Clinica Universidad de Navarra is the first hospital in Spain to receive JCI certification. With over 700,000 patients treated, their orthopedic team specializes in shoulder replacements. Dr. Mikel San Julian Aranguren is a specialist in Orthopedic Surgery and Traumatology, bringing extensive expertise to the procedure.
Clinica Universidad de Navarra (CUN) is the best private Spanish hospital in 2018 according to MERCO (monitoring organization of medical reputation).
\n\nNavarra is a leading sarcoma center. 74% of patients get cured of bone sarcoma; and in up to 95% of cases, an affected limb is preserved.
\n\nOncology, Onco-Hematology, Organ Transplant, Neurosurgery, Cardiac Surgery are the primary specialties in Navarra Hospital.
\n\nHospital de Navarra is the 1st in Spain that has received JCI, the US certificate for the high quality of medical services.
\n\nOver 700,000 patients from 70 countries have been treated at Navarra.
\n","images":[{"base_url":"clinic/5c618b62dfba4","title":"Clinic Universidad de Navarra modern hospital building in Pamplona, Spain"},{"base_url":"clinic/5c618b62c6ade","title":"Modern reception hall at Clinica Universidad de Navarra with glass stairs and art wall"},{"base_url":"clinic/5c618b62d5bbe","title":"Modern waiting area at Clinica Universidad de Navarra with seating and open design"},{"base_url":"clinic/5c618b62ef71f","title":"Advanced operating room at Clinica Universidad de Navarra with robotic surgery equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Pamplona","id":366,"alias":"pamplona"},"address":"Av. de Pío XII, 36, 31008 Pamplona, Navarra, Spain"},"rating":{"rating":4.7,"google":3.8,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":7,"doctors_number":440,"year_foundation":1962},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"European Society for Medical Oncology","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"World's Best Hospitals 2020 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"World's Best Smart Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"World's Best Hospitals 2022 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":147},"doctors":{"doctors":[{"doctor":{"id":946,"alias":"mikel-san-julian-aranguren","name":"Mikel San Julian Aranguren","clinic_id":339,"photo":"doctor/5acf60e5b761d","first_year_working":0,"created_at":"2017-06-27T15:03:54.000+00:00","short_description":"The doctor is a specialist in Orthopedic Surgery and Traumatology, with extensive experience in treating musculoskeletal injuries and disorders. The clinical focus includes joint replacement, sports injuries, and complex fracture management. The doctor has contributed significantly to advancing surgical techniques and has been involved in numerous research projects aimed at improving patient outcomes. Accredited by leading medical boards, the doctor is recognized for excellence in orthopedic care and has published multiple peer-reviewed articles in prestigious medical journals.
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":339,"alias":"clinica-universidad-de-navarra-navarra-hospital","name":"Clinica Universidad de Navarra (Navarra Hospital)","short_description":"Clinica Universidad de Navarra (CUN) is the best private Spanish hospital in 2018 according to MERCO (monitoring organization of medical reputation).
\n\nNavarra is a leading sarcoma center. 74% of patients get cured of bone sarcoma; and in up to 95% of cases, an affected limb is preserved.
\n\nOncology, Onco-Hematology, Organ Transplant, Neurosurgery, Cardiac Surgery are the primary specialties in Navarra Hospital.
\n\nHospital de Navarra is the 1st in Spain that has received JCI, the US certificate for the high quality of medical services.
\n\nOver 700,000 patients from 70 countries have been treated at Navarra.
