Клініка Нордвест (Nordwest) – велика багатопрофільна лікарня у Франкфурті-на-Майні, Німеччина.
\n\nСпеціалізація – онкологія, неврологія, нейрохірургія та ортопедія.
\n\nУ 2019 році Нордвест увійшов до ТОП німецьких шпиталів з ефективності радіотерапії та успішності лікування раку товстого кишечника.
\n\nЩороку до медичного центру звертаються понад 25 000 пацієнтів.
\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":1400,"price_to":1900,"currency":"USD","id":12562},"diagnostic":{"id":240,"name":"МРТ хребта","alias":"mri-of-the-spine"}},{"prices":{"price_from":300,"price_to":700,"currency":"USD","id":13621},"diagnostic":{"id":306,"name":"Лабораторні аналізи","alias":"lab-tests"}}],"reviews":[],"clinic":{"id":136,"alias":"clinic-nordwest","name":"Nordwest Clinic (Krankenhaus)","short_description":"Клініка Нордвест (Nordwest) – велика багатопрофільна лікарня у Франкфурті-на-Майні, Німеччина.
\n\nСпеціалізація – онкологія, неврологія, нейрохірургія та ортопедія.
\n\nУ 2019 році Нордвест увійшов до ТОП німецьких шпиталів з ефективності радіотерапії та успішності лікування раку товстого кишечника.
\n\nЩороку до медичного центру звертаються понад 25 000 пацієнтів.
\n","images":[{"base_url":"clinic/5c87d1969700b","title":"Будівля клініки Nordwest у Франкфурті, Німеччина"},{"base_url":"clinic/5ac32d5931619","title":"Коридор лікарні Nordwest Clinic Франкфурт із сучасним медичним обладнанням"},{"base_url":"clinic/5ac32d5f7cbdc","title":"Кабінет радіотерапії в клініці Нордвест з пацієнтом і медперсоналом"},{"base_url":"clinic/5ac32d5a4925b","title":"Відділення інтенсивної терапії в клініці Nordwest з медперсоналом та обладнанням"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Німеччина","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Франкфурт на Майні","id":354,"alias":"frankfurt-am-main"},"address":"Steinbacher Hohl 2-26, 60488 Frankfurt am Main, Germany"},"rating":{"rating":4.5,"google":4,"percent_of_satisfied_clients":91},"statistics":{"number_of_reviews":57,"doctors_number":286,"year_foundation":1963},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72be5c3ae.jpeg","name":"Сертифікат незалежної аудиторської компанії TÜV","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72d2c6a2f.jpeg","name":"У ТОПі німецьких клінік за версією Focus 2019","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Кращі клініки світу 2021 за версією журналу Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"promoSlots":[{"card":{"text":"Helios Universitätsklinikum Wuppertal — це приватний багатопрофільний медичний центр, розташований у Дюссельдорфі, Німеччина, що спеціалізується на ортопедії, урології, кардіохірургії та загальній хірургії. Лікарня обслуговує як дорослих, так і дітей, і щороку її обирають близько 150 000 пацієнтів. Найчастіше її відвідують пацієнти з країн СНД, Балкан та держав Ліги арабських держав.
","text_type":"short_description","additional_data":{"advertising_id":"7769:illness_kind:3"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":5511.5985867360405,"price_to":11023.197173472081,"currency":"USD","id":56505},"operation":{"id":894,"name":"Артроскопія кульшового суглоба","alias":"hip-arthroscopy"}},{"prices":{"price_from":5511.5985867360405,"price_to":8818.557738777665,"currency":"USD","id":56474},"diagnostic":{"id":239,"name":"Артроскопія","alias":"arthroscopy"}},{"prices":{"price_from":881.8557738777665,"price_to":1322.7836608166497,"currency":"USD","id":56469},"diagnostic":{"id":6,"name":"МРТ одного відділу","alias":"mri-one-department"}}],"reviews":[],"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"Helios Universitätsklinikum Wuppertal — це приватний багатопрофільний медичний центр, розташований у Дюссельдорфі, Німеччина, що спеціалізується на ортопедії, урології, кардіохірургії та загальній хірургії. Лікарня обслуговує як дорослих, так і дітей, і щороку її обирають близько 150 000 пацієнтів. Найчастіше її відвідують пацієнти з країн СНД, Балкан та держав Ліги арабських держав.
