{"id":247324,"date":"2024-09-23T14:09:31","date_gmt":"2024-09-23T14:09:31","guid":{"rendered":"https:\/\/drmielcarek.live-website.com\/?page_id=247324"},"modified":"2024-11-28T14:05:22","modified_gmt":"2024-11-28T14:05:22","slug":"hallux-valgus","status":"publish","type":"page","link":"https:\/\/www.docteur-mielcarek.com\/en\/hallux-valgus","title":{"rendered":"Hallux Valgus"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbHeader\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb90deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#000000 0%|rgba(0,0,0,0.5) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/mael-balland-mB9eues4BKo-unsplash-scaled-e1725902090643.webp\u00a0\u00bb collapsed=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb2_3,1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbe6504a1b-67eb-4b3d-b023-bcab277610b6&Prime; header_font=\u00a0\u00bb&#8211;et_global_body_font||||||||\u00a0\u00bb header_4_font=\u00a0\u00bb&#8211;et_global_body_font|800||on|||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_4_font_size=\u00a0\u00bb14px\u00a0\u00bb header_4_letter_spacing=\u00a0\u00bb0.15em\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.5em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_4_text_color%22%93}\u00a0\u00bb]<\/p>\n<h4>Interventions<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"c16985e1-e0d6-4022-964d-e2bfc04fa633\u2033 text_font=\"Inter|700||||||| \" text_text_color=\"#FFFFFF \" text_font_size=\"2.25rem \" text_line_height=\"120% \" header_font=\"-et_global_heading_font||on|||||| \" header_text_align=\"left \" header_text_color=\"#FFFFFF \" header_font_size=\"70px \" header_2_font=\"-et_global_heading_font||on|||||| \" header_2_text_color=\"#FFFFFF \" header_2_font_size=\"70px \" header_2_line_height=\"120% \" text_orientation=\"center \" custom_margin=\"||0px||false|false \" animation_style=\"slide \" animation_delay=\"250ms \" text_font_size_tablet=\"1.75rem \" text_font_size_phone=\"1.25rem \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"50px \" header_font_size_phone=\"40px \" header_font_size_last_edited=\"on|phone \" header_2_font_size_tablet=\"1.75rem \" header_2_font_size_phone=\"1.88rem \" header_2_font_size_last_edited=\"on|desktop \" global_colors_info=\"{} \"]<\/p>\n<h1>Hallux Valgus<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" background_color=\"#FFFFFF \" custom_padding=\"40px|40px|40px|40px|true|true \" custom_padding_tablet=\"30px|30px|30px|30px|true|true \" custom_padding_phone=\"20px|20px|20px|20px|true|true \" custom_padding_last_edited=\"on|tablet \" global_colors_info=\"{} \"][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"-et_global_body_font|||||||| \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p class=\" translation-block\"><span>The most common deformity is <\/span><strong>HALLUX VALGUS<\/strong><span> (commonly called the \"bunion\"). It affects the first ray of the foot, where the phalanges are deviated outward and the first metatarsal is deviated inward.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_button button_text=\"Take Appointment\" button_alignment=\"left \" button_alignment_tablet=\"left \" button_alignment_phone=\"left \" button_alignment_last_edited=\"on|tablet \" _builder_version=\"4.27.4\u2033 _module_preset=\"31b4f027-aaa0-4f2f-ae02-959764e19e4f \" custom_button=\"on \" button_text_size=\"14px \" button_text_color=\"#FFFFFF \" button_bg_color=\"#000000\u2033 button_border_color=\"#000000\u2033 button_border_radius= \"0px \" button_font=\"-et_global_body_font|700||on||||| \" custom_padding=\"16px|24px|16px|24px|true|true \" hover_enabled=\"0\u2033 global_colors_info=\"{} \" button_url=\"@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI0ODQ0OTI4In19@ \" _dynamic_attributes=\"button_url \" sticky_enabled=\"0\u2033][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\u2033 admin_label=\"Product \" _builder_version=\"4.17.4\u2033 _module_preset=\"default \" background_color=\"#FFFFFF \" collapsed=\"on \" global_colors_info=\"{} \"][et_pb_row column_structure=\"1_3,1_3,1_3\u2033 _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \"][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" global_colors_info=\"{} \"][dipi_image_hotspot img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/human-body-png-ty0abbpy0ndvd97l.png \" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" max_width=\"500px \" module_alignment=\"center \" hover_enabled=\"0\u2033 locked=\"off \" global_colors_info=\"{} \" sticky_enabled=\"0\u2033][dipi_image_hotspot_child title= \"hallux rigidus \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111|fa||900\u2033 hotspot_icon_color=\"#FFFFFF \" hotspot_icon_padding=\"10px|10px|10px|10px|false|false \" hotspot_circle_icon=\"on \" hotspot_circle_color= \"#0a0a0a \" use_hotspot_icon_font_size=\"on \" hotspot_icon_size=\"10px \" hotspot_ripple_effect=\"on \" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"rgba(21,2,42,0.56)\" hotspot_ripple_effect_size=\"60px\" hotspot_ripple_effect_speed=\"4\u2033 hotspot_position_vertical=\"92.8%\" hotspot_position_horizontal=\"85.5%\" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/DRHOSSENBACCUS-pied-HalluxRigidus-247\u00d7300-1.jpg\" tooltip_image_width=\"60px\" tooltip_title=\"Hallux Rigidus\" tooltip_desc=\"\"<\/p>\n<p><span>Hallux rigidus is the name given to primitive osteoarthritis of the first metatarsophalangeal joint, as well as between the head of the 1\u1d49\u02b3 metatarsal and its sesamoids.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button=\"on \" tooltip_button_text=\"View More \" tooltip_button_link=\"https:\/\/www.docteur-mielcarek.com\/hallux-rigidus \" tooltip_width=\"240px \" tooltip_content_align=\"center \" use_tooltip_arrow=\"on \" arrow_color=\"#FFFFFF \" tooltip_padding=\"20px|20px|10px|20px|false|false \" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" tooltip_title_font=\"Lora|600||||||| \" tooltip_title_font_size=\"20px \" tooltip_desc_font=\"Poppins|300||||||| \" tooltip_desc_font_size=\"14px \" tooltip_desc_line_height=\"1.4em \" custom_tooltip_button=\"on \" tooltip_button_text_size=\"16px \" tooltip_button_text_color=\"#0a0000\u2033 tooltip_button_bg_color=\"RGBA(255,255,255,0) \" tooltip_button_border_width=\"0px \" tooltip_button_font=\"Poppins|700||||||| \" hover_enabled=\"0\u2033 box_shadow_style_tooltip_box=\"preset3\u2033 box_shadow_color_tooltip_box=\"rgba(0,149,198,0.06) \" global_colors_info=\"{} \" sticky_enabled=\"0\u2033][\/dipi_image_hotspot_child][dipi_image_hotspot_child