{"key":"op_189_MX","page":{"url":"https://de.bookimed.com/clinics/country=mexico/procedure=ankle-joint-replacement/","procedure":{"id":189,"slug":"ankle-joint-replacement","name":"Ersatz des Sprunggelenks","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"orthopedics-and-traumatology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":40,"iso":"MX","name":"Mexiko"},"currency":"USD","data_date":"2026-10-03"},"pages":{"clinics_url":"https://de.bookimed.com/clinics/country=mexico/procedure=ankle-joint-replacement/","cost_url":"https://de.bookimed.com/clinics/country=mexico/procedure=ankle-joint-replacement/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":16500,"to":25000,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":38000,"to":58000},"uk":{"from":17500,"to":25500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Mexicali","from":14000},{"city":"Mexiko-Stadt","from":14500},{"city":"Cancún","from":17500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":["Board-certified specialists with 15+ years of experience can charge 25%–35% more for their expertise.","Clinics accredited by JCI or ISO 9001 quality systems may charge 15%–20% more for meeting international safety protocols.","Procedures in major cities like Mexico City or Guadalajara can cost 20%–30% more due to high-demand urban hospitals.","Implant brand and type can affect cost by 20%–35%, with FDA-approved or European CE-marked implants priced higher.","Use of computer-assisted navigation systems can increase overall cost by 10%–15% for improved precision and outcomes.","Extended hospital stay for post-op monitoring adds $1,200–$2,000, depending on the patient’s recovery and mobility needs."],"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":6500,"to":10500},{"country_iso":"FR","from":17500,"to":25000},{"country_iso":"GB","from":17500,"to":25500},{"country_iso":"US","from":38000,"to":58000},{"country_iso":"IL","from":24000,"to":33000},{"country_iso":"TR","from":5000,"to":10000},{"country_iso":"DE","from":23200,"to":25500},{"country_iso":"CA","from":27000,"to":40000},{"country_iso":"AE","from":17000,"to":26500},{"country_iso":"TH","from":11500,"to":17000},{"country_iso":"PL","from":7000,"to":13500},{"country_iso":"KR","from":15000,"to":21000},{"country_iso":"CZ","from":10500,"to":15000},{"country_iso":"AT","from":16500,"to":23000},{"country_iso":"ES","from":16600,"to":20500},{"country_iso":"IT","from":14500,"to":21000},{"country_iso":"CN","from":14000,"to":21000},{"country_iso":"AU","from":28000,"to":39000},{"country_iso":"IN","from":7500,"to":11000},{"country_iso":"MY","from":11500,"to":17000},{"country_iso":"VN","from":9500,"to":14000},{"country_iso":"BR","from":14500,"to":19500},{"country_iso":"EG","from":3800,"to":9500},{"country_iso":"LT","from":9000,"to":12000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":57,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":1,"items":[{"id":1844,"name":"Advance Health Medical Center","city":"Tijuana","rating":5,"reviews_count":5,"accreditations":{"status":"missing","reason":"not_collected"},"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":{"status":"missing","reason":"not_collected"},"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":437,"slug":"mexicali","name":"Mexicali","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":14000,"profile":{"city_type":"Border city opposite Calexico, California","access":["Calexico crossing, about five minute walk into Mexicali","Mexicali Airport (MXL), 20 km east of the city"],"sources":["https://en.wikipedia.org/wiki/Mexicali","https://en.wikivoyage.org/wiki/Mexicali"],"checked_at":"2026-11-03","status":"ok"}},{"id":423,"slug":"mexico-city","name":"Mexiko-Stadt","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":14500,"profile":{"city_type":"Capital and largest city of Mexico","access":["Mexico City Airport (MEX), 5 km east of downtown"],"sources":["https://en.wikipedia.org/wiki/Mexico_City","https://en.wikipedia.org/wiki/Mexico_City_International_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":454,"slug":"cancun","name":"Cancún","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":17500,"profile":{"city_type":"Planned Mexican tourist destination city","access":["Cancún Airport (CUN), under 10 km from the Hotel Zone"],"sources":["https://en.wikipedia.org/wiki/Cancún","https://en.wikipedia.org/wiki/Cancún_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["End-stage ankle osteoarthritis unresponsive to non-surgical care","Post-traumatic ankle arthritis","Inflammatory arthritis (e.g., rheumatoid) of the ankle"],"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"],"operation_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."},"anesthesia":["general","regional"],"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."