An AI-integrated 3 Tesla MRI helps Olympia Quirónsalud assess ankle and other musculoskeletal injuries. More than 80% of its imaging studies focus on sports injuries and musculoskeletal conditions. The JCI-accredited Madrid center offers same-day ankle arthroscopy without hospital admission. Its Injury Recovery Unit brings traumatologists, physiotherapists, and sports doctors together for diagnosis and rehabilitation. Recovery options include Game Ready cryo-compression, focal shockwaves, hyperbaric therapy, and Ice Lab cryotherapy.
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Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Dr. Leyes brings nearly _doctor_8927_years_ of orthopedic expertise, including specialized training in ankle disorders and sports injuries at top institutions like the Mayo Clinic.
Dr. Manuel Leyes is an orthopedist at Olympia Quironsalud in Madrid. He has nearly 30 years of experience in sports traumatology. He was recognized as the resident with the best resume in Spain. Dr. Leyes performs robotic knee replacement and arthroscopic surgery. He is the Director of Rights and Partnerships at Olympia Quironsalud.
Olympia Quironsalud is a JCI-accredited medical center in Madrid. It is part of Spain's Quirónsalud hospital network. Best known for sports medicine, lifestyle medicine, and minimally invasive surgery.
25+ years specializing in minimally invasive arthroscopic techniques – Dr. De La Cuadra leads a dedicated traumatology team at Hospital Ruber Internacional.
Dr. Pablo De La Cuadra is an orthopedic surgeon at Hospital Ruber Internacional in Madrid. He heads a specialized traumatology team and leads the sports injuries unit. Dr. De La Cuadra specializes in arthroscopic and reconstructive techniques for complex shoulder disorders. He holds a PhD in Medicine from the Autonomous University of Madrid.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Dr. Inmaculada Gómez Arrayás is one of the top 100 doctors in Spain according to Forbes. She serves as the Head of Traumatology at Ruber Internacional Hospital in Madrid. Dr. Arrayás is a pioneer in using navigation systems for precise joint replacement surgery. She specializes in minimally invasive hip and knee procedures and accelerated recovery protocols.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
_doctor_8444_years_ specializing in pediatric orthopedics – Dr. Albiñana handles complex ankle and foot conditions at Quironsalud Madrid.
Dr. Javier Albiñana is a pediatric orthopedic surgeon at Quironsalud Madrid. He specializes in treating hip dysplasia, bone tumors, and Perthes disease. Dr. Albiñana completed orthopedic research fellowships at both Oxford University and the University of Iowa.
Quirónsalud Madrid is the top clinic in Spain and Europe, the largest among Quirónsalud centers by the annual number of patients served.
\n\nSpecialization ― oncology, neurosurgery, heart surgery, plastic surgery, and IVF.
\n\nQuiron Madrid research team carries out studies in the treatment of cancer and neurodegenerative disorders (Alzheimer's, Parkinson's, Huntington's diseases). There is an opportunity to be treated for free as a participant in clinical trials in case of meeting requirements.
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Day 1 - Arrival
\nDay 2 - Pre-operation
\nDay 3 - Ankle Arthroscopy
\nDay 4 - Post-operation
\nWeek 1 - Rehabilitation
\nWeeks 2-4 - Continued Rehabilitation
\nWeek 6 - Final Results
\nPlease note, each individual\"s recovery timeline may vary.