title= \"Hallux Valgus \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa||900\u2033 hotspot_icon_color=\"#FFFFFF \" hotspot_icon_padding= \"10px|10px|10px|10px|false|false \" hotspot_circle_icon=\"on \" hotspot_circle_color=\"#0a0a0a \" use_hotspot_icon_font_size=\"on \" hotspot_icon_size=\"10px \" hotspot_ripple_effect=\"on \" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"#E02B20\u2033 hotspot_ripple_effect_size=\"152px \" hotspot_ripple_effect_speed=\"4.6\u2033 hotspot_position_vertical=\"69.1% \" hotspot_position_horizontal=\"0% \" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/valgus.jpg \" tooltip_image_width=\"60px \" tooltip_title=\"Hallux Valgus \" tooltip_desc=\"<\/p>\n<p class=\" translation-block\"><span>The most common deformity is <\/span><strong>HALLUX VALGUS<\/strong><span> (commonly called the \"bunion\"). It affects the first ray of the foot, where the phalanges are deviated outward and the first metatarsal (the long bone on the inner edge of the foot) is deviated inward.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button=\"on \" tooltip_button_text=\"View More \" tooltip_button_link=\"https:\/\/www.docteur-mielcarek.com\/hallux-valgus \" tooltip_position=\"right \" tooltip_width=\"240px \" tooltip_content_align=\"center \" use_tooltip_arrow=\"on \" arrow_color=\"#FFFFFF \" tooltip_padding=\"20px|20px|10px|20px|false|false \" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" tooltip_title_font=\"Lora|600||||||| \" tooltip_title_font_size=\"20px \" tooltip_desc_font=\"Poppins|300||||||| \" tooltip_desc_font_size=\"14px \" tooltip_desc_line_height=\"1.4em \" custom_tooltip_button=\"on \" tooltip_button_text_size=\"16px \" tooltip_button_text_color=\"#0a0000\u2033 tooltip_button_bg_color=\"RGBA(255,255,255,0) \" tooltip_button_border_width=\"0px \" tooltip_button_font=\"Poppins|700||||||| \" hover_enabled=\"0\u2033 box_shadow_style_tooltip_box=\"preset3\u2033 box_shadow_color_tooltip_box=\"rgba(0,149,198,0.06) \" global_colors_info=\"{} \" sticky_enabled=\"0\u2033][\/dipi_image_hotspot_child][dipi_image_hotspot_child title= \"Hip \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa|||900\u2033 hotspot_icon_color=\"#FFFFFF \" hotspot_icon_padding= \"10px|10px|10px|10px|false|false \" hotspot_circle_icon=\"on \" hotspot_circle_color=\"#0a0a0a \" use_hotspot_icon_font_size=\"on \" hotspot_icon_size=\"10px \" hotspot_ripple_effect=\"on \" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"rgba(21,2,42,0.56)\" hotspot_ripple_effect_size=\"60px \" hotspot_ripple_effect_speed=\"4\u2033 hotspot_position_vertical=\"43.2% \" hotspot_position_horizontal=\"36.3% \" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/anatomie-hanche-innervation.jpg \" tooltip_image_width=\"60px \" tooltip_title=\"Hip \" tooltip_desc=\"\"<\/p>\n<p><span>Hip wear is often accompanied by reduced joint amplitude (stiffness) and, above all, pain.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button=\"on \" tooltip_button_text=\"View More \" tooltip_button_link=\"https:\/\/www.docteur-mielcarek.com\/hanche \" tooltip_width=\"240px \" tooltip_content_align=\"center \" use_tooltip_arrow=\"on \" arrow_color=\"#FFFFFF \" tooltip_padding=\"20px|20px|10px|20px|false|false \" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" tooltip_title_font=\"Lora|600||||||| \" tooltip_title_font_size=\"20px \" tooltip_desc_font=\"Poppins|300||||||| \" tooltip_desc_font_size=\"14px \" tooltip_desc_line_height=\"1.4em \" custom_tooltip_button=\"on \" tooltip_button_text_size=\"16px \" tooltip_button_text_color=\"#0a0000\u2033 tooltip_button_bg_color=\"RGBA(255,255,255,0) \" tooltip_button_border_width=\"0px \" tooltip_button_font=\"Poppins|700||||||| \" hover_enabled=\"0\u2033 box_shadow_style_tooltip_box=\"preset3\u2033 box_shadow_color_tooltip_box=\"rgba(0,149,198,0.06) \" global_colors_info=\"{} \" sticky_enabled=\"0\u2033][\/dipi_image_hotspot_child][dipi_image_hotspot_child title= \"Knee \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa|||900\u2033 hotspot_icon_color=\"#FFFFFF \" hotspot_icon_padding= \"10px|10px|10px|10px|false|false \" hotspot_circle_icon=\"on \" hotspot_circle_color=\"#0a0a0a \" use_hotspot_icon_font_size=\"on \" hotspot_icon_size=\"10px \" hotspot_ripple_effect=\"on \" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"rgba(21,2,42,0.56)\" hotspot_ripple_effect_size=\"60px \" hotspot_ripple_effect_speed=\"4\u2033 hotspot_position_vertical=\"67% \" hotspot_position_horizontal=\"59.8% \" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/anatomie-genou-tendons-extenseurs.jpg \" tooltip_image_width=\"60px \" tooltip_title=\"Knee \" tooltip_desc=\"\"<\/p>\n<p>Your content goes here. 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Sometimes, trauma or certain illnesses may be responsible.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbIntervention\u00a0\u00bb image_icon_width=\u00a0\u00bb64px\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbed23053e-2e6d-46a4-bb16-787b26949972&Prime; header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_font_size=\u00a0\u00bb16px\u00a0\u00bb header_line_height=\u00a0\u00bb1.5em\u00a0\u00bb body_font=\u00a0\u00bbLibre Franklin||||||||\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb0px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb0px\u00a0\u00bb box_shadow_color=\u00a0\u00bbrgba(42,41,35,0.15)\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_text_color%22%93}\u00a0\u00bb background_color__hover=\u00a0\u00bb#FEFEFE\u00a0\u00bb background__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_vertical__hover=\u00a0\u00bb25px\u00a0\u00bb box_shadow_vertical__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_blur__hover=\u00a0\u00bb70px\u00a0\u00bb box_shadow_blur__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_spread__hover=\u00a0\u00bb-20px\u00a0\u00bb box_shadow_spread__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb]<\/p>\n<p>Correction is performed through a small incision, allowing rapid recovery and discreet scarring.