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.
\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":16580,"price_to":27630,"currency":"USD","id":65316},"operation":{"id":189,"name":"Ankle joint replacement","alias":"ankle-joint-replacement"}},{"prices":{"price_from":110,"price_to":110,"currency":"USD","id":62156},"diagnostic":{"id":457,"name":"Consultation with creation of treatment plan ","alias":"consultation-with-creation-of-treatment-plan"}},{"prices":{"price_from":170,"price_to":420,"currency":"USD","id":61151},"diagnostic":{"id":306,"name":"Lab tests","alias":"lab-tests"}}],"reviews":[],"clinic":{"id":278,"alias":"quiron-madrid","name":"Quironsalud Madrid","short_description":"Quirónsalud Madrid is the top clinic in Spain and Europe, the largest among Quirónsalud centers by the annual number of patients served.
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\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.
\n","images":[{"base_url":"clinic/5d12201e253f9","title":"Quironsalud Madrid hospital modern exterior in Spain"},{"base_url":"clinic/5d12201e1cd58","title":"Modern waiting room at Quironsalud Madrid clinic with colorful chairs and glass walls"},{"base_url":"clinic/5d12201e0ec16","title":"Spacious reception area at Quironsalud Madrid clinic with modern seating and information desk"},{"base_url":"clinic/5d12201c579de","title":"Patient room at Quironsalud Madrid with hospital bed and comfortable seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Calle Diego de Velázquez, 1, 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":3.8,"google":3,"percent_of_satisfied_clients":50},"statistics":{"number_of_reviews":6,"doctors_number":0,"year_foundation":2007},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Dr. Manuel Leyes brings _doctor_8927_years_ of orthopedic expertise, having performed 1,100+ joint procedures including treatment for Tour de France winner Alberto Contador. Total ankle arthroplasty may cost around $29,400–35,000, typically covering surgery, anesthesia, and 3-5 days in a private room. The JCI-accredited Olympia Quirónsalud clinic uses advanced personalized prostheses for precise fit. Dr. Leyes ranks among Spain's top orthopedic surgeons and offers minimally invasive techniques to reduce recovery time.
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.
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.
Nearly _doctor_8927_years_ in orthopedic surgery – Dr. Leyes specializes in ankle joint replacements at Olympia Quironsalud in Madrid, blending international expertise with sports medicine insights.
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.
Dr. Pablo de la Cuadra specializes in minimally invasive joint reconstruction at Hospital Ruber Internacional, with 25+ years in orthopedic surgery.
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_ of orthopedic expertise – Dr. Albiñana specializes in complex pediatric and adult joint 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.
\n","images":[{"base_url":"clinic/5d12201e253f9","title":"Quironsalud Madrid hospital modern exterior in Spain"},{"base_url":"clinic/5d12201e1cd58","title":"Modern waiting room at Quironsalud Madrid clinic with colorful chairs and glass walls"},{"base_url":"clinic/5d12201e0ec16","title":"Spacious reception area at Quironsalud Madrid clinic with modern seating and information desk"},{"base_url":"clinic/5d12201c579de","title":"Patient room at Quironsalud Madrid with hospital bed and comfortable seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Calle Diego de Velázquez, 1, 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":3.8,"google":3,"percent_of_satisfied_clients":50},"statistics":{"number_of_reviews":6,"doctors_number":0,"year_foundation":2007},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"}]}},{"card_text":"Dr. Delgado leads the Traumatology and Orthopedic Surgery service at HM Montepríncipe University Hospital.
The doctor is part of the Hand Surgery service at HM Montepríncipe University Hospital. The team includes a head of Traumatology and Orthopedic Surgery, a fellowship-trained hand surgeon from the Christine M. Kleinert Institute in Louisville, Kentucky, USA, and a surgeon with a European diploma in Hand Surgery from the European Federation of Hand Surgery (FESSH).
","specialities":[{"id":"ort.001","name":"Orthopedist","illness_kind_id":3},{"id":"sur.016","name":"Orthopedic surgeon ","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1638,"alias":"hospital-universitario-hm-monteprincipe","name":"Hospital Universitario HM Montepríncipe","short_description":"Hospital Universitario HM Montepríncipe is a private multispecialty hospital in Madrid, Spain, serving 500,000 patients each year. It earned ISO 9001:2008 certification for all services – the first private hospital in the country to do so. Its main strengths are neurosurgery, cardiology, pediatrics, and hematology oncology.
