{"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\/pl\/hallux-rigidus","title":{"rendered":"Hallux Rigidus"},"content":{"rendered":"

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Interwencje<\/h4>\n

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Hallux Rigidus<\/h1>\n

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Gdy dochodzi do artrozy w obr\u0119bie pierwszego stawu \u015br\u00f3dstopno-paliczkowego, m\u00f3wimy o HALUKSIE SZTYWNYM<\/strong>. Choroba ta polega na powstawaniu naro\u015bli kostnych wok\u00f3\u0142 chorego stawu, co prowadzi do zwi\u0119kszenia jego obj\u0119to\u015bci i b\u00f3lu spowodowanego tarciem podczas noszenia obuwia.<\/p>\n

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Hallux rigidus to nazwa nadana pierwotnemu zapaleniu ko\u015bci i staw\u00f3w pierwszego stawu \u015br\u00f3dstopno-paliczkowego, a tak\u017ce mi\u0119dzy g\u0142ow\u0105 1\u1d49\u02b3 \u015br\u00f3dstopia a jego sezamoidami.<\/span><\/p>\n

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Najcz\u0119stsz\u0105 deformacj\u0105 jest <\/span>HALUKS<\/strong> (powszechnie nazywany \u201ebunionem\u201d). Dotyczy pierwszej ko\u015bci \u015br\u00f3dstopia, gdzie paliczki odchylaj\u0105 si\u0119 na zewn\u0105trz, a pierwsza ko\u015b\u0107 \u015br\u00f3dstopia (d\u0142uga ko\u015b\u0107 na wewn\u0119trznej kraw\u0119dzi stopy) odchyla si\u0119 do wewn\u0105trz.<\/span><\/p>\n

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Zu\u017cyciu stawu biodrowego cz\u0119sto towarzyszy zmniejszenie zakresu stawu (sztywno\u015b\u0107), a przede wszystkim b\u00f3l.<\/span><\/p>\n

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Hallux Rigidus<\/h4>\n

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W skr\u00f3cie<\/h2>\n

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Hallux rigidus to forma choroby zwyrodnieniowej stawu du\u017cego palca u nogi, powoduj\u0105ca sztywno\u015b\u0107 i b\u00f3l, nawet w spoczynku. Z czasem mog\u0105 pojawi\u0107 si\u0119 naro\u015bla kostne (osteofity), kt\u00f3re sprawiaj\u0105, \u017ce zak\u0142adanie but\u00f3w staje si\u0119 bolesne.<\/p>\n

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Stan ten jest cz\u0119sto spowodowany zu\u017cyciem staw\u00f3w zwi\u0105zanym z wiekiem lub predyspozycjami anatomicznymi. Mo\u017ce by\u0107 r\u00f3wnie\u017c nasilony przez palucha ko\u015blawego lub inne deformacje stopy.<\/p>\n

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W zale\u017cno\u015bci od ci\u0119\u017cko\u015bci, leczenie mo\u017ce by\u0107 zachowawcze, maj\u0105ce na celu zachowanie stawu, lub radykalne, z artrodez\u0105 (fuzj\u0105 stawu) w celu z\u0142agodzenia b\u00f3lu.<\/p>\n

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Po operacji banda\u017c jest noszony przez 3 tygodnie, a sztywny but przez 6 tygodni. Chodzenie jest stopniowo wznawiane, a powr\u00f3t do pracy nast\u0119puje mi\u0119dzy 2 a 3 miesi\u0105cem.<\/p>\n