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbR\u00e9cup\u00e9ration\u00a0\u00bb image_icon_width=\u00a0\u00bb64px\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbed23053e-2e6d-46a4-bb16-787b26949972&Prime; header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_font_size=\u00a0\u00bb16px\u00a0\u00bb header_line_height=\u00a0\u00bb1.5em\u00a0\u00bb body_font=\u00a0\u00bbLibre Franklin||||||||\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb0px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb0px\u00a0\u00bb box_shadow_color=\u00a0\u00bbrgba(42,41,35,0.15)\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_text_color%22%93}\u00a0\u00bb background_color__hover=\u00a0\u00bb#FEFEFE\u00a0\u00bb background__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_vertical__hover=\u00a0\u00bb25px\u00a0\u00bb box_shadow_vertical__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_blur__hover=\u00a0\u00bb70px\u00a0\u00bb box_shadow_blur__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_spread__hover=\u00a0\u00bb-20px\u00a0\u00bb box_shadow_spread__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb]<\/p>\n<p>After a short hospital stay, a dressing is maintained for about 3 weeks to ensure correction. 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_builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbDe quoi s\u2019agit-il ?\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xf059;||fa||400&Prime; icon_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb image_icon_background_color=\u00a0\u00bb#15022A\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb image_icon_width=\u00a0\u00bb35px\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb icon_placement_tablet=\u00a0\u00bbleft\u00a0\u00bb icon_placement_phone=\u00a0\u00bbtop\u00a0\u00bb icon_placement_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb image_icon_width_tablet=\u00a0\u00bb35px\u00a0\u00bb image_icon_width_phone=\u00a0\u00bb24px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh1&Prime; header_font=\u00a0\u00bb|800|on||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#15022A\u00a0\u00bb header_font_size=\u00a0\u00bb40px\u00a0\u00bb body_font=\u00a0\u00bb|300|||||||\u00a0\u00bb body_font_size=\u00a0\u00bb18px\u00a0\u00bb body_line_height=\u00a0\u00bb1.8em\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb315deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90%\u00a0\u00bb image_icon_custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb custom_margin=\u00a0\u00bb||60px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb40px|20px|40px|20px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_text_align_tablet=\u00a0\u00bb\u00a0\u00bb header_text_align_phone=\u00a0\u00bbleft\u00a0\u00bb header_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb30px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_line_height_tablet=\u00a0\u00bb\u00a0\u00bb header_line_height_phone=\u00a0\u00bb\u00a0\u00bb header_line_height_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_css_blurb_title_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title_phone=\u00a0\u00bbmargin-bottom: 10px;\u00a0\u00bb custom_css_blurb_image_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_image_phone=\u00a0\u00bbtext-align: left;||margin-bottom: 40px;\u00a0\u00bb custom_css_blurb_title_tablet=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb]<\/p>\n<p>La d\u00e9formation la plus fr\u00e9quente est l\u2019<strong>HALLUX VALGUS<\/strong><span>\u00a0<\/span>(commun\u00e9ment appel\u00e9 \u00abl\u2019oignon\u00bb). Elle concerne le premier rayon du pied dont les phalanges sont d\u00e9vi\u00e9es vers l\u2019ext\u00e9rieur et dont le premier m\u00e9tatarsien (os long du bord interne du pied) est d\u00e9vi\u00e9 vers l\u2019int\u00e9rieur.<\/p>\n<p>This deviation is responsible for a progressive dislocation of the metatarsophalangeal joint. The head of the first metatarsal becomes subcutaneous, giving the impression of a \"growing bump\" whose volume is increased by the frequent association of bursitis (a pocket of subcutaneous inflammation). This deformity is responsible for<span style=\"font-size: 18px;\">able to cause pain on the inside edge of the foot when walking and deformity of footwear.<\/span><\/p>\n<p>When deformity is left untreated, it is not uncommon to see the appearance of <strong>METATARSALGIA<span>\u00a0<\/span><\/strong>which are the consequence of the heads of the lateral metatarsals (long bones of the foot) being too long in relation to the first radius.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-447 alignright\" src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2015\/07\/hallux2-300x210.png\" alt=\"hallux2\" width=\"354\" height=\"248\" \/><\/p>\n<div><\/div>\n<p>Advanced hallux valgus is often accompanied by an impact on the lateral toes in the form of<span>\u00a0<\/span><strong>PHALANGEAL CLAWS.<\/strong><\/p>\n<p>In the absence of regular podiatry care, the following symptoms may appear<span>\u00a0<\/span><strong>DURILLONS<\/strong>(skin thickening) on the toes due to dorsal impingement when putting on shoes, or plantar calluses under the metatarsal heads due to excessive weight-bearing.<\/p>\n<p>When they are not too troublesome, deformities can be treated with appropriate footwear and custom-made orthopedic inserts. However, these measures are not curative, but only symptomatic, i.e. they may reduce pain but do not eliminate or halt the long-term trend towards aggravation.<\/p>\n<p>When deformities accelerate and become uncomfortable to walk on, or deform the shoe, they can be surgically corrected.<\/p>\n<p>Numerous surgical techniques are available. They are all based on essentially bony procedures (<strong>OSTEOTOMIES<\/strong>), but also gestures on ligaments and tendons (soft tissue).<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\"The causes of the disease \" use_icon=\"on \" font_icon=\"\uf478||fa||900\u2033 icon_color=\"#FFFFFF \" 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=\"#FFFFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffffff 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<p>Several factors may overlap.<\/p>\n<p>The female sex is most often affected. Genetic factors have also been suggested, so there is a hereditary component. This heredity is not observed by a deformity from birth, but by predispositions to foot \"morphotypes\" that are potentially deformable. These are so-called \"Egyptian\" or \"Greek\" forefeet, where the big toe is respectively too long or too short in relation to its neighbor. In addition, the arch of the foot may be deformed into a flat foot, or the ankle and knee into \"valgus\".<\/p>\n<p>Shoe type acts as a catalyst, accelerating deformations.  Ill-fitting shoes, especially those with high heels and narrow \"toes\", contribute to the earlier onset of the disease. Trauma (sprain, dislocation, foot fracture) can sometimes reveal a previously well-tolerated deformity.<\/p>\n<p>In some cases, a neurological or rheumatological disease may be the cause.