\n","images":[{"base_url":"clinic/5c618b62dfba4","title":"Clinic Universidad de Navarra modern hospital building in Pamplona, Spain"},{"base_url":"clinic/5c618b62c6ade","title":"Modern reception hall at Clinica Universidad de Navarra with glass stairs and art wall"},{"base_url":"clinic/5c618b62d5bbe","title":"Modern waiting area at Clinica Universidad de Navarra with seating and open design"},{"base_url":"clinic/5c618b62ef71f","title":"Advanced operating room at Clinica Universidad de Navarra with robotic surgery equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Pamplona","id":366,"alias":"pamplona"},"address":"Av. de Pío XII, 36, 31008 Pamplona, Navarra, Spain"},"rating":{"rating":4.7,"google":3.8,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":7,"doctors_number":440,"year_foundation":1962},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"European Society for Medical Oncology","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5e5e5c99ba5be.jpeg","name":"World's Best Hospitals 2020 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"World's Best Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d499a36ac19.jpeg","name":"World's Best Smart Hospitals 2021 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"World's Best Hospitals 2022 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"}]}}],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":6792,"user":{"id":176267,"name":"Robert ","country_code":"KZ","country_name":{"en":"Kazakhstan"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":5},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":5},{"name":"relative_price","value":0}],"text":{"en":"Skype consultation went well. Within an hour I received answers to all questions, they certainly differ from those that we receive at home, but prof. Ferrand Montserrat is positive, generally in a good mood after consultation. They organized everything well, before the consultation they called us and helped set up Skype."},"order":{"diagnostic":{"id":125,"name":{"en":"Consultation with an orthopedist (traumatologist)"}}},"doctor_info":{"id":637,"name":"Ferran Montserrat","alias":"ferran-montserrat"},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-02-28T14:04:46.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"en":"Within an hour I received answers to all questions."}}},{"id":6671,"user":{"id":171481,"name":"Лидия ","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"en":"We were satisfied with the organization of the visit - promptly, information support during the preparation and before the consultation; and the results of the consultation, they got to the Doctor from whom they wanted to get a consultation. Thanks to the representative of Bookimed"},"order":{"operation":{"id":671,"name":{"en":"Hip replacement"}},"illness":{"id":170,"name":{"en":"Coxarthrosis"}}},"doctor_info":{"id":1699,"name":"Rafael González-Adrio Wagner","alias":"rafael-gonzalez-adrio-wagner"},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-02-10T07:28:16.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"en":"They got to the Doctor from whom they wanted to get a consultation."}}},{"id":15107,"user":{"id":601401,"name":"Ol'ga Dann ","country_code":"GB","country_name":{"en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":9},{"name":"manager","value":5}],"text":{"en":"I am delighted with the interpreter provided by the clinic. There were no problems in communicating with the doctor. The consultation about the surgery lasted about half an hour and the doctor explained to me in a very detailed and clear way what to do and how to solve my problem."},"order":{"operation":{"id":478,"name":{"en":"Surgical treatment of valgus deformity"}},"illness":{"id":121,"name":{"en":"Valgus Deformity"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-04-27T15:09:14.106+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"As soon as I registered on Bookined, I was immediately contacted by the consultants, they immediately sent me links to clinics in the countries I was interested in (I chose 3 countries). And then they organised consultations with the doctors of these clinics. And all of this quickly, clearly and without much effort on my part... Now I have a choice and I think I will make a decision soon."},"summary":{"positive":{"en":"The doctor explained to me in a very detailed and clear way what to do and how to solve my problem."}}},{"id":5350,"user":{"id":92670,"name":"Наталия ","country_code":"UA","country_name":{"en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"en":"Good afternoon! Impressions from the clinic of San Joan were a delight, the scale of the clinic amazed me !! The doctor’s consultation lasted more than an hour, the doctor was able to answer all the questions asked to us !!!!! Thank you for the consultation !!!"