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Boot walking follows the weight-bearing plan."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"After Lapidus surgery: Swelling gradually settles and the fusion matures; some residual swelling or stiffness may persist toward 12 months."},"fly_home_after_days":{"min":14,"max":21,"unit":"days","qualifier":"Usually after first wound check, with controlled pain, safe boot mobility, surgeon approval and a clot-prevention plan."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"After Lapidus surgery: Wound check and suture removal; timing depends on surgeon protocol and wound healing."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":56,"unit":"days","qualifier":"After Lapidus surgery: Review with X-rays and weight-bearing progression; depends on fixation and surgeon plan."}},{"purpose":"result_review","requirement":"routine","after":{"min":84,"max":120,"unit":"days","qualifier":"After Lapidus surgery: Review of radiographic union and return to normal shoes."}},{"purpose":"assessment","requirement":"conditional","after":{"min":150,"max":210,"unit":"days","qualifier":"After Lapidus surgery: Additional X-ray review only if union is delayed or incomplete at the earlier review."}}],"indications":["Symptomatic moderate to severe hallux valgus with increased intermetatarsal angle","Hallux valgus with first ray hypermobility or instability","Pain or shoe-wear and walking limitation despite conservative treatment","Recurrent hallux valgus after prior surgery","First tarsometatarsal joint arthritis","Hallux valgus with transfer metatarsalgia from first ray insufficiency"],"main_risks":["Nonunion or delayed union of the first TMT fusion","Malunion (elevated, shortened or plantarflexed first ray)","Recurrence of deformity","Hardware irritation or failure, sometimes requiring removal","Wound or bone infection","Hematoma and wound-healing problems","Nerve irritation, numbness or neurovascular injury","Stiffness or reduced motion","Hallux varus (overcorrection)","Transfer metatarsalgia","Deep vein thrombosis or pulmonary embolism","Prolonged swelling"],"pain":"Moderate to significant pain in the first days, managed with analgesics, elevation and often a regional ankle or popliteal block as an adjunct. Pain usually eases markedly over about 2-6 weeks.","preparation":["Weight-bearing foot X-rays, sometimes CT, for planning","Pre-anesthetic assessment and tests as indicated by age and comorbidity","Stop smoking and nicotine before and after surgery","Optimize blood sugar in diabetes","Review blood thinners and supplements with the surgeon","Fasting before anesthesia as instructed","Arrange crutches, knee scooter or boot, and help at home","Plan time off work and transport home"],"recovery_timeline":[{"phase":"Day of surgery","description":"Same-day discharge; foot in dressing and splint or boot, kept elevated. A nerve block may leave it numb for hours.","restrictions":["Keep the foot elevated","Protect the numb foot","Follow the surgeon's weight-bearing plan"]},{"phase":"Weeks 0-2","description":"Crutches or knee scooter, with weight bearing per fixation. Pain and swelling peak; wound check and suture removal follow.","restrictions":["Keep the dressing dry","No driving while immobilized or on opioids","Elevate frequently"]},{"phase":"Weeks 2-8","description":"Boot or cast continues with protected, then progressive weight bearing. X-rays assess early healing. Desk work is possible with elevation.","restrictions":["No impact activity","Avoid prolonged standing","No smoking or nicotine"]},{"phase":"Weeks 8-12","description":"Normal shoes and ordinary walking once X-ray shows adequate union. Swelling and stiffness may persist.","restrictions":["No running or sport","Surgeon approval before stopping the boot"]},{"phase":"Months 3-6","description":"Strength and activity are rebuilt. Running and sport are generally allowed after confirmed union and surgeon clearance.","restrictions":["Return to impact sport only with clearance"]},{"phase":"Months 6-12","description":"Residual swelling settles and the final result matures.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for fever, spreading redness, wound drainage, worsening pain, calf pain or swelling, chest pain, cold or blue toe, or new numbness.","restrictions":["Do not wait for a scheduled review"]}],"rehabilitation_days":{"min":56,"max":84,"unit":"days","qualifier":"Protected weight bearing in boot or cast, then normal shoes at about 8-12 weeks. Swelling may last longer."