La clinique Nordwest est un hôpital allemand à l'origine d'innovations telles que l'échographie 3D et les vaccins anticancéreux. Ses principales spécialités sont l'oncologie, l'orthopédie, la cardiologie, la neurologie, la gynécologie, l'urologie et la chirurgie. Nommé meilleur hôpital allemand par Focus et parmi les meilleurs hôpitaux du monde par Newsweek.
La clinique Nordwest est un hôpital allemand à l'origine d'innovations telles que l'échographie 3D et les vaccins anticancéreux. Ses principales spécialités sont l'oncologie, l'orthopédie, la cardiologie, la neurologie, la gynécologie, l'urologie et la chirurgie. Nommé meilleur hôpital allemand par Focus et parmi les meilleurs hôpitaux du monde par Newsweek.
Helios Gesundheit est spécialisé dans les prothèses de hanche dotées d’implants conçus pour durer 25 à 30 ans. Le centre de Lengerich réalise plus de 600 interventions articulaires chaque année. Les chirurgiens utilisent une planification 3D assistée par ordinateur afin de garantir un ajustement précis et personnalisé de chaque prothèse. Ces centres certifiés EndoCert privilégient les techniques mini-invasives pour aider les patients à récupérer plus rapidement et à ressentir moins de douleur. Avant l’intervention, les patients peuvent suivre un programme de préadaptation pour renforcer leur musculature. Un programme structuré de suivi accompagne le processus de rééducation après l’intervention, qui dure une à deux heures.
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treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","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 offer of surgery only to change how the feet look is a warning sign","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/bunions/","host":"nhs.uk","quote":"Surgery is not done just to improve how your feet look.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Surgery offered for a bunion that is not painful is a warning sign","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/bunions/","host":"orthoinfo.aaos.org","quote":"You should only consider surgery for a bunion that is painful.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Surgery pushed before nonsurgical treatment has been tried is a warning sign","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/bunions/","host":"orthoinfo.aaos.org","quote":"If pain continues despite nonsurgical treatment, surgery is performed to correct the bunion and hallux valgus deformity.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Wound infection after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/bunions?highlight=WyJjb3JyZWN0bHkiLCJjb3JyZWN0IiwiY29ycmVjdGlvbiIsImNvcnJlY3Rpb25zIiwiY29ycmVjdGl2ZSIsImNvcnJlY3RlZCIsImNvcnJlY3RzIiwiY29yZWN0aW5nIiwiY29ycmVjdGx5LlwyMDEiXQ==","host":"roh.nhs.uk","quote":"Infections in the wound and minor damage to the nerves of the toe can occur in any foot surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Severe, continuous pain that is debilitating","urgency":"contact_clinic","general":false,"source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/bunions?highlight=WyJjb3JyZWN0bHkiLCJjb3JyZWN0IiwiY29ycmVjdGlvbiIsImNvcnJlY3Rpb25zIiwiY29ycmVjdGl2ZSIsImNvcnJlY3RlZCIsImNvcnJlY3RzIiwiY29yZWN0aW5nIiwiY29ycmVjdGx5LlwyMDEiXQ==","host":"roh.nhs.uk","quote":"The main symptom of chronic regional pain syndrome (CRPS) is pain, which can sometimes be severe, continuous and debilitating.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Big toe slowly tilting back toward original position","urgency":"contact_clinic","general":false,"source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/bunions?highlight=WyJjb3JyZWN0bHkiLCJjb3JyZWN0IiwiY29ycmVjdGlvbiIsImNvcnJlY3Rpb25zIiwiY29ycmVjdGl2ZSIsImNvcnJlY3RlZCIsImNvcnJlY3RzIiwiY29yZWN0aW5nIiwiY29ycmVjdGx5LlwyMDEiXQ==","host":"roh.nhs.uk","quote":"In some people, the big toe slowly tilts back toward the original position and occasionally this is bad enough to need to have the operation redone.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Pain under ball of foot after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/bunions?highlight=WyJjb3JyZWN0bHkiLCJjb3JyZWN0IiwiY29ycmVjdGlvbiIsImNvcnJlY3Rpb25zIiwiY29ycmVjdGl2ZSIsImNvcnJlY3RlZCIsImNvcnJlY3RzIiwiY29yZWN0aW5nIiwiY29ycmVjdGx5LlwyMDEiXQ==","host":"roh.nhs.uk","quote":"Therefore, if you have pain under the ball of the foot (“metatarsalgia”) it may be worse after bunion surgery and it may also develop for the first time.