{"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":"https:\/\/www.docteur-mielcarek.com\/es\/hallux-rigidus","title":{"rendered":"Hallux Rigidus"},"content":{"rendered":"

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Intervenciones<\/h4>\n

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Hallux Rigidus<\/h1>\n

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Cuando aparece artrosis en la primera articulaci\u00f3n metatarsofal\u00e1ngica, se denomina HALLUX RIGIDUS<\/strong>. Esta condici\u00f3n implica crecimientos \u00f3seos alrededor de la articulaci\u00f3n afectada, lo que provoca un aumento en el volumen articular y causa dolor por fricci\u00f3n al usar zapatos.<\/p>\n

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Hallux rigidus es el nombre dado a la artrosis primaria de la primera articulaci\u00f3n metatarsofal\u00e1ngica, as\u00ed como entre la cabeza del 1\u1d49\u02b3 metatarsiano y sus sesamoideos.<\/span><\/p>\n

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La deformidad m\u00e1s com\u00fan es el <\/span>HALLUX VALGUS<\/strong> (com\u00fanmente llamado \"juanete\"). Afecta al primer radio del pie, donde las falanges est\u00e1n desviadas hacia afuera y el primer metatarsiano (el hueso largo del borde interno del pie) est\u00e1 desviado hacia adentro.<\/span><\/p>\n

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El desgaste de la cadera suele ir acompa\u00f1ado de una reducci\u00f3n de la amplitud articular (rigidez) y, sobre todo, de dolor.<\/span><\/p>\n

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Hallux Rigidus<\/h4>\n

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En breve<\/h2>\n

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El hallux rigidus es una forma de artrosis que afecta a la articulaci\u00f3n del dedo gordo y provoca rigidez y dolor, incluso en reposo. Con el tiempo, pueden aparecer crecimientos \u00f3seos (osteofitos) que hacen que resulte doloroso calzarse.<\/p>\n

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Esta afecci\u00f3n suele estar causada por el desgaste articular relacionado con la edad o por una predisposici\u00f3n anat\u00f3mica. Tambi\u00e9n puede verse agravada por el hallux valgus u otras deformidades del pie.<\/p>\n

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Dependiendo de la gravedad, el tratamiento puede ser conservador, dirigido a preservar la articulaci\u00f3n, o radical, con artrodesis (fusi\u00f3n articular) para aliviar el dolor.<\/p>\n

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Tras la operaci\u00f3n, se lleva un vendaje durante 3 semanas y un zapato r\u00edgido durante 6 semanas. La marcha se reanuda gradualmente, con una vuelta al trabajo entre 2 y 3 meses.<\/p>\n

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Cuando aparece artrosis en la primera articulaci\u00f3n metatarsofal\u00e1ngica, se denomina <\/span>HALLUX RIGIDUS<\/strong>. Esto se asocia con rigidez y dolor en el dedo gordo del pie, incluso en reposo. Es com\u00fan que aparezcan osteofitos. Estas son protuberancias \u00f3seas alrededor de la articulaci\u00f3n afectada, lo que provoca un aumento en el volumen articular y causa dolor por fricci\u00f3n al usar zapatos.<\/div>\n
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Esta artrosis puede complicar una deformidad HALLUX VALGUS.<\/div>\n
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Dependiendo del grado de desgaste, el cirujano puede sugerir una\u00a0<\/span>TRATAMIENTO CONSERVADOR<\/strong>\u00a0<\/span>que preservar\u00e1 la articulaci\u00f3n al tiempo que la descomprime mediante osteotom\u00edas a ambos lados del espacio articular en cuesti\u00f3n. Resecci\u00f3n de la Pueden asociarse osteofitos.<\/span><\/div>\n
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Si la rigidez es demasiado grande, el\u00a0<\/span>TRATAMIENTO<\/strong>\u00a0<\/span>se dice\u00a0<\/span>RADICAL<\/strong>. En este caso, la articulaci\u00f3n se elimina fusionando los dos huesos a ambos lados de la articulaci\u00f3n (ARTRODESIS METATARSOFAL\u00c1NGICA<\/strong>). Este gesto no bloquea el pie en el sentido estricto de la palabra; s\u00f3lo fija una de un gran n\u00famero de articulaciones.<\/div>\n
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El hallux rigidus puede producirse en el contexto de una deformidad global del pie que combine hallux valgus, dedos en garra, pie plano o hueco, etc. Su cirujano puede sugerirle que combine la artrodesis con otros procedimientos complementarios. Como consecuencia del acortamiento del primer rayo (dedo gordo), los dedos me\u00f1iques pueden alargarse demasiado, lo que provoca metatarsalgia de transferencia (dolor bajo la planta del pie). Esta complicaci\u00f3n debe evitarse mediante osteotom\u00edas coadyuvantes para retrasar los metatarsianos laterales, que el cirujano propone caso por caso.<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_blurb][et_pb_blurb title=\"El procedimiento m\u00e9dico (artrodesis) \" 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=\"#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-inferior: 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

