{"id":24844897,"date":"2024-09-24T15:05:35","date_gmt":"2024-09-24T15:05:35","guid":{"rendered":"https:\/\/drmielcarek.live-website.com\/?page_id=24844897"},"modified":"2024-11-28T13:55:07","modified_gmt":"2024-11-28T13:55:07","slug":"hallux-rigidus","status":"publish","type":"page","link":"http:\/\/www.docteur-mielcarek.com\/de\/hallux-rigidus","title":{"rendered":"Hallux Rigidus"},"content":{"rendered":"

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Die Interventionen<\/h4>\n

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Hallux Rigidus<\/h1>\n

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Wenn Arthrose im Bereich des ersten Metatarsophalangealgelenks auftritt, spricht man von HALLUX RIGIDUS<\/strong>. Dabei handelt es sich um kn\u00f6cherne Ausw\u00fcchse um das erkrankte Gelenk, die eine Vergr\u00f6\u00dferung des Gelenkvolumens verursachen und Schmerzen beim Tragen von Schuhen hervorrufen.<\/p>\n

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Hallux rigidus ist die Bezeichnung f\u00fcr die primitive Arthrose des ersten Metatarsophalangealgelenks sowie zwischen dem Kopf des 1\u1d49\u02b3-Mittelfu\u00dfknochens und seinen Sesamoiden.<\/span><\/p>\n

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Die h\u00e4ufigste Deformit\u00e4t ist der <\/span>HALLUX VALGUS<\/strong> (umgangssprachlich als \u201eFrostbeule\u201c bezeichnet). Sie betrifft den ersten Strahl des Fu\u00dfes, bei dem die Phalangen nach au\u00dfen und der erste Mittelfu\u00dfknochen (der lange Knochen am inneren Rand des Fu\u00dfes) nach innen abweichen.<\/span><\/p>\n

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Mit der Abnutzung der H\u00fcfte gehen h\u00e4ufig eine Einschr\u00e4nkung des Gelenkumfangs (Steifheit) und vor allem Schmerzen einher.<\/span><\/p>\n

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Hallux Rigidus<\/h4>\n

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In K\u00fcrze<\/h2>\n

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Hallux rigidus ist eine Form von Arthrose, die das Gelenk des gro\u00dfen Zehs betrifft und selbst im Ruhezustand Steifheit und Schmerzen verursacht. Mit der Zeit k\u00f6nnen sich Knochenausw\u00fcchse (Osteophyten) bilden, die das Anziehen von Schuhen schmerzhaft machen.<\/p>\n

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Dieser Zustand wird h\u00e4ufig durch altersbedingten Gelenkverschlei\u00df oder eine anatomische Veranlagung verursacht. Er kann auch durch einen Hallux valgus oder andere Fu\u00dfdeformit\u00e4ten verschlimmert werden.<\/p>\n

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Je nach Schweregrad kann die Behandlung konservativ sein, um das Gelenk zu erhalten, oder radikal, mit einer Arthrodese (Gelenkverschmelzung), um die Schmerzen zu lindern.<\/p>\n

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Nach der Operation wird drei Wochen lang ein Verband und sechs Wochen lang ein fester Schuh getragen. Das Gehen wird allm\u00e4hlich wieder aufgenommen, wobei die Arbeit zwischen 2 und 3 Monaten wieder aufgenommen werden kann.<\/p>\n