","images":[{"base_url":"clinic/6ac8a229ace62","title":"Головний вхід Helios Klinik Rottweil, сучасний цегляний медичний заклад у Німеччині"},{"base_url":"clinic/6ac8a22b7b107","title":"Сучасний скляний фасад клініки Helios Klinikum Krefeld у Німеччині"},{"base_url":"clinic/6ac8a22d81c1d","title":"Зовнішній вигляд Helios Klinik Wesermarsch у Німеччині, сучасна будівля та прапори"},{"base_url":"clinic/6ac8a22f88955","title":"Сучасна будівля клініки Helios Klinik Wesermarsch у Німеччині"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Німеччина","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Вупперталь","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"Міжнародна система акредитації інтервенційних онкологічних служб (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"Німецьке онкологічне товариство DKG","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Системи менеджменту якості"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"American College of Surgeons","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}}],"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":49},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Ізраїль","alias":"israel","iso_code":"IL"},{"name":"Індія","alias":"india","iso_code":"IN"},{"name":"Іспанія","alias":"spain","iso_code":"ES"},{"name":"Італія","alias":"italy","iso_code":"IT"},{"name":"Китай","alias":"china","iso_code":"CN"},{"name":"Литва","alias":"lithuania","iso_code":"LT"},{"name":"Німеччина","alias":"germany","iso_code":"DE"},{"name":"ОАЕ","alias":"united-arab-emirates","iso_code":"AE"},{"name":"Польща","alias":"poland","iso_code":"PL"},{"name":"Південна Корея","alias":"republic-of-korea","iso_code":"KR"},{"name":"Туреччина","alias":"turkey","iso_code":"TR"},{"name":"Україна","alias":"ukraine","iso_code":"UA"},{"name":"Швейцарія","alias":"switzerland","iso_code":"CH"}],"cities":[{"name":"Дюссельдорф","alias":"dusseldorf"},{"name":"Вупперталь","alias":"wuppertal"},{"name":"Франкфурт на Майні","alias":"frankfurt-am-main"}],"operations":[{"name":"Артроскопія колінного суглоба","alias":"therapeutic-arthroscopy-of-the-knee--including-the-necessary-supplies"},{"name":"Реконструкція передньої хрестоподібної зв'язки","alias":"anterior-cruciate-ligament-reconstruction"},{"name":"Артроскопічне відновлення манжети плеча","alias":"rotator-cuff-repair-surgery"},{"name":"Фізіотерапія","alias":"physiotherapy"},{"name":"Вертебральна пластика","alias":"vertebral-plastic"},{"name":"Заміна плечового суглоба","alias":"shoulder-replacement"},{"name":"Заміна кісточкового суглоба","alias":"ankle-joint-replacement"},{"name":"Операція при сколіозі","alias":"operative-treatment-of-scoliosis"},{"name":"Заміна гомілковостопного суглоба","alias":"ankle-replacement"},{"name":"Операція при переломі передпліччя","alias":"operative-treatment-of-forearm-fracture"},{"name":"Операція при вальгусній деформації","alias":"surgical-treatment-of-valgus-deformity"},{"name":"Заміна колінного суглоба","alias":"knee-replacement"},{"name":"Артроскопічне відновлення коліна","alias":"knee-arthroplastic"},{"name":"Артроскопічна меніскектомія","alias":"arthroscopic-menisectomy"},{"name":"Реконструкція суглобів та пальців стопи","alias":"reconstruction-of-foot-joints-and-toes"},{"name":"Артродез гомілковостопного суглоба","alias":"arthrodesis-of-the-ankle-joint"},{"name":"Артроскопічна пластика ахіллового сухожилля","alias":"arthroplastic-of-achilles-tendons"},{"name":"Заміна кульшового суглоба","alias":"hip-replacement"},{"name":"Операція при Халюсі Вальгус","alias":"hallux-valgus-surgery"},{"name":"Операція при переломі кістки","alias":"bone-fracture-treatment"},{"name":"Артроскопія кульшового суглоба","alias":"hip-arthroscopy"},{"name":"Артроскопія гомілковостопного суглоба","alias":"ankle-arthroscopy"},{"name":"Вальгусна