<span> <\/span>responsible.<\/p>\n<p>Finally, with age, ligaments become more elastic, and deformities that have long been tolerated become more pronounced, sometimes suddenly, within a few months. These phenomena are often concomitant with menopause in women, but also appear in men at an older age. Despite all these causes, there may be no obvious reason for the deformity.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title= \"What does the operation involve? \" use_icon=\"on \" font_icon=\"\uf7e6||fa||900\u2033 icon_color=\"#FFFFFF \" 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=\"#FFFFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffffff 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_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<p>The operation is performed using the <strong>minimally invasive <\/strong>called percutaneous. This means that all surgical procedures are performed through the skin, without \"opening\". However, the skin barrier is penetrated to the width of the instruments required for bone or soft tissue procedures (burs, blades). As a result, scars are usually less than 5 mm long.<\/p>\n<p>The surgeon uses an X-ray machine to take X-rays during the operation. This enables him to know where he will be making an osteotomy or correcting a deformity.<\/p>\n<p>Percutaneous surgery offers many advantages. In addition to <strong>do not produce large scars<\/strong>it allows you to<strong>avoid tissue detachment <\/strong>extensive. The technique enables <strong>do without equipment <\/strong>The use of osteosynthesis devices (screws, pins, staples, plates, etc.) to fix osteotomies means that no foreign bodies are left in the foot. This reduces the risk of infection. Finally, the bone powder produced during osteotomies is used as a <strong>natural graft <\/strong>helping your own body to produce more rapidly a <strong>bone callus <\/strong>which will consolidate or \"harden\" the bone once corrected.<\/p>\n<p>Open techniques exist, but require the use of hardware to fix the bone. There are also hybrid techniques in which screws are inserted through small incisions. These other techniques have their advantages and disadvantages. Each surgeon uses the technique he or she has learned or developed best, in line with the latest scientific findings.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title= \"l'Hospitalisation \" use_icon=\"on \" font_icon=\"\uf0f8||fa||900\u2033 icon_color=\"#FFFFFF \" 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=\"#FFFFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffffff 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<p>In most cases, you will be hospitalized on an outpatient basis. Conventional hospitalization is also possible if the medical and social context so requires. Anesthesia can be spinal (such as an epidural), general or locoregional. The decision is taken with you, during the pre-operative consultation with the anaesthetist.<\/p>\n<p>Once the operation is over, you return to your room after a short period of observation in the recovery room. You will be shown how to walk in your off-loading shoe and how to use the cryotherapy bags, which are highly effective against pain and swelling.<\/p>\n<p>You go home (accompanied by a relative or by taxi\/ambulance if no one is available to pick you up) with the dressing made in the operating room by your surgeon. This dressing is <strong>to keep dry, without changing it<\/strong>until around the 21st postoperative day. Single-stage bilateral surgery should be avoided, as it complicates the management of autonomy and pain, and increases the risk of phlebitis. It is still possible, however, if an interval of 2 to 3 weeks is observed between each side.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\"What's next? \" use_icon=\"on \" font_icon=\"$||divi||400\u2033 icon_color=\"#FFFFFF \" 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=\"#FFFFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffffff 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<p>Given the absence of material to fix osteotomies, dressing plays an essential role. It is applied in the operating room by your surgeon. It enables the toes to be fixed in a corrective position imposed by the bandages, until the bone callus appears.<\/p>\n<p>The dressing does not need to be removed for the first 3 weeks, and will be removed by a homecare nurse around the 21st post-operative day, a few days before the follow-up visit, which is usually at one month.<\/p>\n<p>Compression of the osteotomies by the dressing can give the appearance of overcorrection or strangulated toes. This may seem impressive, especially when the bandage is removed at home. Don't worry, it's normal and voluntary, especially the spread of the big toe which, if initially insufficient, can lead to an early recurrence. These factors are not cause for concern, and will return to normal once the dressing and medical shoe have been weaned off, around the 6th post-operative week.<\/p>\n<p>Support is protected for the first 4 weeks by a rigid-soled shoe. Canes are not usually required to wear this shoe, but they will be prescribed so that you can walk in it with confidence, if necessary.  The shoe is prescribed to you as soon as the operation is scheduled, so that you can practice putting it on and wearing it at home the week before the operation.<\/p>\n<p>Post-operative, <strong>alternating walking and elevation is recommended <\/strong>of the operated foot, as often as possible (foot on a cushion in bed, foot on a chair in a sitting position, foot on the back seat of a car, etc.) with the knee in extension. A downward position (foot down) or a knee bent for a long period of time can cause swelling, which can increase pain and make the dressing too tight. The operated foot should be supported regularly, for 5 to 10 minutes every half-hour. This not only stimulates the bone for better healing, but also reduces the risk of phlebitis and enables you to remain independent, even when climbing stairs.<\/p>\n<p>Anti-coagulant treatment is systematically prescribed for the first 14 days post-op to prevent phlebitis.<\/p>\n<p>From the 5th week, free shoeing can usually be resumed. Resumption of walking is a gradual process, as shoeing is not always immediate due to swelling, which varies from patient to patient. Self-education exercises will be suggested, possibly in conjunction with physiotherapy sessions.