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Wenn Arthrose im Bereich des ersten Metatarsophalangealgelenks auftritt, spricht man von <\/span>HALLUX RIGIDUS<\/strong>. Dies geht mit Steifheit und Schmerzen in der gro\u00dfen Zehe einher, auch in Ruhe. Es ist h\u00e4ufig, dass Osteophyten auftreten. Dabei handelt es sich um kn\u00f6cherne Ausw\u00fcchse um das erkrankte Gelenk, die eine Vergr\u00f6\u00dferung des Gelenkvolumens verursachen und Schmerzen beim Tragen von Schuhen hervorrufen.<\/div>\n
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Diese Arthrose kann als Komplikation einer HALLUX VALGUS-Deformit\u00e4t auftreten.<\/div>\n
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Je nach Grad der Abnutzung kann der Chirurg eine\u00a0<\/span>KONSERVATIVE BEHANDLUNG<\/strong>\u00a0<\/span>Dabei wird das Gelenk erhalten und durch Osteotomien auf beiden Seiten des betroffenen Gelenkspalts dekomprimiert. Eine Resektion der Osteophyten k\u00f6nnen damit verbunden sein.<\/span><\/div>\n
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Wenn die Steifheit zu gro\u00df ist, wird der\u00a0<\/span>BEHANDLUNG<\/strong>\u00a0<\/span>wird gesagt\u00a0<\/span>RADICAL<\/strong>. Dabei wird das Gelenk entfernt, indem die beiden Knochen auf beiden Seiten des Gelenks miteinander verschmolzen werden (ARTHRODESE METATARSO-PHALANGEALE<\/strong>). Dabei wird der Fu\u00df nicht blockiert, sondern nur eines von vielen Gelenken fixiert.<\/div>\n
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Der Hallux rigidus kann im Zusammenhang mit einer allgemeinen Fu\u00dfdeformit\u00e4t auftreten, die einen Hallux valgus, Krallenzehen, einen Platt- oder Hohlfu\u00df usw. umfasst. Ihr Chirurg kann Ihnen vorschlagen, die Arthrodese mit anderen erg\u00e4nzenden Ma\u00dfnahmen zu kombinieren. Durch die Verk\u00fcrzung des ersten Strahls (Gro\u00dfzehe) kann es zu einer \u00dcberl\u00e4nge der kleinen Zehen kommen, was zu einer Transfermetatarsalgie (Schmerzen unter der Sohle) f\u00fchren kann. Diese Komplikation sollte durch adjuvante R\u00fcckverlagerungsosteotomien der lateralen Metatarsalia verhindert werden, die der Chirurg von Fall zu Fall vorschl\u00e4gt.<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_blurb][et_pb_blurb title= \"Der medizinische Eingriff (die Arthrodese) \" use_icon= \"on \" font_icon= \"\uf478||fa||900\u2033 icon_color= \"#FFFF \" image_icon_background_color= \"#15022A \" icon_placement= \"left \" content_max_width= \"1100px \" icon_placement_tablet= \"left\" icon_placement_phone= \"top\" icon_placement_last_edited= \"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone= \"24px \" image_icon_width_last_edited= \"on|phone \" _builder_version= \"4.27.0\u2033 _module_preset= \"default\" header_level= \"h1\u2033 header_font= \"|800||||||| \" header_text_color= \"#15022A \" header_font_size= \"40px \" body_font= \"|300||||||| \" body_font_size= \"18px \" body_line_height= \"1.8em \" background_color= \"#FFFF \" use_background_color_gradient= \"on \" background_color_gradient_direction= \"315deg \" background_color_gradient_stops= \"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding= \"20px|24px|20px|24px|false|false \" custom_margin= \"||60px||false|false \" custom_padding= \"60px|40px|60px|40px|false|false \" custom_padding_tablet= \"60px|40px|60px|40px|false|false \" custom_padding_phone= \"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \"on|phone \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info= \"{} \" custom_css_blurb_title_phone= \"margin-bottom: 10px; \" custom_css_blurb_title_last_edited= \"on|phone \" custom_css_blurb_image_phone= \"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited= \"on|phone \" custom_css_blurb_title_tablet= \"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n

Bei der Arthrodese werden die Gelenkfl\u00e4chen auf beiden Seiten des Metatarsophalangealgelenks entfernt und die so entstandenen Knochenfl\u00e4chen miteinander verschmolzen. Die Fusion wird durch eine Kompression der Knochenoberfl\u00e4chen mithilfe von drei oder vier Schrauben erreicht, die dauerhaft an ihrem Platz bleiben.<\/p>\n

Es gibt auch andere Techniken zur Fixierung, z. B. eine verschraubte Platte. Die Wahl der Technik h\u00e4ngt vom Ausma\u00df der Abnutzung, der Knochenqualit\u00e4t und den damit verbundenen Deformit\u00e4ten ab.<\/p>\n

Es gibt Prothesen f\u00fcr den gro\u00dfen Zeh. Diese haben sich jedoch nicht als wirksam erwiesen, und ihre Verwendung wurde in Frankreich nach und nach eingestellt.<\/p>\n