},"order":{},"clinic_info":{"id":272,"name":"SJD Barcelona Children’s Hospital","alias":"sant-joan-de-déu-–-barcelona-children’s-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-09-26T09:21:19.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/5d9ff9cd5631f_b.jpeg","preview_url":"review/5d9ff9cd5631f_s.jpeg"}],"comment_about_bookimed":{"en":"Yes"},"summary":{"positive":{"en":"Thank you for the consultation!!!"}}},{"id":6171,"user":{"id":158733,"name":"Михаил ","country_code":"UA","country_name":{"en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":4},{"name":"coordination","value":0},{"name":"doctor","value":5},{"name":"manager","value":0},{"name":"personal","value":5},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"en":"I really liked the specialist himself, a very good-natured man without pathos, n"},"order":{"diagnostic":{"id":125,"name":{"en":"Consultation with an orthopedist (traumatologist)"}}},"clinic_info":{"id":279,"name":"Hospital Quiron Barcelona","alias":"hospital-quiron-barcelona","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-12-19T09:23:47.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"Everything is quite good, they helped when the flight was cancelled. They also helped with the hostel."},"summary":{"positive":{"en":"\"The results exceeded my expectations.\""}}},{"id":17296,"user":{"id":687916,"name":"Tahir ","country_code":"UZ","country_name":{"en":"Uzbekistan"}},"ratings":[{"name":"main","value":5},{"name":"consultation_arrangement","value":5},{"name":"consultation_duration","value":5},{"name":"consultation_value","value":5},{"name":"consultation_connection","value":5},{"name":"relative_price","value":2},{"name":"nps","value":10},{"name":"manager","value":5},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"personal","value":0},{"name":"translation","value":0}],"text":{"en":"Asked questions. The doctor took his time to answer all the questions"},"order":{"operation":{"id":473,"name":{"en":"Conservative treatment of scoliosis"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-10-24T13:42:12.550+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"In time to respond"},"summary":{"positive":{"en":"The doctor took his time to answer all the questions"}}},{"id":9893,"user":{"id":408278,"name":"Frank ","country_code":"US","country_name":{"en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"en":"So far so good. Surgery scheduled for the 14th"},"order":{"operation":{"id":671,"name":{"en":"Hip replacement"}}},"doctor_info":{"id":1699,"name":"Rafael González-Adrio Wagner","alias":"rafael-gonzalez-adrio-wagner"},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-11-06T18:57:23.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"Very much 100% satisfied"},"summary":{"positive":{"en":"So far so good."}}},{"id":14583,"user":{"id":588360,"name":"Ilyass Belhaj","country_code":"MA","country_name":{"en":"Morocco"}},"ratings":[{"name":"main","value":5},{"name":"consultation_arrangement","value":5},{"name":"consultation_duration","value":5},{"name":"consultation_value","value":5},{"name":"consultation_connection","value":5},{"name":"relative_price","value":2},{"name":"nps","value":10},{"name":"manager","value":5},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"personal","value":0},{"name":"translation","value":0}],"text":{"en":"كانت تجربة جميلة وفي نفس الوقت مفيدة"},"order":{"illness":{"id":34,"name":{"en":"Ankylosing spondylitis"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-03-14T17:27:08.873+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"en":"It was both a pleasant and rewarding experience"},"what_like_text":{"en":"Everything from companion to doctor"}},"comment_about_bookimed":{"en":"هذا الموقع افضل واحسن وصيت بن المريض و الطبيب في العالم"},"summary":{"positive":{"en":"كانت تجربة جميلة وفي نفس الوقت مفيدة"}}},{"id":8188,"user":{"id":299900,"name":"Yusri ","country_code":"EG","country_name":{"en":"Egypt"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"en":"Excellent service and fast !!"},"order":{"diagnostic":{"id":125,"name":{"en":"Consultation with an orthopedist (traumatologist)"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2021-11-17T15:10:58.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"Yes very happy"}},{"id":7110,"user":{"id":172274,"name":"Майя ","country_code":"BY"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"en":"Nice staff"},"order":{"illness":{"id":104,"name":{"en":"Injuries of bones and joints"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-12-04T13:45:32.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"Yes"}}],"meta":{"total_count":20,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"Day 1: Arrival and Pre-Operation
\nDay 2: Shoulder Replacement
\nDay 3-7: Post-Operation and Hospital Stay
\nWeek 1-6: Rehabilitation
\nWeek 6-12: Return to Normal Activities
\nPlease note: Every patient\"s recovery timeline may vary based on individual health conditions and progress.