Day 1
\nDay 2-3
\nDay 4
\nDay 5
\nDay 6-10
\nWeek 2-6
\nWeek 7-12
\nWeek 13-26
\nWeek 27+
\nPlease note that every individual\"s recovery timeline can vary based on their overall health, age, and the complexity of the surgery.
"},"overview":{"text":"Ankle joint replacement, also known as ankle arthroplasty, is a surgical procedure where a damaged ankle joint is replaced with a prosthetic ankle.
The procedure substitutes the damaged ankle with artificial parts, improving stability and reducing pain.
"},"474":{"operation":{"name":"Ankle replacement","alias":"ankle-replacement","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":58000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":7000,"max_amount":17500,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":11500,"max_amount":17500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":17500,"max_amount":25500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":16600,"max_amount":20000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"A damaged ankle replacement with an artificial joint, improving mobility and reducing pain.
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as walking, cycling and swimming after surgeon clearance; running and high-impact sports are generally discouraged."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling, strength and gait continue to improve for up to a year after primary total ankle replacement."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"From surgery, after wound check and suture removal; depends on wound healing, swelling, thrombosis risk and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"From surgery."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"From surgery; often combined with the wound check."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":56,"unit":"days","qualifier":"From surgery; X-ray and progression of weight-bearing."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"From surgery; clinical and radiographic review, then periodic long-term surveillance."}}],"indications":["End-stage ankle osteoarthritis unresponsive to non-surgical care","Post-traumatic ankle arthritis","Inflammatory arthritis (e.g., rheumatoid) of the ankle"],"main_risks":["Wound healing problems or infection","Implant loosening or subsidence","Periprosthetic fracture, including malleolar fracture","Persistent pain or stiffness","Nerve or tendon injury","Deep vein thrombosis or pulmonary embolism","Component wear, malalignment or instability","Need for revision surgery or conversion to fusion"],"pain":"Moderate to severe postoperative pain for the first days to weeks, managed with regional nerve block and multimodal oral analgesia; gradually settles over several weeks, with swelling lasting for months.","preparation":["Preoperative medical assessment and fitness for anesthesia","Weight-bearing X-rays, sometimes CT or MRI, for planning","Optimize diabetes, quit smoking, treat skin or dental infection","Fasting before general anesthesia per anesthetic instructions","Arrange crutches, knee scooter or boot, and home help","Preoperative physiotherapy instruction on non-weight-bearing mobility"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Elevation, pain control, thrombosis prevention and mobilization with aids in a splint or cast.","restrictions":["Non-weight-bearing on operated leg","Keep leg elevated"]},{"phase":"Weeks 1-6","description":"Splint or cast, wound healing and suture removal; protected weight-bearing.","restrictions":["Non-weight-bearing or limited weight-bearing as instructed","No driving with operated leg until cleared"]},{"phase":"Weeks 6-12","description":"Progressive weight-bearing in a boot or brace, start of range-of-motion and physiotherapy, gradual return to normal walking.","restrictions":["Avoid impact and uneven ground until cleared"]},{"phase":"3-12 months","description":"Strength, gait and swelling continue to improve; return to low-impact activities.","restrictions":["Avoid running and high-impact sports"]}],"rehabilitation_days":{"min":60,"max":120,"unit":"days","qualifier":"Time to ordinary functional walking and daily activities, including physiotherapy, after primary total ankle replacement."},"result_longevity":"Many implants function well for 10 years or more, but survivorship varies with implant design, patient factors and activity; revision or conversion to fusion is possible over time.","revision_rate_pct":{"min":8,"max":15,"unit":"percent","qualifier":"Revision, implant component exchange or conversion to fusion within about 5 years of primary replacement."},"scars":"A single longitudinal anterior incision over the front of the ankle, usually 10-15 cm, fading over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary total ankle replacement; follow-up checks are not counted."},"stages":[{"code":"surgery","label":"Total ankle replacement surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure."}}],"qualifier":"Single-stage primary operation; additional procedures for alignment correction may be added in some patients."},"success":{"metric":"Implant survival without revision or fusion","value":90,"unit":"percent","horizon":"5 years","population":"Adults with end-stage ankle arthritis receiving primary total ankle replacement","evidence_status":"limited"},"techniques":[{"name":"Total ankle arthroplasty via anterior approach with fixed-bearing or mobile-bearing implant","suits_whom":"Adults with end-stage ankle arthritis, adequate bone stock and acceptable alignment and soft tissues.","recovery":"Splint then cast for about 6 weeks, protected weight-bearing, then boot and physiotherapy."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for primary unilateral total ankle replacement, excluding anesthesia and recovery; additional procedures may extend it."},"initial_assessment_documents":["Weight-bearing ankle X-rays, front and side","Ankle CT or MRI report","Weight-bearing hindfoot alignment view","Previous ankle surgery reports (if available)","Recent blood tests including HbA1c and coagulation"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 10-14 days locally until wound check and suture removal, then follow-up at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Speak directly with the doctor, dentist or nurse who will carry out the treatment before booking","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Speak directly to the doctor, dentist or nurse who will be carrying out your treatment before you book your trip.