<\/p>\n<p>The swelling may increase after the dressing has been removed, in which case you will be offered compression socks. To avoid a partial recurrence of the deformity when you return to your shoes (which are inevitably too tight at first), you will be asked to wear a toe spreader for several weeks.<\/p>\n<p>Resumption of work varies according to the extent of the deformity to be corrected and your occupation. It generally takes place between 1 and 2 months after the operation. While the medical shoe is being worn, driving is not recommended, due to the rigidity of the sole and the thickness of the dressing. Once the dressing has been removed, you may be able to slip on a soft, loose shoe while driving, but the shoe must be kept on for walking until the end of the 4th post-operative week.<\/p>\n<p>Once the post-operative oedema has subsided, you will be prescribed a pair of orthopedic insoles to help the foot regain homogeneous support while it recovers natural plantar support. These will generally be worn for a year after the operation.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbImages\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xf008;||fa||900&Prime; icon_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb image_icon_background_color=\u00a0\u00bb#15022A\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb icon_placement_tablet=\u00a0\u00bbleft\u00a0\u00bb icon_placement_phone=\u00a0\u00bbtop\u00a0\u00bb icon_placement_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb image_icon_width_tablet=\u00a0\u00bb\u00a0\u00bb image_icon_width_phone=\u00a0\u00bb24px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb disabled_on=\u00a0\u00bbon|on|on\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh1&Prime; header_font=\u00a0\u00bb|800|||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#15022A\u00a0\u00bb header_font_size=\u00a0\u00bb40px\u00a0\u00bb body_font=\u00a0\u00bb|300|||||||\u00a0\u00bb body_font_size=\u00a0\u00bb18px\u00a0\u00bb body_line_height=\u00a0\u00bb1.8em\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb315deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90%\u00a0\u00bb image_icon_custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb40px|20px|40px|20px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb30px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb disabled=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_css_main_element_phone=\u00a0\u00bbclip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_main_element_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title_phone=\u00a0\u00bbmargin-bottom: 10px;\u00a0\u00bb custom_css_blurb_title_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_image_phone=\u00a0\u00bbtext-align: left;||margin-bottom: 40px;\u00a0\u00bb custom_css_blurb_image_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_main_element_tablet=\u00a0\u00bbclip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_blurb_title_tablet=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb][\/et_pb_blurb][dipi_before_after_slider before_image=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/Plan-de-travail-12.png\u00a0\u00bb after_image=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/Plan-de-travail-11.png\u00a0\u00bb move_slider=\u00a0\u00bbon_hover\u00a0\u00bb slider_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb slider_handle_icon_color=\u00a0\u00bb#000000&Prime; slider_handle_color=\u00a0\u00bb#000000&Prime; disabled_on=\u00a0\u00bbon|on|on\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb custom_padding=\u00a0\u00bb0px||57px|||\u00a0\u00bb disabled=\u00a0\u00bbon\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-primary-color%22:%91%22slider_color%22%93}\u00a0\u00bb][\/dipi_before_after_slider][et_pb_accordion open_toggle_text_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb toggle_icon=\u00a0\u00bb&#x4c;||divi||400&Prime; icon_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb use_icon_font_size=\u00a0\u00bbon\u00a0\u00bb icon_font_size=\u00a0\u00bb30px\u00a0\u00bb disabled_on=\u00a0\u00bbon|on|on\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_font=\u00a0\u00bb&#8211;et_global_body_font||||||||\u00a0\u00bb disabled=\u00a0\u00bbon\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-primary-color%22:%91%22icon_color%22,%22open_toggle_text_color%22%93}\u00a0\u00bb][et_pb_accordion_item title=\u00a0\u00bbEST-CE QUE L&rsquo;INTERVENTION PEUT AVOIR LIEU SOUS ANESTH\u00c9SIE LOCALE ?\u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><span>YES, under LOCO-REGIONAL anaesthesia, but GENERAL anaesthesia can also be used, a decision taken with you during the consultation with the anaesthetist.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"HOW LONG DOES HOSPITALIZATION LAST?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<p><span>2 DAYS on average.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"WHEN CAN I WALK AFTER THE OPERATION?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<p><span>YES. Support is protected by a RIGID SOLE SHOE for 4 weeks. During the first few days after surgery, support may be delayed if the local anesthetic is maintained by a catheter. You will be prescribed a pair of walking sticks for the first few days of your convalescence.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"CAN I WASH NORMALLY?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-8\" aria-labelledby=\"ui-id-7\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>YES. As long as you use the protective cover prescribed for you.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"CAN I DRIVE?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<p>NO, for as long as the rigid-soled shoe is worn, i.e. 4 WEEKS (the shoe is too thick and too wide, which runs the risk of confusing or pressing on 2 pedals at the same time).<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"WILL IT HURT ME?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>NO. In the majority of cases, if you follow your surgeon's recommendations (elevation, relative rest, walking with a rigid-soled shoe), just taking PARACETAMOL regularly will suffice.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"CAN THE DEFORMATION COME BACK?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-14\" aria-labelledby=\"ui-id-13\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>YES. As with any surgery, in a small number of cases there is a risk of partial or inadequate results. In most cases, this will occur in the first few weeks of treatment, if you fail to wear a rigid-soled shoe, if you lose your dressing (because it gets caught in your clothes or comes into contact with water) or if you fail to attend the various check-up appointments proposed by your surgeon. However, if the operation is carried out correctly and you follow the recommendations during your convalescence, you'll be able to wear shoes normally again, and above all without pain.