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Gdy dochodzi do artrozy w obr\u0119bie pierwszego stawu \u015br\u00f3dstopno-paliczkowego, m\u00f3wimy o <\/span>HALUKSIE SZTYWNYM<\/strong>. Towarzysz\u0105 temu sztywno\u015b\u0107 i b\u00f3l du\u017cego palca, nawet w stanie spoczynku. Cz\u0119sto pojawiaj\u0105 si\u0119 osteofity, czyli naro\u015bla kostne wok\u00f3\u0142 chorego stawu, kt\u00f3re powoduj\u0105 zwi\u0119kszenie jego obj\u0119to\u015bci i b\u00f3l wynikaj\u0105cy z tarcia podczas noszenia obuwia.<\/div>\n
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Ta artroza mo\u017ce komplikowa\u0107 deformacj\u0119 HALLUX VALGUS.<\/div>\n
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W zale\u017cno\u015bci od stopnia zu\u017cycia chirurg mo\u017ce zaproponowa\u0107\u00a0<\/span>LECZENIE ZACHOWAWCZE<\/strong>\u00a0<\/span>kt\u00f3ra zachowa staw, jednocze\u015bnie odbarczaj\u0105c go za pomoc\u0105 osteotomii po obu stronach danej przestrzeni stawowej. Resekcja Mog\u0105 by\u0107 z nim zwi\u0105zane osteofity.<\/span><\/div>\n
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Je\u015bli sztywno\u015b\u0107 jest zbyt du\u017ca, to\u00a0<\/span>LECZENIE<\/strong>\u00a0<\/span>powiedziano\u00a0<\/span>RADYKALNY<\/strong>. W tym przypadku staw jest usuwany poprzez zespolenie dw\u00f3ch ko\u015bci po obu stronach stawu (ARTRODEZA \u015aR\u00d3DSTOPNO-PALICZKOWA<\/strong>). Gest ten, \u015bci\u015ble m\u00f3wi\u0105c, nie blokuje stopy; tylko jeden z wielu staw\u00f3w jest nieruchomy.<\/div>\n
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Haluks sztywny mo\u017ce wyst\u0119powa\u0107 w kontek\u015bcie og\u00f3lnej deformacji stopy \u0142\u0105cz\u0105cej paluch ko\u015blawy, palce szponiaste, p\u0142ask\u0105 lub wydr\u0105\u017con\u0105 stop\u0119 itp. Chirurg mo\u017ce zasugerowa\u0107 po\u0142\u0105czenie artrodezy z innymi zabiegami uzupe\u0142niaj\u0105cymi. W wyniku skr\u00f3cenia pierwszego promienia (du\u017cego palca), ma\u0142e palce mog\u0105 sta\u0107 si\u0119 zbyt d\u0142ugie, co prowadzi do metatarsalgii transferowej (b\u00f3lu pod podeszw\u0105). Temu powik\u0142aniu nale\u017cy zapobiega\u0107 poprzez dodatkowe osteotomie w celu cofni\u0119cia bocznych ko\u015bci \u015br\u00f3dstopia, kt\u00f3re chirurg proponuje indywidualnie dla ka\u017cdego przypadku.<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_blurb][et_pb_blurb title=\"Zabieg medyczny (artrodeza) \" 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=\"#FFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|24px|20px|24px|false|false \" custom_margin=\"||60px||false|false \" custom_padding=\"60px|40px|60px|40px|false|false \" custom_padding_tablet=\"60px|40px|60px|40px|false|false \" custom_padding_phone=\"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \" 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

Artrodeza polega na usuni\u0119ciu powierzchni stawowych po obu stronach stawu \u015br\u00f3dstopno-paliczkowego i zespoleniu powsta\u0142ych powierzchni kostnych. Fuzj\u0119 uzyskuje si\u0119 poprzez \u015bci\u015bni\u0119cie powierzchni kostnych za pomoc\u0105 trzech lub czterech \u015brub, kt\u00f3re pozostaj\u0105 na miejscu na sta\u0142e.<\/p>\n

Istniej\u0105 inne techniki mocowania, w szczeg\u00f3lno\u015bci p\u0142ytki \u015brubowe. Wyb\u00f3r techniki zale\u017cy od stopnia zu\u017cycia, jako\u015bci ko\u015bci i powi\u0105zanych deformacji.<\/p>\n

Istniej\u0105 protezy du\u017cego palca. Nie okaza\u0142y si\u0119 one jednak skuteczne, a ich stosowanie zosta\u0142o stopniowo zarzucone we Francji.<\/p>\n

[\/et_pb_blurb][et_pb_blurb title=\"l'Hospitalisation \" use_icon=\"on \" font_icon=\"\uf0f8||fa||900\u2033 icon_color=\"#FFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|20px|20px|20px|false|false \" custom_margin=\"||60px||false|false \" custom_padding=\"60px|40px|60px|40px|false|false \" custom_padding_tablet=\"60px|40px|60px|40px|false|false \" custom_padding_phone=\"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \" 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

Zazwyczaj pacjent b\u0119dzie hospitalizowany w warunkach ambulatoryjnych. Konwencjonalna hospitalizacja jest r\u00f3wnie\u017c mo\u017cliwa, je\u015bli wymaga tego sytuacja medyczna i spo\u0142eczna. Znieczulenie mo\u017ce by\u0107 rdzeniowe (np. zewn\u0105trzoponowe), og\u00f3lne lub miejscowe. Decyzja jest podejmowana wsp\u00f3lnie z pacjentem podczas przedoperacyjnej konsultacji z anestezjologiem.<\/p>\n