La artrodesis consiste en extirpar las superficies articulares a ambos lados de la articulaci\u00f3n metatarsofal\u00e1ngica y fusionar las superficies \u00f3seas resultantes. La fusi\u00f3n se consigue comprimiendo las superficies \u00f3seas mediante tres o cuatro tornillos, que se dejan colocados de forma permanente.<\/p>\n

Existen otras t\u00e9cnicas de fijaci\u00f3n, en particular las placas atornilladas. La elecci\u00f3n de la t\u00e9cnica depende del grado de desgaste, la calidad del hueso y las deformidades asociadas.<\/p>\n

Existen pr\u00f3tesis para el dedo gordo del pie. Sin embargo, no han resultado eficaces y su uso se ha ido abandonando progresivamente en Francia.<\/p>\n

[\/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=\"#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-ruta: 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

Por lo general, ser\u00e1 hospitalizado en r\u00e9gimen ambulatorio. La hospitalizaci\u00f3n convencional tambi\u00e9n es posible si el contexto m\u00e9dico y social lo requiere. La anestesia puede ser raqu\u00eddea (como la epidural), general o loco-regional. La decisi\u00f3n se toma con usted durante la consulta preoperatoria con el anestesista.<\/p>\n

Una vez terminada la operaci\u00f3n, volver\u00e1 a su habitaci\u00f3n tras ser vigilado durante un breve periodo de tiempo en la sala de recuperaci\u00f3n. Se le explicar\u00e1 c\u00f3mo caminar con el zapato de descarga y c\u00f3mo utilizar las bolsas de crioterapia, que son muy eficaces para reducir el dolor y la inflamaci\u00f3n.<\/p>\n

Se va a casa (acompa\u00f1ado por un familiar o en taxi\/ambulancia si no hay nadie disponible para recogerle) con el vendaje hecho en quir\u00f3fano por su cirujano. Este vendaje es para mantenerlo seco, sin cambiarlo<\/strong>hasta aproximadamente el 18\u00ba d\u00eda postoperatorio.<\/p>\n

[\/et_pb_blurb][et_pb_blurb title=\"Despu\u00e9s de la hospitalizaci\u00f3n \" 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=\"#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-ruta: 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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Su cirujano le vendar\u00e1 la herida en el quir\u00f3fano. Este vendaje debe mantenerse hasta el decimoctavo d\u00eda postoperatorio.<\/p>\n

El apoyo est\u00e1 protegido durante las 6 primeras semanas por un zapato con suela r\u00edgida. Los bastones no son necesarios para llevar este zapato, pero su uso no est\u00e1 prohibido en caso de dificultad para apoyarse los primeros d\u00edas. El zapato se le prescribe en cuanto se programa la operaci\u00f3n para que pueda practicar a pon\u00e9rselo y llevarlo en casa la semana anterior a la operaci\u00f3n.<\/p>\n

En el postoperatorio, se recomienda alternar la marcha y la elevaci\u00f3n. <\/strong>del pie operado lo m\u00e1s a menudo posible (pie sobre un coj\u00edn en la cama, pie sobre una silla en posici\u00f3n sentada, pie en el asiento trasero de un coche, etc.). Esto se debe a que la posici\u00f3n hacia abajo (con el pie hacia abajo) provoca hinchaz\u00f3n, lo que puede aumentar el dolor y hacer que el vendaje quede demasiado apretado. El pie operado debe apoyarse regularmente de 5 a 10 minutos cada media hora. Este apoyo estimula el hueso para una mejor consolidaci\u00f3n, pero tambi\u00e9n reduce el riesgo de flebitis y le permite seguir siendo independiente, incluso en las escaleras.<\/p>\n