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"HOW LONG DOES A WORKSTOP LAST?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-16\" aria-labelledby=\"ui-id-15\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>6 to 8 weeks on average, depending on the type of work you do. This period is adapted to your personal situation and post-operative progress. As soon as possible, you can resume light activity after changing the first dressing, i.e. around the 2nd week post-op.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"CAN WE OPERATE 2 SIDES AT THE SAME TIME?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-18\" aria-labelledby=\"ui-id-17\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>NO. In the case of bilateral surgery, you don't have a foot to rest on. You could end up in a wheelchair during your convalescence. What's more, this would increase the risk of phlebitis. However, if you wish to avoid having to stop your activities twice, surgery 2 weeks apart can be discussed on a case-by-case basis.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"HOW MUCH DOES THE OPERATION COST?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-20\" aria-labelledby=\"ui-id-19\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>As your surgeon is a sector 2 registered surgeon, he or she charges free fees. Part of the fee is covered by Social Security. The remainder is covered in whole or in part by your mutual insurance company, if you have one. An estimate will be given to you at the end of the consultation if an operation is planned. This price includes only the surgeon's share. It is your responsibility to ask the anaesthetist about his or her fees, and the Clinique Sainte Odile about the cost of hospitalization.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"WILL I NEED REEDUCATION?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-22\" aria-labelledby=\"ui-id-21\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>A physiotherapist will visit you in your room after your operation. He or she will show you how to use the rigid-soled shoe and give you instructions to follow during your convalescence.<br \/>Once your dressing has been removed around the 3rd week, your surgeon will give you advice on self-education. If, despite self-education, you have a lot of edema or stiff toes, you will be prescribed draining and mobilizing physiotherapy sessions at post-operative check-ups (usually three).<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_blurb title=\u00a0\u00bbFAQ\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xe60f;||divi||400&Prime; icon_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb image_icon_background_color=\u00a0\u00bb#15022A\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb icon_placement_tablet=\u00a0\u00bbleft\u00a0\u00bb icon_placement_phone=\u00a0\u00bbtop\u00a0\u00bb icon_placement_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb image_icon_width_tablet=\u00a0\u00bb\u00a0\u00bb image_icon_width_phone=\u00a0\u00bb24px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh1&Prime; header_font=\u00a0\u00bb|800|||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#15022A\u00a0\u00bb header_font_size=\u00a0\u00bb40px\u00a0\u00bb body_font=\u00a0\u00bb|300|||||||\u00a0\u00bb body_font_size=\u00a0\u00bb18px\u00a0\u00bb body_line_height=\u00a0\u00bb1.8em\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb315deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90%\u00a0\u00bb image_icon_custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb40px|20px|40px|20px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb30px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_css_main_element_phone=\u00a0\u00bbclip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_main_element_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title_phone=\u00a0\u00bbmargin-bottom: 10px;\u00a0\u00bb custom_css_blurb_title_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_image_phone=\u00a0\u00bbtext-align: left;||margin-bottom: 40px;\u00a0\u00bb custom_css_blurb_image_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_main_element_tablet=\u00a0\u00bbclip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_blurb_title_tablet=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb][\/et_pb_blurb][et_pb_accordion open_toggle_text_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb toggle_icon=\u00a0\u00bb&#x4c;||divi||400&Prime; icon_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb use_icon_font_size=\u00a0\u00bbon\u00a0\u00bb icon_font_size=\u00a0\u00bb30px\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_font=\u00a0\u00bb&#8211;et_global_body_font|||on|||||\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-primary-color%22:%91%22icon_color%22,%22open_toggle_text_color%22%93}\u00a0\u00bb][et_pb_accordion_item title=\u00a0\u00bbL\u2019infection du pied \u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb toggle_font=\u00a0\u00bb&#8211;et_global_body_font|||on|||||\u00a0\u00bb]<\/p>\n<p>Foot infection has become rare with the advent of percutaneous techniques. However, the risk is increased when there are other associated diseases such as diabetes or arteritis. Smoking is also an additional risk factor.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"La phl\u00e9bite \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off \"]<\/p>\n<p>Phlebitis is prevented by anti-coagulant treatment, and should be detected if calf pain occurs by an ultrasound Doppler test, which your GP or surgeon may prescribe.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"The secondary displacement of osteotomies.\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<p>Given the absence of hardware fixation, non-compliance with the medical shoe, early removal (before 20 days) or excessive walking can lead to this complication. In the event of significant displacement, the final result may be compromised.