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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":7800,"max_amount":17000,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":23100,"max_amount":25400,"currency":"USD","clinic_count":1,"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"},"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,"DE":true,"TH":true,"ES":true}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":10,"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":["regional"],"back_to_work_days":{"min":14,"max":84,"unit":"days","qualifier":"Desk-based work about 2-3 weeks; physically demanding work about 6-12 weeks."},"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Any complication within 90 days (stiffness, wound issues, infection, VTE); serious ones about 1-2%."},"contraindications":["Active infection in or around the knee","Inflammatory 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6-12 months."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After wound check and surgeon clearance; depends on thrombosis risk, flight length and mobility."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound check and suture/staple removal if non-absorbable closure used; about 10-14 days."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Surgeon review with range of motion and function assessment, often with X-ray."}},{"purpose":"result_review","requirement":"routine","after":{"min":300,"max":400,"unit":"days","qualifier":"About one-year review with imaging."}}],"indications":["Symptomatic osteoarthritis confined to one knee compartment, usually medial","Spontaneous osteonecrosis of the femoral condyle confined to one compartment","Failure of conservative treatment (analgesics, physiotherapy, injections)"],"main_risks":["Infection","Venous thromboembolism","Persistent pain or stiffness","Implant loosening or wear over time","Arthritis progression elsewhere, possibly requiring total knee replacement","Bearing dislocation (mobile-bearing designs)","Periprosthetic fracture","Nerve or vessel injury","Anesthesia-related risks"],"pain":"Moderate postoperative pain for the first days to weeks, controlled with multimodal analgesia and regional/local blocks; usually less than after total knee replacement.","preparation":["Examination, standing X-rays, sometimes MRI to confirm single-compartment disease","Medical fitness evaluation and blood tests as needed","Review of regular medications with surgical/anesthesia team","Fasting as instructed by the anesthesia team","Smoking cessation; weight/diabetes optimization where possible","Home preparation and pre-operative physiotherapy education"],"recovery_timeline":[{"phase":"Hospital stay (day 0-1)","description":"Mobilization with physiotherapist on the day of surgery, walking with aid.","restrictions":["Walking aid use","Thromboprophylaxis as prescribed"]},{"phase":"Weeks 1-6","description":"Progressive weight-bearing as tolerated, home exercises, reduction of swelling, wean off walking aids at about 1-3 weeks.","restrictions":["No driving until safe control (often about 2-6 weeks)","Avoid kneeling and impact activities"]},{"phase":"Weeks 6-12","description":"Strengthening and return to low-impact activity and most daily activities.","restrictions":["Avoid high-impact sports"]},{"phase":"3-12 months","description":"Continued gradual improvement in strength, swelling and function.","restrictions":[]}],"rehabilitation_days":{"min":21,"max":60,"unit":"days","qualifier":"Ordinary functional recovery to independent daily activities; physiotherapy may continue longer."},"result_longevity":"Many implants last 10-15 years or more, but survival varies by implant design, patient factors and activity; revision rates are somewhat higher than for total knee replacement.","revision_rate_pct":{"min":8,"max":15,"unit":"percent","qualifier":"Cumulative revision to total knee replacement or other implant revision within 10 years."},"scars":"A single anterior knee incision, typically about 8-12 cm, shorter than for total knee replacement; usually fades to a thin line.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for one compartment."},"stages":[{"code":"unicompartmental_arthroplasty","label":"Unicompartmental knee replacement surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of admission."}}],"qualifier":"One-stage unilateral procedure."},"success":{"metric":"Implant survival without revision","value":90,"unit":"percent","horizon":"10 years","population":"Adults with isolated single-compartment knee osteoarthritis and intact ACL","evidence_status":"proven"},"techniques":[{"name":"Fixed-bearing cemented unicompartmental arthroplasty","suits_whom":"Most patients with isolated medial or lateral compartment arthritis.","recovery":"Rapid mobilization, typically 1 night or less in hospital."},{"name":"Mobile-bearing unicompartmental arthroplasty","suits_whom":"Selected patients with isolated medial compartment disease and intact ligaments.","recovery":"Similar to fixed-bearing."},{"name":"Robotic-assisted unicompartmental arthroplasty","suits_whom":"Patients with isolated arthritis; robotic planning aids implant positioning.","recovery":"Similar recovery to conventional technique."}],"treatment_conditions":["inpatient","day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operative time for one knee, excluding anesthesia and recovery room time."},"initial_assessment_documents":["Weight-bearing knee X-rays","Knee MRI report and images","Full-leg standing alignment X-ray (if available)","Orthopedic notes on knee symptoms","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days for wound check and suture removal. Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"C2","text":"Check that you are satisfied with the facilities and standards where you will be treated","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":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment","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":"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":"C4","text":"Check that you are clear how your aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask the treating team questions about your 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abroad","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":"No mention of aftercare when offering treatment abroad","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}}],"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 of 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 with both 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":"Home doctors need the medicines received to continue care","document":"medication list","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Remind travelers to request documentation of any medical care received during travel, including a list of medications 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