[\/et_pb_blurb][et_pb_blurb title= \"die Hospitalisierung \" use_icon= \"on \" font_icon= \"\uf0f8||fa|900\u2033 icon_color= \"#FFFF \" image_icon_background_color= \"#15022A \" icon_placement= \"left \" content_max_width= \"1100px \" icon_placement_tablet= \"left \" icon_placement_phone= \"top \" icon_placement_last_edited= \"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone= \"24px \" image_icon_width_last_edited= \"on|phone \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" header_level= \"h1\u2033 header_font= \"|800||||||| \" header_text_color= \"#15022A \" header_font_size= \"40px \" body_font= \"|300||||||| \" body_font_size= \"18px \" body_line_height= \"1.8em \" background_color= \"#FFFF \" use_background_color_gradient= \"on \" background_color_gradient_direction= \"315deg \" background_color_gradient_stops= \"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding= \"20px|20px|20px|20px|false|false \" custom_margin= \"||60px||false|false \" custom_padding= \"60px|40px|60px|40px|false|false \" custom_padding_tablet= \"60px|40px|60px|40px|false|false \" custom_padding_phone= \"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \"on|phone \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone\" custom_css_main_element= \"clip-\".path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title= \"margin-bottom: 30px;||margin-top: 15px \" global_colors_info= \"{} \" custom_css_main_element_phone= \"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%); \" custom_css_main_element_last_edited= \"on|phone\" custom_css_blurb_title_phone= \"margin-bottom: 10px; \" custom_css_blurb_title_last_edited= \"on|phone \" custom_css_blurb_image_phone= \"text-align: left;|||margin-bottom: 40px; \" custom_css_blurb_image_last_edited= \"on|phone \" custom_css_main_element_tablet= \"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title_tablet= \"margin-bottom: 30px;|||margin-top: 15px \"]<\/p>\n

Sie werden meist im Rahmen einer ambulanten Operation ins Krankenhaus eingeliefert. Eine konventionelle Hospitalisierung ist auch m\u00f6glich, wenn das medizinisch-soziale Umfeld dies erfordert. Die An\u00e4sthesie kann eine Spinalan\u00e4sthesie (wie eine Periduralan\u00e4sthesie), eine Vollnarkose oder eine Regionalan\u00e4sthesie sein. Die Entscheidung wird gemeinsam mit Ihnen bei der pr\u00e4operativen Beratung durch den An\u00e4sthesisten getroffen.<\/p>\n

Nach Abschluss des Eingriffs kehren Sie nach einer mehr oder weniger kurzen \u00dcberwachung im Aufwachraum in Ihr Zimmer zur\u00fcck. Dort wird Ihnen erkl\u00e4rt, wie Sie mit dem Entlastungsschuh laufen und wie Sie die Kryotherapiebeutel verwenden, die sehr wirksam gegen Schmerzen und Schwellungen sind.<\/p>\n

Sie gehen nach Hause (in Begleitung eines Angeh\u00f6rigen oder mit dem Taxi\/Ambulanz, wenn Sie niemand abholen kann) mit dem Verband, den Ihr Chirurg im Operationssaal angelegt hat. Dieser Verband ist trocken zu halten, nicht zu ver\u00e4ndern<\/strong>Tag nach der Operation bis etwa zum 18.<\/p>\n