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Algodystrophy\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-8\" aria-labelledby=\"ui-id-7\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>This is a condition that can affect any joint following trauma. It manifests as unusual swelling, stiffness and pain. Algodystrophy can prolong the convalescence period by 6 months to 2 years. The occurrence of algodystrophy is relatively rare, and must be prevented by scrupulous analgesic treatment and resting of the operated foot in accordance with your surgeon's recommendations. Algodystrophy is frequently associated with stress. Limb surgery should be avoided if you are experiencing stress in your private or professional life.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Stiff toes \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<p>If the deformities were very significant or long-standing, the flexibility of the toes cannot be restored by the operation. Some toe claws require tendons to be lengthened or, on the contrary, a phalanx to be shortened, resulting in reduced mobility. It is not uncommon for some toes not to touch the ground when they are reloaded, as long as edema persists in the sole of the foot. Your surgeon will suggest a suitable rehabilitation program if you experience any discomfort.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Les paresth\u00e9sies \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off \"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>These are sensations of electrical discharges in the toes, or on the contrary, a reduction in skin sensation. These phenomena occur in all extremity surgery, as the toes are innervated by fine terminal nerves, which do not always tolerate re-innervation of initially highly deformed toes. Most of the time, re-innervation takes place more than 1 year after surgery, and these phenomena fade away, but permanent discomfort may persist.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Edema\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-14\" aria-labelledby=\"ui-id-13\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>The foot remains swollen for several months after surgery, and will tend to swell especially at the end of the day during the first year after surgery. Edema is particularly important if there are underlying venous return disorders (varicose veins). Your surgeon may prescribe draining massages. Wearing compression socks is recommended for the first few months after the foot has been repositioned. The instructions for elevation remain valid even after walking has been resumed.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"The recurrence of deformity \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-16\" aria-labelledby=\"ui-id-15\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>The cause may be an old or very significant deformity, which may require secondary adjustment surgery in case of persistent discomfort. Secondary displacement of an osteotomy due to non-compliance with post-operative instructions can be a cause of recurrence.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"The appearance of other deformations\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-18\" aria-labelledby=\"ui-id-17\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Correcting hallux valgus can lead to the decompensation of other deformities, particularly in the little toes. If this is bothersome, and wearing orthopedic insoles is not enough, your surgeon may suggest additional surgery, which is often lighter and less restrictive.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title= \"L'arthrose \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off \"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-20\" aria-labelledby=\"ui-id-19\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>This is hallux rigidus. It may already be present at least at the time of surgery, and may increase in severity at a later stage, or it may appear in the aftermath of surgery. There are specific surgical treatments for this condition, which your surgeon will discuss with you.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Excessive correction \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-22\" aria-labelledby=\"ui-id-21\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>This is called hallux varus. This can occur when osteotomies have been compressed by the dressing for too long or for too long. Secondary displacement of an osteotomy can also be the cause. In the event of discomfort, your surgeon may decide to perform revision surgery. This complication can be avoided if you keep your post-operative appointments.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Toe necrosis\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-22\" aria-labelledby=\"ui-id-21\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>This complication, fortunately extremely rare but dramatic, can occur in the little toes when the deformity is very large and long-standing. The risk is greater in people over 70, suffering from arteritis or who smoke. Surgical correction can lead to ischemia of the toe, resulting in necrosis or even amputation.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"The death\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-22\" aria-labelledby=\"ui-id-21\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Any surgical procedure, no matter how minor, can lead to pulmonary embolism or a potentially fatal allergy to anesthetics. This is why your surgeon may decide not to operate on you, despite major deformities, if your state of health does not allow it.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/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=\"#FFFFFF \" header_font=\"-et_global_heading_font|||||||| \" header_text_color= \"#FFFFFF \" header_5_font=\"-et_global_heading_font|||||||| \" custom_margin=\"||||false \" custom_padding=\"22px||22px||true|false \" global_colors_info=\"{} \"]<\/p>\n<p><strong><em>This list of complications is intended to inform you, not frighten you. Your surgeon is a professional who proposes an operation to treat a deformity. He or she weighs up the risks and benefits of an operation with you, and you are always free to accept or refuse. Post-operative follow-up allows us to detect any complications and offer you appropriate treatment if necessary.<\/em><\/strong><\/p>\n<p><strong><em>The aesthetic result may sometimes appear disappointing, but the aim of this surgery is not aesthetic but functional. The main aim of the surgery is to make the foot more wearable and less painful, and to prevent the deformity from progressing to extreme situations which, after a certain age, can no longer be treated by conservative surgery.