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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; active range of motion and daily activities resume.","restrictions":["Avoid heavy lifting","Avoid forceful overhead movements"]},{"phase":"Strengthening (months 3-6)","description":"Progressive strengthening and return to light recreational activity.","restrictions":["Avoid heavy repetitive or impact loading"]},{"phase":"Final recovery (6-12 months)","description":"Continued gains in strength and function.","restrictions":["Long-term avoidance of heavy overhead lifting as advised"]}],"rehabilitation_days":{"min":90,"max":180,"unit":"days","qualifier":"Ordinary functional recovery with supervised physiotherapy and home exercises until daily activities are comfortable; strength continues improving later."},"result_longevity":"Many implants function well for 10-20 years or more, but longevity depends on implant type, patient activity, bone quality and indication.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Revision surgery within about 10 years of primary replacement; lower in first 2 years."},"scars":"A single scar about 10-15 cm, usually along the front of the shoulder (deltopectoral approach); fades over many months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for a primary one-sided shoulder replacement."},"stages":[{"code":"surgery","label":"Shoulder replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single-stage primary replacement of one shoulder."},"success":{"metric":"Patients with significant pain relief and improved function","value":90,"unit":"percent of patients","horizon":"2 years after surgery","population":"Adults with end-stage glenohumeral arthritis undergoing primary shoulder replacement","evidence_status":"limited"},"techniques":[{"name":"Anatomic total shoulder arthroplasty","suits_whom":"Arthritis with intact rotator cuff and adequate glenoid bone","recovery":"Sling about 4-6 weeks, progressive rehab over 3-6 months"},{"name":"Reverse total shoulder arthroplasty","suits_whom":"Cuff tear arthropathy, deficient rotator cuff, complex fractures, older patients","recovery":"Similar timeline; 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 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":"Worsening pain in arm, hand or wrist","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"New or worsening pain in your arm, hand or wrist","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Leaking, swelling or odor at surgery site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Signs of infection at your surgery site including leaking, swelling, discoloration, odor or a feeling of warmth","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Shortness of breath","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/reverse-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Shortness of breath (dyspnea)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever higher than 101 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Fever higher than 101 degrees Fahrenheit (39 degrees Celsius)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","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 shoulder pain responds to activity changes, rest, therapy, or medication","name":"Physical therapy","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/shoulder-pain-and-common-shoulder-problems/?hootPostID=6d3ea18e5a3d4b4a698a08c670961d31","host":"orthoinfo.aaos.org","quote":"However, most patients with shoulder pain will respond to simple treatment methods such as altering activities, rest, physical therapy, and medication.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want to reduce inflammation and pain without surgery","name":"Cortisone shot","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder%5C","host":"orthoinfo.aaos.org","quote":"Corticosteroid injections in the shoulder can dramatically reduce the inflammation and pain.","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":"anatomic-total-shoulder","name":"Anatomic total shoulder arthroplasty","how_it_works":{"text":"Surgeons replace the damaged ball and socket with artificial parts","source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Your surgeon will replace the ball at the end of your humerus and the socket in your scapula it fits into.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"weeks","label":"2–3 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/8290-shoulder-replacement","host":"my.clevelandclinic.org","quote":"Most people can resume light daily activities with their shoulders (like getting dressed and doing simple chores) after two or three weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"reverse-total-shoulder","name":"Reverse total shoulder arthroplasty","how_it_works":{"text":"The ball and socket switch positions to reverse the joint","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder/","host":"orthoinfo.aaos.org","quote":"The metal ball is fixed to the glenoid, and the plastic cup is fixed to the upper end of the humerus.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"hemiarthroplasty","name":"Hemiarthroplasty","how_it_works":{"text":"Only the upper-arm bone head is replaced with an artificial component","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder%5C","host":"orthoinfo.aaos.org","quote":"Just the head of the humerus is replaced with an artificial component.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"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=pamplona/procedure=zamena-plechevogo-sustava/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"illnessesByOperation":[{"id":104,"alias":"injuries-to-bones-and-joints","name":"Injuries of bones and joints"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}