عيادة جراحة الحفاظ على المفاصل (Joint Preservation Surgery Clinic) هي وحدة تقويم عظام متخصصة في برشلونة، إسبانيا. يعمل الفريق في مستشفى إل بيلار (Hospital El Pilar). يركزون على الحفاظ على المفاصل للرياضيين والشباب. تشمل التخصصات الرئيسية الرعاية المتقدمة لمشاكل الورك والركبة والكتف. يدير الدكتور لويس راميريز نونيز برنامج الحفاظ على الورك. كما يرأس منطقة الحفاظ على الورك في مستشفى كلينيك دي برشلونة (Hospital Clínic de Barcelona).
تمتلك العيادة وحدات مخصصة لحالات الورك والركبة المعقدة. يعالجون انحشار الورك (femoroacetabular impingement)، وإصابات الشفا (labral injuries)، وخلل التنسج الوركي. تغطي رعاية الركبة آفات الغضروف المفصلي، وإصابات الرباط الصليبي الأمامي (ACL)، والتهاب المفاصل العظمي. يقوم الجراحون بإجراءات ترميمية وتنظير مفصل الورك لتأخير استبدال المفصل. يحصل كل مريض على خطة متعددة التخصصات من التشخيص إلى التعافي.
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تمتلك العيادة وحدات مخصصة لحالات الورك والركبة المعقدة. يعالجون انحشار الورك (femoroacetabular impingement)، وإصابات الشفا (labral injuries)، وخلل التنسج الوركي. تغطي رعاية الركبة آفات الغضروف المفصلي، وإصابات الرباط الصليبي الأمامي (ACL)، والتهاب المفاصل العظمي. يقوم الجراحون بإجراءات ترميمية وتنظير مفصل الورك لتأخير استبدال المفصل. يحصل كل مريض على خطة متعددة التخصصات من التشخيص إلى التعافي.
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"},"603":{"operation":{"name":"إصلاح Bankart","alias":"bankart-repair","use_for_listing":true},"country_price":{"US":{"amount":14000,"max_amount":25000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5500,"max_amount":8000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":11400,"max_amount":14700,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3800,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5200,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":true,"TH":false,"ES":false},"description":"يعالج هذا الإجراء عدم استقرار الكتف عن طريق إصلاح الأربطة الممزقة لشد المفصل ، مما يقلل من مخاطر الخلع.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":6,"satisfied_percent":78,"treatment_duration_hours":2},"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":28,"max":180,"unit":"days","qualifier":"Desk work about 4-6 weeks; 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depends on flight length, thrombosis risk and wound healing."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound check and suture/staple removal if not absorbable."}},{"purpose":"assessment","requirement":"routine","after":{"min":38,"max":52,"unit":"days","qualifier":"About 6 weeks with X-ray and progression of rehabilitation."}},{"purpose":"result_review","requirement":"routine","after":{"min":80,"max":100,"unit":"days","qualifier":"About 3 months."}},{"purpose":"result_review","requirement":"routine","after":{"min":170,"max":380,"unit":"days","qualifier":"6-12 months review with imaging."}}],"indications":["Advanced glenohumeral osteoarthritis with pain unresponsive to conservative treatment","Rheumatoid or other inflammatory arthritis of the shoulder","Complex proximal humerus fracture or fracture sequelae","Rotator cuff tear arthropathy","Avascular necrosis of the humeral head with joint collapse"],"main_risks":["Infection","Implant loosening or wear over time","Dislocation or instability","Stiffness","Rotator cuff failure (anatomic replacement)","Nerve injury","Periprosthetic fracture","Blood clots","Anesthesia-related risks","Scapular or acromial stress fracture (reverse replacement)"],"pain":"Moderate to severe pain in the first days to weeks, controlled with multimodal analgesia and often a nerve block; gradually improves over several weeks, with long-term pain relief typically better than before surgery.","preparation":["Pre-operative medical assessment and fitness for anesthesia","Blood tests, imaging (X-ray, CT/MRI) and surgical planning","Review of medications with the surgical and anesthesia team","Fasting before general anesthesia as instructed","Smoking cessation and optimization of chronic conditions","Plan home help and sling/one-handed activity arrangements","Screening for infection (e.g., dental, skin)"],"recovery_timeline":[{"phase":"Hospital stay (days 0-2)","description":"Pain control, sling, early gentle movement guided by therapist.","restrictions":["Sling use","No active lifting of the arm"]},{"phase":"Early recovery (weeks 1-6)","description":"Passive and assisted motion, wound healing, sling use as directed.","restrictions":["No lifting or pushing with the operated arm","No driving while in sling or on opioids"]},{"phase":"Active motion (weeks 6-12)","description":"Sling weaned; 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sling about 4-6 weeks, with specific motion precautions"},{"name":"Hemiarthroplasty","suits_whom":"Selected fractures or avascular necrosis with intact glenoid","recovery":"Similar to total replacement; rehab may be slower if tuberosities need healing"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operative time for a primary shoulder replacement, excluding anesthesia and recovery."},"initial_assessment_documents":["Shoulder X-rays","Shoulder MRI or CT scan report","Orthopedic clinic notes on shoulder","List of blood thinners","Previous shoulder surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; 1-2 nights in hospital, then about 10-14 days in country until wound check. Later reviews at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical 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unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably 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