DUS – Ortopedia y Cirugía Traumatológica es un centro especializado en Düsseldorf y Ratingen, Alemania. Se centra en el tratamiento de la columna vertebral, las prótesis articulares y la cirugía artroscópica. Un equipo de 26 médicos ofrece tratamientos tanto conservadores como quirúrgicos. Fundado en 2016, el centro ha crecido desde entonces hasta contar con varias sedes en la región. Sus principales especialidades son los tratamientos de cadera, rodilla y hombro en adultos.
Los médicos se especializan en soluciones para preservar las articulaciones, como los trasplantes de cartílago y menisco. Utilizan ecografías de alta resolución, radiografías digitales y guía radiológica móvil para las inyecciones. Entre las opciones regenerativas se incluyen la terapia con sangre autóloga y el plasma rico en plaquetas (PRP). Para el tratamiento de la columna vertebral, el centro ofrece terapia del dolor guiada por imágenes y discectomía endoscópica. Los pacientes internacionales pueden solicitar segundas opiniones a distancia e informes médicos en inglés.
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Los médicos se especializan en soluciones para preservar las articulaciones, como los trasplantes de cartílago y menisco. Utilizan ecografías de alta resolución, radiografías digitales y guía radiológica móvil para las inyecciones. Entre las opciones regenerativas se incluyen la terapia con sangre autóloga y el plasma rico en plaquetas (PRP). Para el tratamiento de la columna vertebral, el centro ofrece terapia del dolor guiada por imágenes y discectomía endoscópica. Los pacientes internacionales pueden solicitar segundas opiniones a distancia e informes médicos en inglés.
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El personal es muy profesional y atento. Ambiente acogedor y muy buen ambiente. Estamos muy contentos de haber venido a esta clínica. Gracias a Bookimed por organizar el tratamiento, en especial gracias a Igor.","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. Thanks Bookimed for organizing the treatment, in particular, thanks to Igor."},"order":{"illness":{"name":{"es":"Esterilidad","en":"Infertility"}}},"clinic_info":{"id":160,"name":"Fertility Center Berlin","alias":"fertility-center-berlin","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-09-11T14:27:13.000+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}],"images":[{"full_url":"review/5d790963b78eb_b.jpeg","preview_url":"review/5d790963b78eb_s.jpeg"}],"comment_about_bookimed":{"es":"Estamos muy satisfechos con el servicio de Bookimed y agradecidos a Igor.","en":"We are very pleased with the Bookimed service and grateful to Igor."},"summary":{"positive":{"es":"Estamos muy contentos de haber estado en esta clínica.","en":"We are very glad that we were in this clinic."}}},{"id":7537,"user":{"id":62543,"name":"Borko ","country_code":"RS","country_name":{"es":"Serbia"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":4},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"es":"El equipo médico fue perfecto y muy profesional. Elena nuestra doctora a cargo especialmente.","en":"Medical team was perfect and very profesional. Elena our doctor in charge especialy."},"order":{"diagnostic":{"name":{"es":"Consulta con un cirujano maxilofacial","en":"Consultation with a maxillofacial surgeon"}}},"doctor_info":{"id":639,"name":"Michael Paul Hahn","alias":"michael-paul-hahn"},"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":"2021-07-04T11:04:12.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"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":{"es":"Sí, estamos muy satisfechos.","en":"Yes we are very satisfied."},"summary":{"positive":{"es":"El equipo médico fue perfecto y muy profesional. Elena nuestra doctora a cargo en especial.","en":"Medical team was perfect and very professional. Elena our doctor in charge especially."}}},{"id":27214,"user":{"id":1101419,"name":"Aizhamal Yeshey","country_code":"KZ","country_name":{"es":"Kazajistán","en":"Kazakhstan"}},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"translation","value":5},{"name":"recommend","value":8}],"text":{"es":"Основным моим опасением перед поездкой была организация всего процесса: от перелета до самой клиники, и я сомневался, стоит ли ехать в другую страну только ради одной консультации ортопеда. В итоге могу сказать, что эти переживания были напрасными. Вся логистика была продумана. Все прошло четко. Координация со стороны Bookimed была на высоком уровне, что значительно упростило подготовку и сделало саму поездку понятной и последовательной от начала до конца. В клинике персонал проявил себя как очень внимательный, а врач провел действительно исчерпывающую консультацию, подробно и доступно объяснив все варианты дальнейших действий. Сейчас я нахожусь на раннем этапе восстановления, и благодаря полученной информации у меня есть четкое понимание и уверенность в выбранном плане лечения. Все было организовано профессионально."},"order":{"diagnostic":{"name":{"es":"Consulta con un ortopedista","en":"Consultation with an orthopaedist"}}},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-09-12T11:57:49.859+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"coordinator_mentioned","value":false}]},{"id":2877,"user":{"id":53842,"name":"Ainur Mirzahmetova","country_code":"KZ","country_name":{"es":"Kazajistán","en":"Kazakhstan"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"es":"Al principio no estaba claro por qué me asignaron a otra clínica. Luego resultó que no había departamento de reumatología en Bremen-Mitte. Creo que hay que mejorar las cuestiones organizativas. Y así, en principio, todo estaba bien.","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":{"es":"La consulta escrita en cuanto a volumen tiende a cero y sin precisiones","en":"They did not give a written consultation"},"order":{"operation":{"id":79,"name":{"es":"Artroscopia de rodilla","en":"Knee Arthroscopy"}},"illness":{"name":{"es":"Lesiones de huesos y articulaciones","en":"Injuries of bones and joints"}},"diagnostic":{"name":{"es":"Artroscopia","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}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"Día 1
Día 2-3
Día 4
Dia 5
Día 6-10
Semana 2-6
Semana 7-12
Semana 13-26
Semana 27+
Tenga en cuenta que el cronograma de recuperación de cada individuo puede variar según su salud general, la edad y la complejidad de la cirugía.
"},"overview":{"text":"La sustitución de la articulación del tobillo, también conocida como artroplastia de tobillo, es un procedimiento quirúrgico en el que se sustituye una articulación de tobillo dañada por una prótesis de tobillo.
El procedimiento sustituye el tobillo dañado por piezas artificiales, mejorando la estabilidad y reduciendo el dolor.
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physical or standing work 90-180 days."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within first year, mostly wound problems or malleolar fracture."},"contraindications":["Active or recent infection in or near the ankle","Severe peripheral vascular disease or poor ankle soft tissue","Charcot neuropathic joint or severe neuropathy","Severe talar avascular necrosis or inadequate bone stock","Uncorrected hindfoot or ankle malalignment or instability","Severe neuromuscular disease with marked muscle weakness","Very high body weight","Poorly controlled diabetes"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical inpatient stay after primary total ankle replacement; some centers discharge within 24 hours."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":12,"max":26,"unit":"weeks","qualifier":"Low-impact activity such 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."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=dusseldorf/procedure=zamena-loduzhechnogo-sustava/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}