Po zako\u0144czeniu operacji pacjent wraca do pokoju po kr\u00f3tkim monitorowaniu na sali pooperacyjnej. Zostaniesz poinformowany, jak chodzi\u0107 w bucie odci\u0105\u017caj\u0105cym i jak korzysta\u0107 z work\u00f3w do krioterapii, kt\u00f3re s\u0105 bardzo skuteczne w zmniejszaniu b\u00f3lu i obrz\u0119ku.<\/p>\n

Pacjent wraca do domu (w towarzystwie krewnego lub taks\u00f3wk\u0105\/ karetk\u0105, je\u015bli nie ma nikogo, kto m\u00f3g\u0142by go odebra\u0107) z opatrunkiem wykonanym na sali operacyjnej przez chirurga. Opatrunek ten to aby utrzyma\u0107 sucho\u015b\u0107, bez zmiany<\/strong>do oko\u0142o 18. dnia po operacji.<\/p>\n

[\/et_pb_blurb][et_pb_blurb title=\"Po hospitalizacji \" 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=\"#FFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|20px|20px|20px|false|false \" custom_margin=\"||73px||false|false \" custom_padding=\"60px|40px|74px|40px|false|false \" custom_padding_tablet=\"60px|40px|60px|40px|false|false \" custom_padding_phone=\"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone\" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone\" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited=\"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n

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Chirurg opatrzy ran\u0119 na sali operacyjnej. Opatrunek ten musi pozosta\u0107 za\u0142o\u017cony do 18. dnia po operacji.<\/p>\n

Wsparcie jest chronione przez pierwsze 6 tygodni przez but ze sztywn\u0105 podeszw\u0105. Do noszenia tego obuwia nie s\u0105 wymagane laski, ale ich u\u017cywanie nie jest zabronione w przypadku trudno\u015bci z podparciem si\u0119 w ci\u0105gu pierwszych kilku dni. But jest przepisywany pacjentowi zaraz po zaplanowaniu operacji, aby m\u00f3g\u0142 on po\u0107wiczy\u0107 jego zak\u0142adanie i noszenie w domu na tydzie\u0144 przed operacj\u0105.<\/p>\n

W okresie pooperacyjnym zaleca si\u0119 naprzemienne chodzenie i podnoszenie. <\/strong>operowanej stopy tak cz\u0119sto, jak to mo\u017cliwe (stopa na poduszce w \u0142\u00f3\u017cku, stopa na krze\u015ble w pozycji siedz\u0105cej, stopa na tylnym siedzeniu samochodu itp.) Wynika to z faktu, \u017ce pozycja w d\u00f3\u0142 (stop\u0105 w d\u00f3\u0142) powoduje obrz\u0119k, kt\u00f3ry mo\u017ce zwi\u0119ksza\u0107 b\u00f3l i sprawia\u0107, \u017ce opatrunek b\u0119dzie zbyt ciasny. Operowana stopa powinna by\u0107 regularnie podtrzymywana przez 5 do 10 minut co p\u00f3\u0142 godziny. Takie wsparcie stymuluje ko\u015b\u0107 do lepszej konsolidacji, ale tak\u017ce zmniejsza ryzyko zapalenia \u017cy\u0142 i pozwala zachowa\u0107 niezale\u017cno\u015b\u0107, nawet na schodach.<\/p>\n

Leczenie przeciwzakrzepowe jest systematycznie zalecane przez pierwsze 14 dni po operacji w celu zapobiegania zapaleniu \u017cy\u0142. Leczenie przeciwb\u00f3lowe musi by\u0107 stosowane zgodnie z zaleceniami chirurga, ale mo\u017ce zosta\u0107 zmienione w zale\u017cno\u015bci od post\u0119pu b\u00f3lu.<\/p>\n

Nie zaleca si\u0119 prowadzenia pojazd\u00f3w w obuwiu medycznym. Mo\u017cliwa jest jednak zmiana obuwia po zaj\u0119ciu miejsca za kierownic\u0105, po zdj\u0119ciu opatrunku.<\/p>\n

Od 6. tygodnia w wi\u0119kszo\u015bci przypadk\u00f3w mo\u017cna wznowi\u0107 pe\u0142ne wsparcie. Wznowienie chodzenia b\u0119dzie stopniowe, poniewa\u017c podkucie nie zawsze jest natychmiastowe z powodu obrz\u0119ku, kt\u00f3ry r\u00f3\u017cni si\u0119 w zale\u017cno\u015bci od pacjenta. Pacjentowi zostan\u0105 zaproponowane \u0107wiczenia samokszta\u0142ceniowe w po\u0142\u0105czeniu z sesjami fizjoterapii, w szczeg\u00f3lno\u015bci w celu drena\u017cu.<\/p>\n