Se prescribe sistem\u00e1ticamente un tratamiento anticoagulante durante los 14 primeros d\u00edas del postoperatorio para prevenir la flebitis. El tratamiento analg\u00e9sico debe tomarse seg\u00fan lo prescrito por su cirujano, pero puede reajustarse en funci\u00f3n de la evoluci\u00f3n del dolor.<\/p>\n

No se recomienda conducir con calzado m\u00e9dico. Sin embargo, es posible cambiar de calzado una vez sentado al volante, una vez retirado el vendaje.<\/p>\n

A partir de la 6\u00aa semana, en la mayor\u00eda de los casos, se puede reanudar el apoyo completo. La reanudaci\u00f3n de la marcha ser\u00e1 progresiva, ya que el calzado no siempre es inmediato debido al edema, que var\u00eda de un paciente a otro. Se le propondr\u00e1n ejercicios de autoeducaci\u00f3n asociados a las sesiones de fisioterapia, en particular para drenar.<\/p>\n

La reanudaci\u00f3n del trabajo var\u00eda en funci\u00f3n de la amplitud de la deformidad a corregir y del tipo de trabajo que realice, normalmente a partir de la 6\u00aa semana. Alrededor del 3er mes, cuando el pie se haya deshinchado, se le prescribir\u00e1n unas plantillas ortop\u00e9dicas para ayudar al pie a recuperar un apoyo uniforme.<\/p>\n<\/div>\n

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La infecci\u00f3n del pie es poco frecuente. Sin embargo, el riesgo aumenta cuando existen otras enfermedades asociadas, como diabetes o arteritis. El tabaquismo es tambi\u00e9n un factor de riesgo adicional.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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

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La flebitis se previene con tratamiento anticoagulante, y debe detectarse si aparece dolor en la pantorrilla mediante una ecograf\u00eda Doppler que puede prescribirle su m\u00e9dico de cabecera o cirujano.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_accordion_item][et_pb_accordion_item title=\"Desplazamiento de la artrodesis o incluso una pseudoartrodesis.\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n

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A pesar de la fijaci\u00f3n con tornillos, el hecho de no llevar el zapato m\u00e9dico o caminar demasiado puede provocar esta complicaci\u00f3n. En caso de desplazamiento importante, puede comprometer el resultado final. En caso de pseudoartrosis, puede ser necesaria una nueva intervenci\u00f3n quir\u00fargica.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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

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Se trata de una afecci\u00f3n que puede afectar a cualquier articulaci\u00f3n tras un traumatismo. Se manifiesta por una hinchaz\u00f3n inusual, rigidez y dolor. La algodistrofia puede prolongar el periodo de convalecencia entre 6 meses y 2 a\u00f1os. Su aparici\u00f3n es relativamente rara y debe prevenirse mediante un tratamiento analg\u00e9sico escrupuloso, combinado con el reposo del pie operado seg\u00fan las recomendaciones de su cirujano.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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

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Se trata de sensaciones de descargas el\u00e9ctricas en los dedos de los pies o, por el contrario, de una disminuci\u00f3n de la sensibilidad cut\u00e1nea. Estos fen\u00f3menos se producen en todas las intervenciones quir\u00fargicas de las extremidades, ya que los dedos de los pies est\u00e1n inervados por nervios terminales muy finos, que el cirujano no siempre puede evitar ni visualizar. La mayor\u00eda de las veces, la reinervaci\u00f3n se produce m\u00e1s de un a\u00f1o despu\u00e9s de la operaci\u00f3n y estos fen\u00f3menos desaparecen, pero pueden persistir molestias permanentes.<\/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=\"Edema\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n

