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Фахівці дуже професійні та уважні. Затишна обстановка та дуже гарна атмосфера. Ми дуже раді, що потрапили до цієї клініки. Дякуємо Букімеду за організацію лікування зокрема спасибі Ігорю.","en":"Very nice clinic. Specialists are very professional and attentive. Cozy atmosphere and a very good atmosphere. We are very glad that we were in this clinic. 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А так, у принципі, все було добре.","en":"-"},"order":{},"clinic_info":{"id":295,"name":"Bremen-Mitte Clinic","alias":"clinic-bremen-nord","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-02-25T08:42:09.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}]},{"id":2086,"user":{"id":76300,"name":"Александр Галактионов","country_code":"RU"},"ratings":[{"name":"main","value":3},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":4},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ua":"Письмова консультація з обсягу прагне нуля і без конкретики","en":"They did not give a written consultation"},"order":{"operation":{"id":79,"name":{"ua":"Артроскопія колінного суглоба","en":"Knee Arthroscopy"}},"illness":{"id":104,"name":{"ua":"Травми кісток та суглобів","en":"Injuries of bones and joints"}},"diagnostic":{"id":239,"name":{"ua":"Артроскопія","en":"Arthroscopy"}}},"clinic_info":{"id":295,"name":"Bremen-Mitte Clinic","alias":"clinic-bremen-nord","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2018-09-11T13:21:28.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}]}],"meta":{"total_count":9,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"promoClinics":{"clinics":[{"text":"<p>Helios Universitätsklinikum Wuppertal — це приватний багатопрофільний медичний центр, розташований у Дюссельдорфі, Німеччина, що спеціалізується на ортопедії, урології, кардіохірургії та загальній хірургії. 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weight-bearing and rehabilitation (relative)","Asymptomatic well-functioning implant without a clear indication for revision"],"days_in_clinic":{"min":3,"max":7,"unit":"nights","qualifier":"Typical inpatient stay after uncomplicated single-stage revision; longer with major bone loss, infection or medical complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":12,"max":24,"unit":"weeks","qualifier":"Return to low-impact activity such as walking, cycling and swimming after surgeon clearance; high-impact sport is generally discouraged."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Time to maximal functional improvement after uncomplicated revision; varies with bone loss and reconstruction complexity."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After single-stage aseptic revision, counted from surgery; depends on 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causes"],"main_risks":["Infection","Dislocation","Venous thromboembolism","Intraoperative or postoperative periprosthetic fracture","Bleeding and need for transfusion","Nerve or vessel injury","Leg length discrepancy","Further loosening or need for re-revision","Anesthetic and cardiopulmonary complications","Persistent pain or stiffness"],"pain":"Moderate to significant pain in the first days to weeks, managed with multimodal analgesia; usually improves substantially over 6 to 12 weeks.","preparation":["Preoperative medical assessment and optimization of comorbidities","Hip imaging and infection work-up (blood markers, possible aspiration)","Planning implant type and reconstruction; revision implants and graft available","Fasting before anesthesia as instructed by the anesthesia team","Planning for home support and mobility aids"],"recovery_timeline":[{"phase":"Hospital stay (days 0-7)","description":"Pain control, thromboprophylaxis, early mobilization with physiotherapy using walker 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here."},"success":{"metric":"Implant survival free from re-revision","value":90,"unit":"percent","horizon":"5 years","population":"Adults after aseptic single-stage revision hip arthroplasty","evidence_status":"limited"},"techniques":[{"name":"Single-stage revision (one or both components)","suits_whom":"Aseptic loosening, wear, instability or malposition with adequate bone stock.","recovery":"Hospital stay of several days and several months of rehabilitation."},{"name":"Revision with bone graft, cones, augments or cages","suits_whom":"Patients with significant acetabular or femoral bone loss.","recovery":"Often longer protected weight-bearing."},{"name":"Two-stage revision for infection","suits_whom":"Chronic periprosthetic joint infection; a separate protocol with spacer and delayed reimplantation.","recovery":"Prolonged overall course across two operations."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for typical single-stage revision of one hip; complex reconstructions take longer."},"initial_assessment_documents":["Pelvis and hip X-rays","Original hip replacement operative report","Implant sticker sheet or implant brand details","Recent CT or MRI of hip (if available)","Blood tests for infection markers CRP and ESR","Orthopedic surgeon's letter on symptoms"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single trip: surgery plus stay of 10-14 days until wound check and flight clearance."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that your surgeon will explain the risks and complications of the surgery itself and those that occur later","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-hip-replacement/","host":"orthoinfo.aaos.org","quote":"In addition, your orthopaedic surgeon will explain the potential risks and complications of total hip replacement surgery, including those related to the surgery itself and those that can occur over time after your surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that your surgeon discusses whether hip replacement is the best option compared with other treatments","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-hip-replacement/","host":"orthoinfo.aaos.org","quote":"Your orthopaedic surgeon will review the results of your evaluation with you and discuss whether total hip replacement surgery is the best method to relieve your pain and improve your mobility.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the qualifications of the medical team that will treat 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 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coordinated.","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":"A hard sell before booking treatment abroad is a warning sign","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":"F2","text":"The provider cannot explain who will treat you or what facilities are available","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"whether you know enough about the people who'll treat you and the facilities available","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The provider cannot explain possible complications and side effects","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Inability to bear weight on the injured leg","urgency":"emergency","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/fracture-after-total-hip-replacement","host":"orthoinfo.aaos.org","quote":"Inability to bear weight on the injured leg","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Injured leg appears shortened or deformed","urgency":"emergency","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/fracture-after-total-hip-replacement","host":"orthoinfo.aaos.org","quote":"Injured leg appears shortened or deformed","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Increasing redness, tenderness, or swelling of hip wound","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-hip-replacement?grpwebid=26DAE356","host":"orthoinfo.aaos.org","quote":"Increasing redness, tenderness, or swelling of the hip wound","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Drainage from the hip wound","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/total-hip-replacement?grpwebid=26DAE356","host":"orthoinfo.aaos.org","quote":"Drainage from the hip wound","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 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