Wznowienie pracy r\u00f3\u017cni si\u0119 w zale\u017cno\u015bci od zakresu korygowanej deformacji i rodzaju wykonywanej pracy, zwykle od 6. tygodnia. Oko\u0142o 3 miesi\u0105ca, gdy stopa ulegnie deflacji, pacjentowi zostanie przepisana para wk\u0142adek ortopedycznych, kt\u00f3re pomog\u0105 stopie odzyska\u0107 r\u00f3wnomierne podparcie.<\/p>\n<\/div>\n

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Infekcja stopy wyst\u0119puje rzadko. Ryzyko wzrasta jednak w przypadku wyst\u0119powania innych chor\u00f3b towarzysz\u0105cych, takich jak cukrzyca lub zapalenie t\u0119tnic. Dodatkowym czynnikiem ryzyka jest r\u00f3wnie\u017c palenie tytoniu.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[et_pb_accordion_item][et_pb_accordion_item title=\"Zapalenie \u017cy\u0142\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n

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Zapaleniu \u017cy\u0142 zapobiega leczenie przeciwzakrzepowe, a w przypadku wyst\u0105pienia b\u00f3lu \u0142ydki nale\u017cy je wykry\u0107 za pomoc\u0105 badania USG Doppler, kt\u00f3re mo\u017ce zaleci\u0107 lekarz rodzinny lub chirurg.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[\/et_pb_accordion_item][et_pb_accordion_item title=\"Przemieszczenie artrodezy lub nawet pseudoartrodezy.\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n

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Pomimo zamocowania \u015bruby, brak noszenia obuwia medycznego lub nadmierne chodzenie mo\u017ce prowadzi\u0107 do tego powik\u0142ania. W przypadku znacznego przemieszczenia mo\u017ce to zagrozi\u0107 ostatecznemu wynikowi. W przypadku pseudoartrodezy konieczna mo\u017ce by\u0107 dalsza operacja.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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

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Jest to stan, kt\u00f3ry mo\u017ce dotkn\u0105\u0107 ka\u017cdy staw po urazie. Objawia si\u0119 nietypowym obrz\u0119kiem, sztywno\u015bci\u0105 i b\u00f3lem. Algodystrofia mo\u017ce wyd\u0142u\u017cy\u0107 okres rekonwalescencji o 6 miesi\u0119cy do 2 lat. Jego wyst\u0119powanie jest stosunkowo rzadkie i nale\u017cy mu zapobiega\u0107 poprzez skrupulatne leczenie przeciwb\u00f3lowe, po\u0142\u0105czone z odpoczynkiem operowanej stopy zgodnie z zaleceniami chirurga.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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

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S\u0105 to odczucia wy\u0142adowa\u0144 elektrycznych w palcach st\u00f3p lub, przeciwnie, zmniejszenie czucia sk\u00f3rnego. Zjawiska te wyst\u0119puj\u0105 we wszystkich operacjach ko\u0144czyn, poniewa\u017c palce s\u0105 unerwione przez bardzo cienkie nerwy ko\u0144cowe, kt\u00f3rych chirurg nie zawsze mo\u017ce unikn\u0105\u0107 lub je uwidoczni\u0107. W wi\u0119kszo\u015bci przypadk\u00f3w ponowne unerwienie nast\u0119puje ponad rok po operacji i zjawiska te zanikaj\u0105, ale mo\u017ce utrzymywa\u0107 si\u0119 sta\u0142y dyskomfort.<\/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=\"Oedema\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n

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Stopa pozostaje opuchni\u0119ta przez kilka miesi\u0119cy po operacji i b\u0119dzie mia\u0142a tendencj\u0119 do puchni\u0119cia szczeg\u00f3lnie pod koniec dnia w ci\u0105gu pierwszego roku po operacji. Obrz\u0119k jest szczeg\u00f3lnie istotny, je\u015bli wyst\u0119puj\u0105 zaburzenia powrotu \u017cylnego (\u017cylaki). Chirurg mo\u017ce zaleci\u0107 masa\u017ce drenuj\u0105ce. Zaleca si\u0119 noszenie nisko wyci\u0119tych skarpet podtrzymuj\u0105cych przez pierwsze kilka miesi\u0119cy po ponownym za\u0142o\u017ceniu stopy. Zalecenia dotycz\u0105ce uniesienia pozostaj\u0105 aktualne nawet po ponownym rozpocz\u0119ciu chodzenia.<\/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=\"Wygl\u0105d innych deformacji \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n

