":"Physiotherapy begins after immobilization"},"requirement":"routine"},{"purpose":"result_review","after":{"min":90,"max":180,"unit":"days","qualifier":"Strength and function assessment"},"requirement":"routine"}],"indications":["Chronic Achilles tendon rupture","Neglected Achilles tendon rupture with gap","Failed prior Achilles repair","Tendon defect after debridement","Severe insertional or midportion tendinopathy with tendon loss","Tendon elongation after healed rupture"],"main_risks":["Wound healing problems or skin necrosis","Infection","Sural nerve injury","Re-rupture","Deep vein thrombosis","Persistent weakness or stiffness","Adhesions of the tendon","Scar tenderness"],"pain":"Moderate to significant pain for the first few days, controlled with nerve block and oral analgesics. It usually settles within 2 weeks.","preparation":["Review MRI, ultrasound and X-ray","Stop smoking several weeks before","Review blood thinners and steroid use","Preoperative blood tests and fitness check","Fast 6-8 hours before surgery","Arrange crutches or knee scooter","Plan accommodation for 10-14 days"],"recovery_timeline":[{"phase":"Days 0-14","description":"Plaster or splint in equinus position; wound healing; elevation. Suture removal at the end.","restrictions":["No weight bearing","Keep leg elevated","Keep dressing dry"]},{"phase":"Weeks 2-6","description":"Cast or boot with gradual lowering of the foot toward neutral.","restrictions":["Protected or limited weight bearing","No active ankle stretching"]},{"phase":"Weeks 6-12","description":"Boot weaning, walking, and start of physiotherapy for range of motion and strength.","restrictions":["No running or jumping","Heel wedges as directed"]},{"phase":"Months 3-6","description":"Progressive strengthening, calf raises, and return to light sport.","restrictions":["No impact sport until cleared"]},{"phase":"Months 6-12","description":"Full strength recovery and return to unrestricted activity.","restrictions":[]}],"rehabilitation_days":{"min":90,"max":180,"unit":"days","qualifier":"Functional walking recovery; depends on tendon reconstruction extent and compliance."},"result_longevity":"Repair is usually durable long term once healed. Strength may stay slightly below the opposite side.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Repeat surgery for re-rupture, deep infection, wound problems or adhesions within 2 years."},"scars":"A longitudinal scar over the back of the heel and calf, usually 8-15 cm. It fades over 6-12 months and may remain slightly tender.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single-stage surgery"},"stages":[{"code":"surgery","label":"Tendon reconstruction surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single operation; casting and rehabilitation follow at home."},"success":{"metric":"Return to daily walking without major limitation","value":85,"unit":"percent of patients","horizon":"12 months","population":"Adults with chronic Achilles tendon rupture or tendon defect","evidence_status":"limited"},"techniques":[{"name":"V-Y advancement","suits_whom":"Chronic rupture with moderate gap","recovery":"Cast 2 weeks then boot; walking about 6-8 weeks."},{"name":"Flexor hallucis longus transfer","suits_whom":"Large defect or older low-demand patients","recovery":"Similar immobilization; strength recovery 6-12 months."},{"name":"Turndown flap (Bosworth)","suits_whom":"Chronic ruptures with defect","recovery":"Cast 2-6 weeks then boot with rehabilitation."},{"name":"Allograft or synthetic augmentation","suits_whom":"Very large defects or failed repairs","recovery":"Prolonged protected weight bearing and rehabilitation."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Depends on defect size and reconstruction method."},"initial_assessment_documents":["Ankle MRI of the Achilles tendon","Ankle ultrasound report","Lateral ankle and heel X-ray","Photos of the heel and tendon area","Previous Achilles surgery operative report (if available)","List of blood thinners and steroid use"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days until wound check and suture removal. Casting and rehabilitation continue at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=barselona/procedure=artroskopicheskaya-plastika-ahillesova-suhozhiliya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":2},"manualSeo":[],"updatedAt":"2026-11-01T20:40:30.023Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}