[\/et_pb_blurb][et_pb_blurb title= \"Nach dem Krankenhausaufenthalt \" use_icon= \"on \" font_icon= \"$||divi||400\u2033 icon_color= \"#FFFF \" image_icon_background_color= \"#15022A \" icon_placement= \"left \" content_max_width= \"1100px \" icon_placement_tablet= \"left\" icon_placement_phone= \"top\" icon_placement_last_edited= \"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone= \"24px \" image_icon_width_last_edited= \"on|phone \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" header_level= \"h1\u2033 header_font= \"|800||||||| \" header_text_color= \"#15022A \" header_font_size= \"40px \" body_font= \"|300||||||| \" body_font_size= \"18px \" body_line_height= \"1.8em \" background_color= \"#FFFF \" use_background_color_gradient= \"on \" background_color_gradient_direction= \"315deg \" background_color_gradient_stops= \"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding= \"20px|20px|20px|20px|false|false \" custom_margin= \"|||73px||false|false \" custom_padding= \"60px|40px|74px|40px|false|false \" custom_padding_tablet= \"60px|40px|60px|40px|false|false \" custom_padding_phone= \"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \"on|phone \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone\" custom_css_main_element= \"clip-\".path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title= \"margin-bottom: 30px;||margin-top: 15px \" global_colors_info= \"{} \" custom_css_main_element_phone= \"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%); \" custom_css_main_element_last_edited= \"on|phone\" custom_css_blurb_title_phone= \"margin-bottom: 10px; \" custom_css_blurb_title_last_edited= \"on|phone \" custom_css_blurb_image_phone= \"text-align: left;|||margin-bottom: 40px; \" custom_css_blurb_image_last_edited= \"on|phone \" custom_css_main_element_tablet= \"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%); \" custom_css_blurb_title_tablet= \"margin-bottom: 30px;|||margin-top: 15px \"]<\/p>\n

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Sie erhalten einen Verband, der von Ihrem Chirurgen im Operationssaal angelegt wird. Dieser Verband muss bis zum 18. Tag nach der Operation aufbewahrt werden.<\/p>\n

Die St\u00fctze wird in den ersten 6 Wochen durch einen Schuh mit steifer Sohle gesch\u00fctzt. Das Tragen dieses Schuhs erfordert keine Kombination mit Gehst\u00f6cken, aber ihre Verwendung ist nicht verboten, wenn Sie in den ersten Tagen Schwierigkeiten\u015b mit dem Dr\u00fccken haben. Der Schuh wird Ihnen bereits bei der Planung der Operation verschrieben, sodass Sie das Anziehen des Schuhs \u00fcben und ihn in der Woche vor dem chirurgischen Eingriff zu Hause tragen k\u00f6nnen.<\/p>\n

Postoperativ wird empfohlen, zwischen Gehen und Hochlagern abzuwechseln <\/strong>des operierten Fu\u00dfes so oft wie m\u00f6glich (Fu\u00df auf einem Kissen im Bett, Fu\u00df auf einem Stuhl beim Sitzen, Fu\u00df auf der R\u00fcckbank im Auto ...). Denn die delivierte Position (Fu\u00df nach unten) ist f\u00fcr eine Schwellung verantwortlich, die die Schmerzen verst\u00e4rken und den Verband zu eng machen kann. Der operierte Fu\u00df sollte regelm\u00e4\u00dfig 5 bis 10 Minuten pro halbe Stunde belastet werden. Dies stimuliert den Knochen f\u00fcr eine bessere Konsolidierung, verringert aber auch das Risiko einer Phlebitis und erm\u00f6glicht es Ihnen, selbstst\u00e4ndig zu bleiben, sogar beim Treppensteigen.<\/p>\n

F\u00fcr die ersten 14 Tage nach der Operation wird routinem\u00e4\u00dfig eine gerinnungshemmende Behandlung verschrieben, um das Auftreten einer Phlebitis zu verhindern. Die schmerzstillende Behandlung muss nach den Anweisungen Ihres Chirurgen eingenommen werden, kann aber je nach Entwicklung der Schmerzen neu angepasst werden.<\/p>\n

Das Autofahren wird mit dem medizinischen Schuh nicht empfohlen. Es ist jedoch m\u00f6glich, den Schuh zu wechseln, wenn Sie nach dem Abnehmen des Verbands am Steuer sitzen.<\/p>\n

Ab der 6. Woche kann meist die volle Unterst\u00fctzung wieder aufgenommen werden. Die Wiederaufnahme des Gehens erfolgt schrittweise, wobei das Anziehen der Schuhe aufgrund eines von Patient zu Patient variierenden \u00d6dems nicht immer sofort m\u00f6glich ist. Es werden Ihnen \u00dcbungen zur Selbstrehabilitation in Verbindung mit Physiotherapie, insbesondere mit dem Ziel der Entw\u00e4sserung, vorgeschlagen.<\/p>\n