},"result_longevity":"Once the joint fuses and the deformity is corrected, results are generally durable long term. A minority develop recurrence, nonunion or hardware problems.","revision_rate_pct":{"min":5,"max":10,"unit":"percent","qualifier":"Any reoperation within about 2 years: hardware removal, nonunion or malunion revision, recurrence. Varies by fixation."},"scars":"A single scar on the medial or dorsomedial foot, about 4-8 cm over the first TMT joint, usually fading to a thin line.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operative session for a single foot; a second foot, if needed, is a separate planned operation."},"stages":[{"code":"wound_review","label":"Planned wound check and suture removal","after":{"min":10,"max":21,"unit":"days","qualifier":"After Lapidus surgery: Timing depends on surgeon protocol and wound healing."}},{"code":"early_radiograph_review","label":"Planned review with X-rays and weight-bearing progression","after":{"min":42,"max":56,"unit":"days","qualifier":"After Lapidus surgery: Weight-bearing progression depends on fixation and surgeon plan."}},{"code":"union_review","label":"Planned review for radiographic union and return to normal shoes","after":{"min":84,"max":120,"unit":"days","qualifier":"After Lapidus surgery: Later review if union is delayed."}}],"qualifier":"Single-stage open Lapidus with plate or screw fixation; scheduled reviews vary by surgeon."},"success":{"metric":"Radiographic bony union of first TMT joint","value":95,"unit":"percent","horizon":"3-6 months after surgery","population":"Adults after primary Lapidus arthrodesis for moderate to severe hallux valgus; nonunion rises with smoking","evidence_status":"limited"},"techniques":[{"name":"Open Lapidus first TMT arthrodesis with plate or screw fixation","suits_whom":"Adults with moderate to severe symptomatic hallux valgus, first ray hypermobility or TMT arthritis","recovery":"Protected weight bearing in a boot or cast; union often takes about 8-12 weeks or longer."},{"name":"Minimally invasive or instrumented 3D (Lapiplasty-type) variants","suits_whom":"Adults with hypermobile moderate to severe deformity needing three-plane correction","recovery":"Protected weight bearing in a boot; timing follows the fixation used."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for one open Lapidus with fixation and soft-tissue release; excludes anesthesia induction and recovery."},"initial_assessment_documents":["Weight-bearing foot X-rays, front and side views","Front and back photos of both feet standing","Foot MRI or CT report (if available)","Previous foot surgery reports (if available)","List of blood thinners","Diabetes and smoking status"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay about 14-21 days until first wound check and travel clearance. Later X-ray reviews can be done locally."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/procedure=valgusnaya-deformaciya-bolshogo-palca-stopy-hallux-valgus-lapiplasty-3d/page=4/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":1,"country_filter":[{"id":46,"name":"تركيا","alias":"turkey","iso_code":"TR"}],"city_filter":[{"id":348,"name":"بورصة","alias":"bursa","country_iso_code":"TR"}],"price_filter":{"from":5300,"to":5300,"avg":5300},"related_procedure_filter":[{"id":1148,"name":"إجراء لابيدوس لتصحيح الوكعة ثلاثي الأبعاد (إبهام إبهام القدم الأروح)","alias":"lapiplasty-3d-bunion-correction-hallux-valgus","illness_kind_ids":[3],"use_for_listing":true}],"additional_service":["free_transfer"],"doctor_experience":["diapason_4"],"bookimed_score":["bookimed_score_excellent"],"deposit_policy":["deposit_not_required"],"implants":["no-implant-applicable"],"services":[{"id":"24-hr-nurse-services","type":"common","name":"خدمات التمريض على مدار الساعة"},{"id":"3-meals-per-day-by-nutritionist","type":"nutrition","name":"ثلاث وجبات يومية من إعداد أخصائي التغذية"},{"id":"accommodation-is-not-included","type":"accommodation","name":"الإقامة غير مشمولة"},{"id":"chest-x-ray","type":"medical","name":"تصوير الصدر بالأشعة السينية"},{"id":"consultation-with-a-surgeon","type":"medical","name":"استشارة جراح"},{"id":"consultation-with-an-anesthesiologist","type":"medical","name":"استشارة طبيب التخدير"},{"id":"electrocardiogram","type":"medical","name":"تخطيط كهربية القلب"},{"id":"post-operative-care","type":"medical","name":"الرعاية ما بعد الجراحة"},{"id":"preoperative-tests","type":"medical","name":"فحوصات ما قبل العملية الجراحية"},{"id":"vip-transfer","type":"transfer","name":"خدمة نقل كبار الشخصيات (خدمة سيارات فاخرة، جميع التنقلات بين المطار والفندق والعيادة)"}]},"leadsCount":{"leads_count":70},"manualSeo":[],"updatedAt":"2026-11-05T17:19:51.000Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}