<\/em><\/strong><\/p>\n<p><strong><em>Foot surgery is a complex discipline, all the more so when the deformities are old and multiple. Several operations, spread out over time, may be necessary to achieve a satisfactory result.<\/em><\/strong><\/p>\n<p>[\/et_pb_text][dipi_before_after_slider _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/dipi_before_after_slider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbProduct\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb0deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#000000 0%|rgba(0,0,0,0.18) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/nasa-6-jTZysYY_U-unsplash-scaled.webp\u00a0\u00bb custom_padding=\u00a0\u00bb10vw||10vw||true|false\u00a0\u00bb collapsed=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb3_5,2_5&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb3_5&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbe6504a1b-67eb-4b3d-b023-bcab277610b6&Prime; header_font=\u00a0\u00bb&#8211;et_global_body_font||||||||\u00a0\u00bb header_4_font=\u00a0\u00bb&#8211;et_global_body_font|800||on|||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_4_font_size=\u00a0\u00bb14px\u00a0\u00bb header_4_letter_spacing=\u00a0\u00bb0.15em\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.5em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_4_text_color%22%93}\u00a0\u00bb]<\/p>\n<h4>Consultation<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"default \" text_font=\"Inter|700||||||| \" text_text_color=\"#FFFFFF \" text_font_size=\"2.25rem \" text_line_height=\"120% \" header_2_font=\"-et_global_heading_font||on|||||| \" header_2_text_color=\"#FFFFFF \" header_2_font_size=\"3.3rem \" header_2_line_height=\"120% \" text_orientation=\"center \" custom_margin=\"||0px||false|false \" animation_style=\"slide \" animation_delay=\"250ms \" text_font_size_tablet=\"1.75rem \" text_font_size_phone=\"1.25rem \" text_font_size_last_edited=\"on|phone \" header_2_font_size_tablet=\"40px \" header_2_font_size_phone=\"28px \" header_2_font_size_last_edited=\"on|desktop \" locked=\"off \" 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header_4_font=\u00a0\u00bbPoppins|600|||||||\u00a0\u00bb header_4_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_4_font_size=\u00a0\u00bb20px\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.4em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb header_4_font_size_tablet=\u00a0\u00bb16px\u00a0\u00bb header_4_font_size_phone=\u00a0\u00bb14px\u00a0\u00bb header_4_font_size_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h4>Make an Appointment<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p>You can make an appointment with the Doctor directly on Docolib from the Contact page.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" global_colors_info=\"{} \"][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"4827deed-2a92-4d97-a22f-f01067ae6873\u2033 header_font=\"|||||||| \" header_4_font=\"Poppins|600||||||| \" header_4_text_color=\"#FFFFFF \" header_4_font_size=\"20px \" header_4_line_height=\"1.4em \" custom_margin=\"||0px||false|false \" header_4_font_size_tablet=\"16px \" header_4_font_size_phone=\"14px \" header_4_font_size_last_edited=\"on|tablet \" global_colors_info=\"{}\"]<\/p>\n<h4>Teleconsultation<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p>Visit Consulib to book a teleconsultation appointment with Dr Paul Mielcarek.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" global_colors_info=\"{} \"][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"4827deed-2a92-4d97-a22f-f01067ae6873\u2033 header_font=\"|||||||| \" header_4_font=\"Poppins|600||||||| \" header_4_text_color=\"#FFFFFF \" header_4_font_size=\"20px \" header_4_line_height=\"1.4em \" custom_margin=\"||0px||false|false \" header_4_font_size_tablet=\"16px \" header_4_font_size_phone=\"14px \" header_4_font_size_last_edited=\"on|tablet \" global_colors_info=\"{}\"]<\/p>\n<h4>Cabinet<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p>5 Rue de la Coop\u00e9rative, HALL 1, 67000 Strasbourg, welcomes you Monday to Friday, 8am to 12pm and 2pm to 6pm.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":"<p>InterventionsHallux ValgusThe most common deformity is HALLUX VALGUS (commonly known as \"the bunion\"). It involves the first ray of the foot, with the phalanges deviated outwards and the first metatarsal deviated inwards.<div class=\"et_pb_module dipi_image_hotspot dipi_image_hotspot_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n\t\t\t<div class=\"dipi-image-hotspot dipi-trigger_on_click-off\" data-order-number=\"0\">\r\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/human-body-png-ty0abbpy0ndvd97l.png\" class=\"dipi-hotspot-bg-image-main\" alt=\"\">\r\n\t\t\t\t\r\n\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div><div class=\"et_pb_module dipi_image_hotspot_child dipi_image_hotspot_child_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t\r\n            <div class=\"dipi-image-hotspot-child\">\r\n                \r\n                    <div\r\n                        class=\"dipi-tooltip-wrap dipi-tooltip-position-left  animated fadeIn\"\r\n                        data-order-number=\"0\"\r\n                    >\r\n                        \r\n                        \r\n                        \r\n                        \r\n                    <\/div>\r\n                \r\n            <div class=\"dipi-hotspot\">\r\n                \r\n                    <img decoding=\"async\" style=\"animation: pulse-key1936355159 3s linear infinite;\" src=\"\" class=\"dipi-hotspot-image\" alt=\"\">\r\n                    \r\n                    \r\n                \r\n            <\/div>\r\n            <\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","two_page_speed":[],"footnotes":""},"dipi_cpt_category":[],"class_list":["post-247324","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/pages\/247324","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/comments?post=247324"}],"version-history":[{"count":24,"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/pages\/247324\/revisions"}],"predecessor-version":[{"id":24845178,"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/pages\/247324\/revisions\/24845178"}],"wp:attachment":[{"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/media?parent=247324"}],"wp:term":[{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/www.docteur-mielcarek.com\/en\/wp-json\/wp\/v2\/dipi_cpt_category?post=247324"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}