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الخلفي","alias":"posterior-ankle-impingement"},{"name":"التهاب الأوتار التكلسي","alias":"calcific-tendinitis"},{"name":"فصال الورك","alias":"coxarthrosis"},{"name":"هشاشة العظام في الورك","alias":"osteoarthritis-of-the-hip"},{"name":"هشاشة العظام في الركبة","alias":"knee-osteoarthritis"},{"name":"هشاشة العظام في الكتف","alias":"shoulder-osteoarthritis"},{"name":"هشاشة العظام في الكاحل","alias":"osteoarthritis-of-the-ankle"},{"name":"هشاشة العظام","alias":"osteoporosis"},{"name":"شلل كلومبكي","alias":"klumpke-s-palsy"},{"name":"اصطدام الكاحل الأمامي","alias":"anterior-ankle-impingement"},{"name":"كسر الورك","alias":"hip-fracture"},{"name":"أقدام مسطحة","alias":"baby-flat-feet"},{"name":"كعب حفز","alias":"heel-spur"},{"name":"تمزق الكفة المدورة","alias":"rotator-cuff-tear"},{"name":"تمزق الغضروف الهلالي","alias":"torn-meniscus"},{"name":"تمزق الرباط الصليبي الأمامي (إصابة الرباط الصليبي الأمامي)","alias":"torn-acl-anterior-cruciate-ligament-injury"},{"name":"ارتفاق 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اللاصق","alias":"ankylosing-spondylitis","type":"illness","id":34}],"operationPrices":{"operation_prices":{"1343":{"operation":{"name":"إصلاح الغضروف المفصلي بالمنظار","alias":"arthroscopic-meniscus-repair","use_for_listing":true},"country_price":{"US":{"amount":8500,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3300,"max_amount":8400,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":8800,"max_amount":11100,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8000,"max_amount":9100,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":16600,"max_amount":22100,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","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":true,"CZ":true,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":10,"rehabilitation_days":84,"satisfied_percent":78,"treatment_conditions":"outpatient","treatment_duration_hours":1},"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","regional"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk work often possible within about 2 weeks on crutches or brace; physically demanding work takes longer."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Any perioperative complication (nerve irritation, stiffness, infection, DVT, hemarthrosis) within 90 days; serious ones under 1%."},"contraindications":["Irreparable tear (degenerative, macerated, flap tissue, poor vascularity)","Active joint or skin infection","Advanced osteoarthritis where repair is unlikely to help","Uncorrected ACL instability unless reconstructed concurrently (relative)","Unable or unwilling to follow weight-bearing and rehabilitation rules","Unfit for anesthesia"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually day surgery; occasionally one night of observation."},"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":"Running and light sport at about 3-4 months; pivoting and contact sports at 4-6 months, depending on tear and protocol."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Meniscal healing and full functional recovery generally take around 6 months or more."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After suture removal and wound check; depends on surgeon clearance, flight length, crutch mobility and DVT risk."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"From surgery; includes suture removal."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":56,"unit":"days","qualifier":"From surgery; review of range of motion and weight-bearing progression."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery; clearance for return to higher-level activity."}}],"indications":["Symptomatic repairable tear, especially vertical or peripheral, in red-red/red-white zone","Mechanical symptoms (locking, catching) with a repairable tear","Younger and active patients where preserving meniscal tissue is desirable","Meniscal tear with concurrent ACL reconstruction","Root or ramp lesions"],"main_risks":["Failure of healing or retear needing further surgery","Saphenous or other nerve irritation or injury","Stiffness (arthrofibrosis)","Infection","Deep vein thrombosis","Bleeding or hemarthrosis","Persistent pain or swelling","Anesthesia-related risks"],"pain":"Moderate pain and swelling for the first 1-2 weeks, controlled with oral analgesics, ice and elevation; gradually settles over several weeks.","preparation":["Preoperative assessment and MRI review","Medical fitness evaluation for anesthesia","Fasting before general anesthesia as instructed","Arrange crutches and possibly a hinged brace","Discuss preoperative physiotherapy and postoperative weight-bearing plan","Arrange transport and help at home"],"recovery_timeline":[{"phase":"Weeks 0-6","description":"Protected phase with crutches, often a brace; restricted weight-bearing and knee flexion; focus on swelling control and gentle motion.","restrictions":["Limited or non-weight-bearing as instructed","Avoid deep knee flexion","No twisting or squatting"]},{"phase":"Weeks 6-12","description":"Gradual return to full weight-bearing, with progressive strengthening and range of motion in physiotherapy.","restrictions":["Avoid deep squats and loaded flexion","No running or impact"]},{"phase":"Months 3-6","description":"Progressive running, agility and sport-specific training once cleared.","restrictions":["Avoid pivoting and contact sport until surgeon clearance"]}],"rehabilitation_days":{"min":84,"max":180,"unit":"days","qualifier":"Ordinary functional recovery including protected weight-bearing and physiotherapy; return to daily activities earlier than to sport."