Die Wiederaufnahme der Arbeit variiert je nach Ausma\u00df der zu korrigierenden Deformierung und der Art des Berufs, den Sie aus\u00fcben, meist ab der 6. Woche. Monat, wenn der Fu\u00df abgeschwollen ist, wird Ihnen ein Paar orthop\u00e4dische Einlagen verschrieben, um dem Fu\u00df zu helfen, wieder gleichm\u00e4\u00dfig aufzutreten.<\/p>\n<\/div>\n

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Eine Infektion des Fu\u00dfes ist selten. Das Risiko ist jedoch erh\u00f6ht, wenn andere Begleiterkrankungen wie Diabetes oder Arteriitis vorliegen. Auch Rauchen ist ein zus\u00e4tzlicher Risikofaktor.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_accordion_item][et_pb_accordion_item title= \"Die Phlebitis \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n

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Die Phlebitis wird durch die blutgerinnungshemmende Behandlung verhindert. Sie muss bei Auftreten von Wadenschmerzen durch einen Doppler-Ultraschall festgestellt werden, den Ihnen Ihr Hausarzt oder Ihr Chirurg gegebenenfalls verschreiben wird.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_accordion_item][et_pb_accordion_item title= \"Die Verschiebung der Arthrodese oder sogar eine Pseudarthrodese.\" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n

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Trotz der Fixierung mit Schrauben kann die Nichtbeachtung des Tragens von medizinischen Schuhen oder \u00fcberm\u00e4\u00dfiges Gehen zu dieser Komplikation f\u00fchren. Bei einer starken Verschiebung kann dies das Endergebnis gef\u00e4hrden. Im Falle einer Pseudarthrodese kann eine erneute Operation erforderlich sein.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_accordion_item][et_pb_accordion_item title= \"Die Algodystrophie \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n

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Es handelt sich um eine Krankheit, die jedes Gelenk nach einem Trauma befallen kann. Sie \u00e4u\u00dfert sich durch ungew\u00f6hnliche Schwellungen, Steifheit und Schmerzen. Die Ph\u00e4nomene der Algodystrophie k\u00f6nnen die Genesungsphase von 6 Monaten auf 2 Jahre verl\u00e4ngern. Ihr Auftreten ist relativ selten und sollte durch eine gewissenhaft befolgte schmerzstillende Behandlung in Verbindung mit einer Ruhigstellung des operierten Fu\u00dfes gem\u00e4\u00df den Empfehlungen Ihres Chirurgen verhindert werden.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_accordion_item][et_pb_accordion_item title= \"Die Par\u00e4sthesien \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n

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Es handelt sich dabei um Empfindungen wie elektrische Entladungen in den Zehen oder im Gegenteil um eine Verminderung des Hautgef\u00fchls. Diese Ph\u00e4nomene treten bei jeder Operation an den Extremit\u00e4ten auf, da die Zehen von sehr feinen Endnerven innerviert werden, die vom Chirurgen nicht immer vermieden oder sichtbar gemacht werden k\u00f6nnen. Meistens kommt es nach einem Jahr nach der Operation zu einer Reinnervation und diese Ph\u00e4nomene klingen ab, aber es kann auch ein dauerhaftes Unbehagen bestehen bleiben.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_accordion_item][et_pb_accordion_item title= \"Das \u00d6dem \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n

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Der Fu\u00df bleibt mehrere Monate nach dem Eingriff geschwollen und neigt im ersten Jahr nach der Operation vor allem am Ende des Tages zu Schwellungen. Die Schwellung ist vor allem dann stark ausgepr\u00e4gt, wenn darunter liegende St\u00f6rungen des ven\u00f6sen R\u00fcckflusses (Krampfadern) bestehen. Ihr Chirurg kann Ihnen drainierende Massagen verschreiben. Es wird empfohlen, in den Monaten nach der Belastung des Fu\u00dfes Kompressionsstr\u00fcmpfe zu tragen. Die Anweisungen zur Hochlagerung bleiben auch nach Wiederaufnahme des Gehens g\u00fcltig.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_accordion_item][et_pb_accordion_item title= \"Das Auftreten weiterer Verformungen \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n