},"hospital_nights":{"value":{"min":1,"max":3,"unit":"nights","qualifier":"Typical inpatient stay after primary total ankle replacement; some centers discharge within 24 hours."},"source":"parsed_details"},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":60,"max":120,"unit":"days","qualifier":"Time to ordinary functional walking and daily activities, including physiotherapy, 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."},"back_to_work_days":{"min":42,"max":180,"unit":"days","qualifier":"Desk work from about 42 days; physical or standing work 90-180 days."},"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."},"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.","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"],"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within first year, mostly wound problems or malleolar fracture."},"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."},"success":{"metric":"Implant survival without revision or fusion","value":90,"horizon":"5 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"A single longitudinal anterior incision over the front of the ankle, usually 10-15 cm, fading over months.","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"]}],"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."}}],"sources":{"status":"missing","reason":"not_collected"},"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}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general","regional"],"back_to_work_days":{"min":42,"max":180,"unit":"days","qualifier":"Desk work from about 42 days; 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."},"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}}},"techniques":[{"id":"total-ankle-arthroplasty","name":"Total ankle arthroplasty via anterior approach with fixed-bearing or mobile-bearing implant","how_it_works":{"id":"H1","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}},"suits_whom":"Adults with end-stage ankle arthritis, adequate bone stock and acceptable alignment and soft tissues.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Splint then cast for about 6 weeks, protected weight-bearing, then boot and physiotherapy."}],"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},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"British travelers visiting Mexico as tourists do not need a visa","source":{"url":"https://www.gov.uk/foreign-travel-advice/mexico/entry-requirements","host":"gov.uk","quote":"If you’re visiting Mexico as a tourist, you do not need a visa.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"passport_validity","audience":"uk","volatile":true,"text":"Your passport must be valid for the whole length of your stay in Mexico","source":{"url":"https://www.gov.uk/foreign-travel-advice/mexico/entry-requirements","host":"gov.uk","quote":"To enter Mexico, your passport must be valid for the duration of your stay.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V3","item":"passport_validity","audience":"us","volatile":true,"text":"For air travel, a passport book is required to enter Mexico","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Mexico.html","host":"travel.state.gov","quote":"Air travel: You need a passport book to enter Mexico.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"arrival_form","audience":"uk","volatile":true,"text":"British nationals entering Mexico by land must complete an immigration form online","source":{"url":"https://www.gov.uk/foreign-travel-advice/mexico/entry-requirements","host":"gov.uk","quote":"British nationals entering Mexico by land must fill in an immigration form online.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"medicines","audience":"us","volatile":false,"text":"U.S. travelers can be arrested for bringing over-the-counter or prescription medicine that is illegal in Mexico, even with a U.S. doctor's letter or prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Mexico.html","host":"travel.state.gov","quote":"You could be arrested if your over the counter or prescription medicine is illegal in Mexico, even with a U.S. doctor’s letter or prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"land_border","audience":"us","volatile":false,"text":"All travelers entering Mexico by land need a passport book or card and must apply for an FMM entry permit online or from an INM office","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Mexico.html","host":"travel.state.gov","quote":"By land: All travelers are required to have a passport book or card and apply for an FMM, online or from an INM office, including travelers who are only staying within 12 miles from the border (or 20 kilometers)","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 911 in Mexico and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/mexico/health","host":"gov.uk","quote":"Dial 