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Naprawianie palucha ko\u015blawego, zw\u0142aszcza je\u015bli koryguje on powi\u0105zany paluch ko\u015blawy, mo\u017ce prowadzi\u0107 do dekompensacji innych deformacji, szczeg\u00f3lnie w ma\u0142ych palcach. Je\u015bli jest to uci\u0105\u017cliwe, a noszenie wk\u0142adek ortopedycznych nie wystarcza, chirurg mo\u017ce zasugerowa\u0107 dodatkow\u0105 operacj\u0119.<\/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=\"Martwica palc\u00f3w\" _builder_version=\"4.27.0\u2033 _module_preset=\"default\" global_colors_info=\"{}\" open=\"off\"]<\/p>\n

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To powik\u0142anie, na szcz\u0119\u015bcie niezwykle rzadkie, ale dramatyczne, mo\u017ce wyst\u0105pi\u0107 w ma\u0142ych palcach, gdy deformacja jest bardzo du\u017ca i stara, a ryzyko jest wi\u0119ksze u os\u00f3b powy\u017cej 70. roku \u017cycia lub cierpi\u0105cych na zapalenie t\u0119tnic. Korekta chirurgiczna mo\u017ce w\u00f3wczas prowadzi\u0107 do niedokrwienia palca, co mo\u017ce prowadzi\u0107 do martwicy, a nawet amputacji.<\/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=\"\u015amier\u0107\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n

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Ka\u017cda operacja chirurgiczna, nawet niewielka, mo\u017ce prowadzi\u0107 do zatorowo\u015bci p\u0142ucnej lub alergii na \u015brodki znieczulaj\u0105ce, co mo\u017ce by\u0107 \u015bmiertelne. Z tego powodu chirurg mo\u017ce nie zdecydowa\u0107 si\u0119 na operacj\u0119, nawet je\u015bli pacjent ma powa\u017cne deformacje, je\u015bli jego stan zdrowia na to nie pozwala.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Niniejsza lista powik\u0142a\u0144 ma na celu informowanie, a nie straszenie. Chirurg jest profesjonalist\u0105, kt\u00f3ry proponuje leczenie choroby lub deformacji. B\u0119dzie on wsp\u00f3\u0142pracowa\u0142 z pacjentem w celu rozwa\u017cenia ryzyka i korzy\u015bci zwi\u0105zanych z leczeniem.<\/em><\/strong>\u02bc<\/em><\/strong>i zawsze mo\u017cesz zdecydowa\u0107, czy chcesz interweniowa\u0107, czy nie.<\/em><\/strong>\u02bc<\/em><\/strong>zaakceptowa\u0107 lub odrzuci\u0107 operacj\u0119. Monitorowanie pooperacyjne umo\u017cliwia nam wykrycie tych powik\u0142a\u0144 i w razie potrzeby zaoferowanie odpowiedniego leczenia.<\/em><\/strong><\/p>\n

Efekt estetyczny mo\u017ce czasem wydawa\u0107 si\u0119 rozczarowuj\u0105cy, ale<\/em><\/strong>\u02bc<\/em><\/strong>G\u0142\u00f3wnym celem tego zabiegu pozostaje dzia\u0142anie funkcjonalne i przeciwb\u00f3lowe.<\/em><\/strong><\/p>\n

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Konsultacje<\/h4>\n

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<\/span><\/span>Um\u00f3w si\u0119 na spotkanie z
Dr Pawe\u0142 MIELCAREK<\/span><\/h2>\n

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Um\u00f3w Wizyt\u0119<\/h4>\n

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Mo\u017cesz um\u00f3wi\u0107 si\u0119 na spotkanie z lekarzem bezpo\u015brednio na Docolib poprzez stron\u0119 Kontakt.<\/p>\n

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Telekonsultacje<\/h4>\n

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Odwied\u017a Consulib, aby um\u00f3wi\u0107 si\u0119 na telekonsultacj\u0119 z dr Paulem Mielcarkiem.<\/p>\n

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W Gabinecie<\/h4>\n

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5 Rue de la Coop\u00e9rative, HALL 1, 67000 Strasbourg, zaprasza od poniedzia\u0142ku do pi\u0105tku w godzinach od 8:00 do 12:00 i od 14:00 do 18:00 .<\/p>\n

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

InterwencjeHallux RigidusKiedy choroba zwyrodnieniowa staw\u00f3w wyst\u0119puje w pierwszym stawie \u015br\u00f3dstopno-paliczkowym, nazywana jest HALLUX RIGIDUS. S\u0105 to wyrostki kostne wok\u00f3\u0142 chorego stawu, odpowiedzialne za zwi\u0119kszenie obj\u0119to\u015bci stawu i b\u00f3l podczas zak\u0142adania but\u00f3w.

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