DUS – Orthopédie et chirurgie traumatologique est un cabinet spécialisé situé à Düsseldorf et Ratingen, en Allemagne. Il se concentre sur les soins de la colonne vertébrale, les prothèses articulaires et la chirurgie arthroscopique. Une équipe de 26 médecins propose des traitements conservateurs et chirurgicaux. Fondé en 2016, le cabinet s’est depuis développé et compte aujourd’hui plusieurs sites dans la région. Ses principales spécialités sont les traitements de la hanche, du genou et de l’épaule chez l’adulte.
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guides weight-bearing; can be done locally."},"requirement":"routine"},{"purpose":"result_review","after":{"min":84,"max":180,"unit":"days","qualifier":"X-ray to confirm union and clear return to full activity."},"requirement":"routine"},{"purpose":"other","after":{"min":365,"max":545,"unit":"days","qualifier":"Hardware removal discussion if hardware causes symptoms."},"requirement":"conditional"}],"indications":["Symptomatic angular, rotational or length bone deformity","Painful or limiting malunion or nonunion","Deformity contributing to early joint degeneration or instability","Foot or hand deformity (e.g., bunion) unresponsive to conservative care","Limb length discrepancy associated with deformity"],"main_risks":["Infection","Delayed union, nonunion or malunion","Loss of correction or recurrence of deformity","Hardware irritation or failure, possibly requiring removal","Nerve or vessel injury","Blood clots (deep vein thrombosis, pulmonary embolism)","Stiffness or persistent pain","Anesthesia-related risks","Pin-site infection if an external fixator is used"],"pain":"Moderate to severe pain is expected in the first days to weeks, managed with multimodal analgesia (and regional blocks in some cases); it generally eases as the bone heals.","preparation":["Examination and imaging (X-rays, often CT) for deformity planning","Pre-operative blood tests and anesthesia assessment","Review of conditions and medications with surgical team","Stop smoking to support bone healing","Fasting before general anesthesia","Discussion of weight-bearing restrictions and aids after surgery"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Pain control, swelling management, first mobilization with crutches or walker and thrombosis prevention.","restrictions":["Protected or no weight-bearing","Leg elevation","No driving"]},{"phase":"Early recovery (weeks 1-2)","description":"Wound healing, suture removal and first X-ray check; travel home possible when cleared.","restrictions":["Keep wound dry","Use crutches","Avoid long unsupported sitting"]},{"phase":"Bone healing (weeks 2-8)","description":"Gradual physiotherapy for motion and muscle strength while the osteotomy consolidates.","restrictions":["Partial weight-bearing as instructed","No impact activity","No twisting"]},{"phase":"Progressive loading (weeks 8-16)","description":"Weight-bearing increases as X-rays show healing; walking normalizes and strengthening progresses.","restrictions":["No running or jumping","No contact sports"]},{"phase":"Full recovery (months 4-12)","description":"Union is confirmed, return to sport is cleared and residual swelling and stiffness resolve.","restrictions":["Sport only after surgeon clearance"]}],"rehabilitation_days":{"min":42,"max":120,"unit":"days","qualifier":"Physiotherapy until normal walking and strength; longer for lower-limb correction with delayed weight-bearing."},"result_longevity":"Corrected alignment is usually permanent once bone heals. Recurrence is possible, especially in growing or metabolic bone disease, and joint wear may still progress.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation within 2 years, including hardware removal, nonunion or loss-of-correction surgery."},"scars":"A surgical scar over the operated bone is expected; its length depends on the technique (small incisions for minimally invasive osteotomies, longer for open correction). Pin-site marks remain after external fixation.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single-stage osteotomy with internal fixation."},"stages":[{"code":"surgery","label":"Corrective osteotomy with internal fixation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of admission."}}],"qualifier":"Staged or gradual correction applies only to external fixator or complex cases."},"success":{"metric":"Bone union after corrective osteotomy with internal fixation","value":90,"unit":"percent","horizon":"6-12 months","population":"Adults with symptomatic deformity treated by single-stage osteotomy with internal fixation","evidence_status":"limited"},"techniques":[{"name":"Corrective osteotomy with internal fixation (plates/screws or intramedullary nail)","suits_whom":"Patients with fixed angular or rotational deformity needing acute single-stage correction.","recovery":"Protected or restricted weight-bearing until bone healing is seen on imaging; duration varies by bone."},{"name":"Gradual correction with external fixator (e.g., circular frame)","suits_whom":"Complex deformities, limb length discrepancy or cases where acute correction is unsafe.","recovery":"Prolonged treatment with frame wear over months and frequent pin-site care and follow-up."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":4,"unit":"hours","qualifier":"Operating time depends on the bone, deformity complexity and fixation type."},"initial_assessment_documents":["Full-length standing leg X-rays","X-rays of the deformed bone, two views","CT scan of the deformed bone","Previous surgery operative reports","Clinical photos of the limb standing","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage osteotomy with internal fixation; stay 10-14 days. External fixator needs a return trip for removal."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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