911 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2026-12-12","version":1},"other_countries_with_page":["austria","china","germany","india","israel","italy","lithuania","poland","republic-of-korea","spain","thailand","turkey","ukraine","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":5,"count":5,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>The cost of ankle joint replacement in Mexico typically ranges <strong>from _price_from_ to _price_to_</strong>. Prices vary depending on the hospital, the surgeon’s experience, implant brand (such as STAR, Zimmer, or Wright Medical), and whether the procedure is total or partial replacement. In the United States, the average cost is <strong>_price_compare_us_average_</strong> (according to AAOS). This means ankle joint replacement in Mexico can be about _price_percent_discount_% less than in the U.S.</p>\n\n<p>Mexican hospitals generally include pre-op tests, general anesthesia, high-quality prosthetic implants, several days of hospital stay, medications, and initial follow-up in their packages. In the U.S., the listed price often covers only the surgeon’s fee, with separate charges for the implant, anesthesia, hospital stay, and physical therapy. Always confirm what each clinic’s package includes before booking.</p>","faq":[{"q":"What Should You Know about Mexico before the Trip?","a":"<figure class=\"table\"><table><tbody><tr><td><p style=\"margin-left:0px;\">Currency</p></td><td><p style=\"margin-left:0px;\">Mexican peso (you also can pay for services in dollars)</p></td></tr><tr><td><p style=\"margin-left:0px;\">Best period for the trip</p></td><td><p style=\"margin-left:0px;\">December-April</p></td></tr><tr><td><p style=\"margin-left:0px;\">Language</p></td><td><p style=\"margin-left:0px;\">Spanish (most of medical staff speaks English fluently)</p></td></tr><tr><td><p style=\"margin-left:0px;\">Visa</p></td><td><p style=\"margin-left:0px;\">required for<a href=\"https://embamex.sre.gob.mx/australia/index.php/visitorvisa\"><u> some countries</u></a></p></td></tr><tr><td><p style=\"margin-left:0px;\">Time difference with Europe</p></td><td><p style=\"margin-left:0px;\">7 hours</p></td></tr><tr><td><p style=\"margin-left:0px;\">Time difference with the USA</p></td><td><p style=\"margin-left:0px;\">1 hour</p></td></tr><tr><td><p style=\"margin-left:0px;\">Capital</p></td><td><p style=\"margin-left:0px;\">Mexico City</p></td></tr><tr><td><p style=\"margin-left:0px;\">Medical tourism center</p></td><td><p style=\"margin-left:0px;\">Mexico City</p></td></tr><tr><td><p style=\"margin-left:0px;\">Popular resorts</p></td><td><p style=\"margin-left:0px;\">Central and Southern Mexico</p></td></tr></tbody></table></figure>"},{"q":"What hotel services are provided here?","a":"<p>In Mexico,&nbsp;<a href=\"https://www.tripadvisor.co.uk/TravelersChoice-Hotels-cTop-g150768\">hotels of different</a>&nbsp;price ranges and service levels are presented. Most tourists choose 4 and 5 star hotels with all-inclusive meals. Such hotels have everything for a comfortable stay: varied food, a large well-groomed territory, animation for children and adults. Some hotels have their own water park, which guests can use for free. Budget travelers can afford to book an economical 3-star hotel with half board or no meals at all.</p>"},{"q":"What Documents Are Required to Apply for a Visa to Mexico for Treatment?","a":"<p>Visas for travel to Mexico require a&nbsp;<a href=\"https://www.mexicocity.com/v/visa-requirements/\">number of documents</a>. Lists of documents includes:</p><ul><li>ID card</li><li>confirmation of online registration and filling out the questionnaire</li><li>certificate of income and availability of funds</li><li>insurance policy for a stay in Mexico (original and copy)</li><li>2 photos (5x6)</li><li>visa receipt</li><li>booking of flight and hotel</li><li>medical opinion about the need for treatment.</li></ul>"}],"h2":[{"text":"Was kostet Ersatz des Sprunggelenks in Mexiko?","kind":"content"},{"text":"Vorteile und Garantien von Bookimed","kind":"content"},{"text":"Ihr persönlicher medizinischer Koordinator bei Bookimed","kind":"content"},{"text":"Entdecken Sie die besten Kliniken von Ersatz des Sprunggelenks in Mexiko: 1 geprüfte Optionen und Preise","kind":"content"},{"text":"Ersatz des Sprunggelenks Übersicht in Mexiko","kind":"content"},{"text":"Bewertungen","kind":"content"},{"text":"Diesen Inhalt teilen","kind":"content"},{"text":"Videogeschichten von Bookimeds Patienten","kind":"content"},{"text":"Schnelle Fakten über Ersatz des Sprunggelenks","kind":"content"},{"text":"FAQ zu Ersatz des Sprunggelenks in Mexiko","kind":"content"},{"text":"Kostenlose Beratung erhalten","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}