},"result_longevity":"A healed repair often preserves the meniscus for many years, commonly a decade or more. Durability depends on tear pattern, knee stability, age and adherence to rehabilitation; retear occurs in a minority of patients.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Failed repair needing repeat surgery (meniscectomy or re-repair) within about 5 years; lower for peripheral tears with ACL reconstruction."},"scars":"Two or three small arthroscopic portal scars about 0.5-1 cm each, usually fading to minimal marks; an additional small incision may be used for suture tying with some all-inside or outside-in techniques.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative procedure."},"stages":[{"code":"arthroscopic_repair","label":"Arthroscopic meniscus repair surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"One surgical session; follow-up and rehabilitation visits are not counted as treatment sessions."},"success":{"metric":"Meniscus repair remains healed without reoperation","value":85,"unit":"percent","horizon":"2-5 years","population":"Adults with repairable peripheral or vertical meniscal tears, isolated or with ACL reconstruction","evidence_status":"limited"},"techniques":[{"name":"Inside-out suture repair","suits_whom":"Posterior horn and body tears, longitudinal tears.","recovery":"Protected weight-bearing and restricted flexion for about 4-6 weeks, then progressive rehabilitation."},{"name":"All-inside repair with suture-based anchors or implants","suits_whom":"Posterior horn tears and tears close to the capsule, avoiding extra incisions.","recovery":"Protected weight-bearing and restricted flexion, similar to inside-out repair."},{"name":"Outside-in repair","suits_whom":"Anterior horn and some midbody tears.","recovery":"Similar protected protocol; small extra incision."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for isolated single-meniscus repair; longer when combined with ligament reconstruction."},"initial_assessment_documents":["Knee MRI images and report","Standing weight-bearing knee X-rays","Orthopedic clinic notes on injury and symptoms","Previous knee surgery reports (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip covers surgery and suture removal; later reviews at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_type","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team treating you","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":"C3","text":"Check that the treating professional is available to talk with you by phone or video","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":"C4","text":"Check how your aftercare will be provided when you return home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"You'll need to be aware of how your aftercare will be provided when you return home and understand the conditions under which you'll be treated abroad.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check whether the clinic or hospital is internationally accredited","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Individuals planning overseas treatment are advised to use internationally accredited clinics or hospitals, although using an accredited clinic or hospital does not guarantee a satisfactory outcome [4].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that you receive a written contract from the clinic or hospital","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":"C7","text":"Check that medical advice does not come from sales staff or a travel agent","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":"Pressure to make a quick decision before booking","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No discussion of possible complications offered before booking","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Medical advice given by a sales team member or travel agent","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},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy drainage from the surgery site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21508-meniscus-surgery","host":"my.clevelandclinic.org","quote":"Lots of drainage (blood or fluid) from your surgery site.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Knee pain or swelling not improving after rest","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21508-meniscus-surgery","host":"my.clevelandclinic.org","quote":"Pain or swelling that doesn’t get better after resting or elevating your knee.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Fever higher than 101 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21508-meniscus-surgery","host":"my.clevelandclinic.org","quote":"Fever higher than 101 degrees Fahrenheit (38 degrees Celsius).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs the treatment record to continue care","document":"operation report","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure [4].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"The home doctor needs imaging to continue care","document":"x-rays or scans","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure [4].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription 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