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Die Fixierung eines Hallux varus, insbesondere wenn sie einen damit verbundenen Hallux valgus korrigiert, kann zur Dekompensation anderer Deformit\u00e4ten f\u00fchren, insbesondere im Bereich der kleinen Zehen. Wenn dies st\u00f6rend ist und das Tragen von Einlagen nicht ausreicht, kann Ihr Chirurg Ihnen eine zus\u00e4tzliche Operation vorschlagen.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_accordion_item][et_pb_accordion_item title= \"Die Zehennekrose \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n

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Diese gl\u00fccklicherweise \u00e4u\u00dferst seltene, aber dramatische Komplikation kann an den kleinen Zehen auftreten, wenn die Deformierung sehr gro\u00df und alt ist.Das Risiko ist bei Personen \u00fcber 70 Jahren oder mit Arteriitis erh\u00f6ht. Die chirurgische Korrektur kann dann zu einer Isch\u00e4mie des Zehs f\u00fchren, die eine Nekrose und sogar eine Amputation zur Folge haben kann.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_accordion_item][et_pb_accordion_item title= \"Der Tod \" _builder_version= \"4.27.0\u2033 _module_preset= \"default \" global_colors_info= \"{} \" open= \"off \"]<\/p>\n

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Jeder noch so kleine chirurgische Eingriff kann zu einer Lungenembolie oder einer Allergie gegen Bet\u00e4ubungsmittel f\u00fchren, die t\u00f6dlich sein kann. Deshalb kann Ihr Chirurg entscheiden, Sie trotz manchmal gr\u00f6\u00dferer Entstellungen nicht zu operieren, wenn Ihr Gesundheitszustand dies nicht zul\u00e4sst.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_text _builder_version= \"4.27.0\u2033 _module_preset= \"default \" text_font= \"-et_global_heading_font|||||||| \" text_text_color= \"#FFFF \" custom_padding= \"22px||22px||true|false \" global_colors_info= \"{} \"]<\/p>\n

Diese Liste von Komplikationen soll Sie informieren und nicht \u00e4ngstigen. Ihr Chirurg ist ein Fachmann, der Ihnen eine Behandlung vorschl\u00e4gt, um eine Krankheit oder eine Missbildung zu behandeln. Er w\u00e4gt mit Ihnen die Risiken und Vorteile einer Operation ab.<\/em><\/strong>\u02bc<\/em><\/strong>Eine Intervention und Sie k\u00f6nnen immer noch frei entscheiden.<\/em><\/strong>\u02bc<\/em><\/strong>diese zu akzeptieren oder abzulehnen. Die Nachsorge nach der Operation erm\u00f6glicht es, diese Komplikationen zu erkennen und Ihnen gegebenenfalls eine angemessene Behandlung vorzuschlagen.<\/em><\/strong><\/p>\n

Das \u00e4sthetische Ergebnis mag manchmal entt\u00e4uschend erscheinen, aber die<\/em><\/strong>\u02bc<\/em><\/strong>Das Hauptziel dieser Operation bleibt funktionell und schmerzlindernd.<\/em><\/strong><\/p>\n

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Beratung<\/h4>\n

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<\/span><\/span>Vereinbaren Sie einen Termin mit dem
Dr. Paul MIELCAREK<\/span><\/h2>\n

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Termin Vereinbaren<\/h4>\n

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Sie k\u00f6nnen direkt auf Docolib \u00fcber die Seite Kontakt einen Termin mit dem Arzt vereinbaren.<\/p>\n

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In der Telekonsultation<\/h4>\n

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Vereinbaren Sie auf Consulib einen Termin f\u00fcr eine Telekonsultation mit Dr. Paul Mielcarek.<\/p>\n

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Im Kabinett<\/h4>\n

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5 Rue de la Coop\u00e9rative, HALL 1, 67000 Strasbourg, empf\u00e4ngt Sie montags bis freitags von 8 bis 12 Uhr und von 14 bis 18 Uhr.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":"

Die EingriffeHallux RigidusWenn eine Arthrose im ersten Grundgelenk auftritt, spricht man von einem HALLUX RIGIDUS. Dabei handelt es sich um Knochenwucherungen um das erkrankte Gelenk herum, die f\u00fcr eine Vergr\u00f6\u00dferung des Gelenks mit Konfliktschmerzen beim Anziehen der Schuhe verantwortlich sind.

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