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El pie permanece hinchado durante varios meses despu\u00e9s de la operaci\u00f3n y tender\u00e1 a hincharse especialmente al final del d\u00eda durante el primer a\u00f1o despu\u00e9s de la cirug\u00eda. El edema es especialmente importante si existen trastornos subyacentes del retorno venoso (varices). Su cirujano puede prescribirle masajes drenantes. Se recomienda llevar calcetines bajos de sujeci\u00f3n durante los primeros meses tras la recolocaci\u00f3n del pie. Las recomendaciones de elevaci\u00f3n siguen siendo v\u00e1lidas incluso despu\u00e9s de que el pie vuelva a caminar.<\/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=\"El aspecto de otras deformaciones \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n

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La fijaci\u00f3n de un hallux varus, especialmente si corrige un hallux valgus asociado, puede provocar la descompensaci\u00f3n de otras deformidades, sobre todo en los dedos me\u00f1iques. Si esto resulta molesto y el uso de plantillas ortop\u00e9dicas no es suficiente, el cirujano puede sugerir una intervenci\u00f3n quir\u00fargica adicional.<\/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=\"Necrosis del dedo gordo del pie\" _builder_version=\"4.27.0\u2033 _module_preset=\"default\" global_colors_info=\"{}\" open=\"off\"]<\/p>\n

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Esta complicaci\u00f3n, afortunadamente muy rara pero dram\u00e1tica, puede producirse en los dedos me\u00f1iques cuando la deformidad es muy grande y antigua, y el riesgo es mayor en las personas mayores de 70 a\u00f1os o que padecen arteritis. La correcci\u00f3n quir\u00fargica puede provocar entonces una isquemia del dedo, que puede conducir a la necrosis e incluso a la amputaci\u00f3n.<\/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=\"La muerte\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n

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Cualquier intervenci\u00f3n quir\u00fargica, por peque\u00f1a que sea, puede provocar una embolia pulmonar o una alergia a los productos anest\u00e9sicos, que pueden ser mortales. Por eso su cirujano puede decidir no operarle, aunque tenga deformidades importantes, si su estado de salud no se lo permite.<\/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=\"#FFFFFF\" custom_padding=\"22px||22px||true|false\" global_colors_info=\"{}\"]<\/p>\n

Esta lista de complicaciones pretende informarle, no asustarle. Su cirujano es un profesional que le propone un tratamiento para tratar una enfermedad o deformidad. Trabajar\u00e1 con usted para sopesar los riesgos y beneficios del tratamiento.<\/em><\/strong>\u02bc<\/em><\/strong>y usted es siempre libre de decidir si interviene o no.<\/em><\/strong>\u02bc<\/em><\/strong>aceptar o rechazar la operaci\u00f3n. El seguimiento postoperatorio nos permite detectar estas complicaciones y ofrecerle un tratamiento adecuado en caso necesario.<\/em><\/strong><\/p>\n

El resultado est\u00e9tico puede parecer a veces decepcionante, pero el<\/em><\/strong>\u02bc<\/em><\/strong>El objetivo principal de esta cirug\u00eda sigue siendo funcional y analg\u00e9sico.<\/em><\/strong><\/p>\n

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Consulta<\/h4>\n

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<\/span><\/span>Concierte una cita con
Dr. Paul MIELCAREK<\/span><\/h2>\n

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Pedir Cita<\/h4>\n

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Puede concertar una cita con el m\u00e9dico directamente en Docolib a trav\u00e9s de la p\u00e1gina Contacto.<\/p>\n

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Teleconsulta<\/h4>\n

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Visite Consulib para reservar una cita de teleconsulta con el Dr. Paul Mielcarek.<\/p>\n

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Armario<\/h4>\n

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5 Rue de la Coop\u00e9rative, HALL 1, 67000 Estrasburgo, le da la bienvenida de lunes a viernes, de 8.00 a 12.00 y de 14.00 a 18.00 horas.<\/p>\n

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

IntervencionesHallux RigidusCuando se produce una artrosis en la primera articulaci\u00f3n metatarsofal\u00e1ngica, se habla de HALLUX RIGIDUS. Se trata de excrecencias \u00f3seas alrededor de la articulaci\u00f3n enferma, responsables de un aumento del volumen de la articulaci\u00f3n y de dolor al calzarse.

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