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Depends on findings and surgeon protocol."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"For simple debridement or impingement release; longer for cartilage repair procedures."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After wound check and suture removal; depends on surgeon clearance, swelling, and DVT risk on long flights."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Often combined with suture removal."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"After portal closure with non-absorbable sutures."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Functional review and clearance for activity."}}],"indications":["Anterior or posterior ankle impingement","Osteochondral lesion of the talus","Chronic post-sprain pain or swelling with suspected intra-articular pathology","Loose bodies or synovitis","Chronic lateral ligament instability","Arthrofibrosis or post-traumatic adhesions","Symptomatic early-stage ankle arthritis, selected cases"],"main_risks":["Nerve irritation or injury, especially superficial peroneal and sural nerves","Infection","Portal site complications or persistent drainage","Stiffness or persistent pain","Deep vein thrombosis","Bleeding or swelling","Anesthesia-related risks"],"pain":"Moderate pain for the first few days, usually controlled with oral analgesics, elevation and ice; regional block may provide early relief.","preparation":["Clinical assessment and imaging (X-ray, often MRI)","Preoperative anesthesia assessment and fasting as instructed","Review of medications and health conditions with the surgical team","Arrange crutches and transport home","Skin check at the operative site"],"recovery_timeline":[{"phase":"First days","description":"Rest, elevation and ice; bulky dressing; weight bearing as tolerated or limited per findings.","restrictions":["Keep ankle elevated","Keep dressing dry","Use crutches as directed"]},{"phase":"Weeks 1-2","description":"Wound check and suture removal; start gentle range-of-motion exercises.","restrictions":["Avoid prolonged standing","Avoid driving until cleared"]},{"phase":"Weeks 2-6","description":"Progressive weight bearing, strengthening and balance training.","restrictions":["No impact activities"]},{"phase":"Weeks 6-12","description":"Return to running and sport as function allows.","restrictions":["Follow surgeon-guided progression"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for debridement/diagnostic arthroscopy; longer after cartilage or ligament procedures."},"result_longevity":"Symptom relief after debridement or impingement release often lasts for years, but depends on joint cartilage condition. Underlying arthritis or instability may cause recurrence.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Repeat surgery for persistent symptoms or recurrence within about 5 years; higher with cartilage lesions."},"scars":"Two or three small portal scars about 5 mm each at the front of the ankle, usually inconspicuous once healed.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session."},"stages":[{"code":"arthroscopy","label":"Arthroscopic inspection and treatment of the ankle joint","after":{"min":0,"max":0,"unit":"days","qualifier":"Single procedure."}}],"qualifier":"Standard single-stage procedure."},"success":{"metric":"Patients with good or excellent symptom relief","value":80,"unit":"percent","horizon":"1-2 years after surgery","population":"Adults with anterior impingement or loose bodies, without advanced ankle arthritis","evidence_status":"limited"},"techniques":[{"name":"Anterior ankle arthroscopy (anteromedial and anterolateral portals)","suits_whom":"Most intra-articular ankle problems such as anterior impingement, osteochondral lesions, loose bodies and synovitis.","recovery":"Typically return to daily activity in 1-3 weeks."},{"name":"Posterior ankle arthroscopy (hindfoot endoscopy)","suits_whom":"Posterior impingement, os trigonum and posterior ankle pathology.","recovery":"Similar to anterior arthroscopy; return to sport roughly 6-12 weeks."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operating time for standard diagnostic or debridement ankle arthroscopy; longer if additional procedures are performed."},"initial_assessment_documents":["Ankle MRI report and images","Weight-bearing ankle X-rays","Ankle CT scan (if available)","Previous ankle surgery or injection records","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session day surgery; stay about 10-14 days until suture removal and wound check, then follow-up locally."},"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 setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care 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 is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Smelly liquid leaking from the cut","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/arthroscopy/","host":"nhs.uk","quote":"smelly liquid leaking from the cut – the liquid may be white, yellow or brown","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Severe or worsening swelling or redness around joint","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/arthroscopy/","host":"nhs.uk","quote":"severe swelling or redness in or around the joint, which may get worse – redness may be harder to see on brown or black skin","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Numbness or tingling around the affected joint","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/arthroscopy/","host":"nhs.uk","quote":"numbness or tingling in or around the affected joint","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"High temperature, or feeling hot, cold or shivery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/tests-and-treatments/arthroscopy/","host":"nhs.uk","quote":"a high temperature, or you feel hot, cold or shivery","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 summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your ankle has advanced osteoarthritis with diffuse cartilage loss","name":"Ankle replacement","source":{"url":"https://www.ncbi.nlm.nih.gov/sites/books/NBK618376/","host":"ncbi.nlm.nih.gov","quote":"Diffuse cartilage loss and joint space obliteration reduce the utility of arthroscopy, making arthrodesis or arthroplasty more appropriate.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":474},{"id":"A2","text":"Your ankle has advanced osteoarthritis with joint space obliteration","name":"Ankle fusion","source":{"url":"https://www.ncbi.nlm.nih.gov/sites/books/NBK618376/","host":"ncbi.nlm.nih.gov","quote":"Diffuse cartilage loss and joint space obliteration reduce the utility of arthroscopy, making arthrodesis or arthroplasty more appropriate.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"anterior-ankle-arthroscopy","name":"Anterior ankle arthroscopy (anteromedial and anterolateral 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