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the treating professional's qualifications and references independently","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Check their qualifications and references independently.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm a face-to-face consultation with the health professional who will carry out the surgery happens before the procedure","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"A face-to-face consultation with the health professional who will carry out any planned surgery or treatment must take place before any procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the facility uses an internationally accredited clinic or hospital, though accreditation does not guarantee a good outcome","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":"C5","text":"Confirm aftercare arrangements and what happens if complications occur or the result is unsatisfactory","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Confirm arrangements for aftercare and check what will happen if there are complications, or if you are unhappy with the results of your procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check the clinic or hospital is registered with local health authorities and is fully insured","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Check the clinic or hospital carrying out your procedure is registered with local health authorities and is fully insured.","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":"The clinic markets the surgery as a holiday package","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Beware of any hospital which markets cosmetic surgery as a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Treatment advice comes from a travel agent, sales representative or administrator rather than a doctor","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"You are asked to agree to surgery before meeting the surgeon who will operate","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not agree to cosmetic surgery before meeting the surgeon carrying out the procedure and visiting the hospital where the procedure will take place [2].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The facility cannot provide evidence of accreditation by a recognized international accrediting body","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Patients should only be referred for medical care to institutions that have been accredited by recognized international accrediting bodies (e.g., the Joint Commission International or the International Society for Quality in Health Care).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Throbbing or cramping pain in one leg","urgency":"contact_clinic","general":false,"source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"– throbbing or cramping pain in 1 leg (rarely both legs), usually in the calf or thigh","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Warm skin around the painful area","urgency":"emergency","general":false,"source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"– warm skin around the painful area","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Feeling generally unwell or having a temperature","urgency":"contact_clinic","general":true,"source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"tell your GP as soon as possible if you feel generally unwell or have a temperature.","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 doctor needs prescriptions to continue medicines after returning","document":"prescriptions","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs scans and x-rays to assess progress and plan follow-up","document":"scans and x-rays","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-13","http_status":200}},{"id":"T3","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":"T4","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your ankle pain is still controlled without surgery","name":"Painkillers","source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"This pain cannot be controlled by other things like painkillers, shoe inserts, physiotherapy or using a walking aid.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your ankle pain is still controlled without surgery","name":"Physiotherapy","source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"This pain cannot be controlled by other things like painkillers, shoe inserts, physiotherapy or using a walking aid.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":128},{"id":"A3","text":"You accept losing ankle movement to relieve arthritis pain","name":"Ankle fusion","source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"Unlike an ankle fusion, a replacement allows you to move your joint after surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"total-ankle-arthroplasty","name":"Total ankle arthroplasty via anterior approach with fixed-bearing or mobile-bearing implant","how_it_works":{"text":"Worn ankle bone ends are replaced with metal and plastic parts","source":{"url":"https://www.uhsussex.nhs.uk/resources/total-ankle-replacement-tar/","host":"uhsussex.nhs.uk","quote":"A total ankle replacement involves taking out the worn-out ends of your tibia and talus bones (two bones that form the main hinge in your ankle) and replacing them with artificial ends made from metal with a plastic insert.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":12,"max":12,"unit":"weeks","label":"12 weeks","source":{"url":"https://consultqd.clevelandclinic.org/total-ankle-replacement-is-an-option-for-most-patients-with-end-stage-ankle-arthritis","host":"consultqd.clevelandclinic.org","quote":"Most patients return to daily activities within three months.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=zamena-loduzhechnogo-sustava/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"rendersOffersList":false,"fewClinics":false,"topCountriesCount":0}