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lists medicines to take at home, so the home doctor can continue them","document":"written discharge highlights","source":{"url":"https://orthoinfo.aaos.org/en/treatment/patient-guide-to-safe-surgery","host":"orthoinfo.aaos.org","quote":"The nurse will give you the highlights in writing, including a list of the medications you will need to take.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","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":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your bunion is linked to flat foot or joint stiffening","name":"Orthotic insoles","source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/bunions?highlight=WyJjb3JyZWN0bHkiLCJjb3JyZWN0IiwiY29ycmVjdGlvbiIsImNvcnJlY3Rpb25zIiwiY29ycmVjdGl2ZSIsImNvcnJlY3RlZCIsImNvcnJlY3RzIiwiY29yZWN0aW5nIiwiY29ycmVjdGx5LlwyMDEiXQ==","host":"roh.nhs.uk","quote":"If your bunion is associated with a flat foot or some degenerative changes in the big toe joint (pain and stiffening of the joint), insoles (also known as orthoses) may be recommended.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer a nonsurgical option and can wear wider shoes","name":"Wide-fitting shoes","source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/bunions?highlight=WyJjb3JyZWN0bHkiLCJjb3JyZWN0IiwiY29ycmVjdGlvbiIsImNvcnJlY3Rpb25zIiwiY29ycmVjdGl2ZSIsImNvcnJlY3RlZCIsImNvcnJlY3RzIiwiY29yZWN0aW5nIiwiY29ycmVjdGx5LlwyMDEiXQ==","host":"roh.nhs.uk","quote":"Wide-fitting, low-heeled, extra-depth shoes with soft uppers will allow for the extra width of the foot, any under-riding or over-riding of the big toe and the prominence.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"You have pain and stiffness in the joint from arthritis","name":"Corticosteroid injection","source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/bunions?highlight=WyJjb3JyZWN0bHkiLCJjb3JyZWN0IiwiY29ycmVjdGlvbiIsImNvcnJlY3Rpb25zIiwiY29ycmVjdGl2ZSIsImNvcnJlY3RlZCIsImNvcnJlY3RzIiwiY29yZWN0aW5nIiwiY29ycmVjdGx5LlwyMDEiXQ==","host":"roh.nhs.uk","quote":"This helps reduce inflammation and may be helpful if you have pain and stiffness in the joint due to arthritis.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"corrective-osteotomy","name":"Corrective osteotomy with soft-tissue realignment (e.g. for bunion)","how_it_works":{"text":"The bone is cut, repositioned, and held with small screws","source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/bunions?highlight=WyJjb3JyZWN0bHkiLCJjb3JyZWN0IiwiY29ycmVjdGlvbiIsImNvcnJlY3Rpb25zIiwiY29ycmVjdGl2ZSIsImNvcnJlY3RlZCIsImNvcnJlY3RzIiwiY29yZWN0aW5nIiwiY29ycmVjdGx5LlwyMDEiXQ==","host":"roh.nhs.uk","quote":"The first metatarsal is cut through, repositioned and fixed with one or two screws.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"joint-fusion","name":"Joint fusion (arthrodesis)","how_it_works":{"text":"The big toe joint is fused, so it becomes stiffer","source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/bunions?highlight=WyJjb3JyZWN0bHkiLCJjb3JyZWN0IiwiY29ycmVjdGlvbiIsImNvcnJlY3Rpb25zIiwiY29ycmVjdGl2ZSIsImNvcnJlY3RlZCIsImNvcnJlY3RzIiwiY29yZWN0aW5nIiwiY29ycmVjdGx5LlwyMDEiXQ==","host":"roh.nhs.uk","quote":"Surgery may involve cutting the bones and re-positioning them (known as osteotomies) or fusing the big toe (i.e. stiffening the big toe joint).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"lesser-toe-correction","name":"Lesser-toe correction (e.g. tendon transfer, joint resection or fusion for hammertoe/claw toe)","how_it_works":{"text":"The surgeon removes part of a toe bone so the toe straightens","source":{"url":"https://www.orthoinfo.org/en/diseases--conditions/hammer-toe","host":"orthoinfo.org","quote":"In this procedure, your doctor will remove a small part of a bone in the toe joint to ensure that the toe can extend fully.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"joint-replacement","name":"Joint replacement or interposition arthroplasty (selected joints)","how_it_works":{"text":"The surgeon removes a damaged toe joint and replaces it","source":{"url":"https://my.clevelandclinic.org/health/treatments/24891-toe-joint-replacement","host":"my.clevelandclinic.org","quote":"Toe joint replacement is surgery to remove a damaged toe joint and replace it with an artificial (manmade) joint.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=frankfurt-na-majne/procedure=rekonstrukciya-sustavov-i-palcev-stopu/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":8},"manualSeo":[],"updatedAt":"2026-11-13T21:40:12.333Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}