деформація великого пальця стопи - 3D-лапіпластика","alias":"hallux-valgus-3d-lapiplasty"},{"name":"Ендоскопічна дискектомія","alias":"endoscopic-discectomy"},{"name":"Хірургія подовження кінцівок","alias":"limb-lengthening-surgery"},{"name":"Вальгусна деформація великого пальця стопи (Hallux Valgus) - Lapiplasty 3D","alias":"lapiplasty-3d-bunion-correction-hallux-valgus"}],"diagnostics":[{"name":"МРТ одного відділу","alias":"mri-one-department"},{"name":"Аналіз крові загальний","alias":"total-blood"},{"name":"КТ (комп'ютерна томографія)","alias":"ct"},{"name":"Сцинтиграфія","alias":"scintigraphy"},{"name":"Консультація ортопеда-травматолога","alias":"consultation-orthopedist-traumatologist"},{"name":"Артроскопія","alias":"arthroscopy"},{"name":"МРТ хребта","alias":"mri-of-the-spine"},{"name":"Лабораторні аналізи","alias":"lab-tests"},{"name":"Консультація реабілітолога","alias":"consultation-rehabilitologist"},{"name":"Консультація ортопеда","alias":"orthopedic-consultation"},{"name":"Переглянути результати МРТ","alias":"revision-of-mri-results"},{"name":"Консультація зі складанням плану лікування","alias":"consultation-with-creation-of-treatment-plan"},{"name":"КТ хребта","alias":"st-of-the-spine"},{"name":"КТ придаткових пазух носа","alias":"ct-of-the-paranasal-sinuses"}],"illnesses":[{"name":"Остеопороз","alias":"osteoporosis"},{"name":"Травми кісток та суглобів","alias":"injuries-to-bones-and-joints"},{"name":"Вальгусна деформація","alias":"valgus-deformity"},{"name":"Артроз","alias":"arthrosis"},{"name":"Коксартроз","alias":"coxarthrosis"},{"name":"Перелом стегнової кістки","alias":"hip-fracture"},{"name":"Розрив меніска","alias":"torn-meniscus"},{"name":"Халюс Вальгус","alias":"halyus-valgus"},{"name":"Гонартроз","alias":"osteoarthritis"},{"name":"Вивих плеча","alias":"habitual-shoulder-dislocation"},{"name":"Хірургія пензля","alias":"hand-surgery"},{"name":"Воронкоподібна деформація грудної клітки","alias":"funnel-chest-deformity"},{"name":"Травма ахілового сухожилля","alias":"achilles-tendon-trauma"},{"name":"Коксартроз тазостегнового суглоба","alias":"osteoarthritis-of-the-hip"}],"illnessKinds":[{"name":"Ортопедія та травматологія","alias":"orthopedics-and-traumatology"}],"illness_kinds":[{"name":"Ортопедія та травматологія","alias":"orthopedics-and-traumatology"}]},"popularSearches":[{"name":"Заміна кульшового суглоба","alias":"hip-replacement","type":"operation","id":671},{"name":"Заміна колінного суглоба","alias":"knee-replacement","type":"operation","id":522},{"name":"Фізіотерапія","alias":"physiotherapy","type":"operation","id":128},{"name":"Хірургія подовження кінцівок","alias":"limb-lengthening-surgery","type":"operation","id":1387},{"name":"Протезування кінцівки","alias":"hand-prosthetics","type":"operation","id":275},{"name":"МРТ одного відділу","alias":"mri-one-department","type":"diagnostic","id":6},{"name":"Консультація зі складанням плану лікування","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"КТ (комп'ютерна томографія)","alias":"ct","type":"diagnostic","id":96},{"name":"Лабораторні аналізи","alias":"lab-tests","type":"diagnostic","id":306},{"name":"Аналіз крові загальний","alias":"total-blood","type":"diagnostic","id":83},{"name":"Травми кісток та суглобів","alias":"injuries-to-bones-and-joints","type":"illness","id":104},{"name":"Сколіоз","alias":"scoliosis","type":"illness","id":120},{"name":"Гонартроз","alias":"osteoarthritis","type":"illness","id":450},{"name":"Артроз","alias":"arthrosis","type":"illness","id":152},{"name":"Хвороба Бехтерєва","alias":"ankylosing-spondylitis","type":"illness","id":34}],"operationPrices":{"operation_prices":{"108":{"operation":{"name":"Хірургічна реконструкція грудей","alias":"reconstructive-breast-surgery","use_for_listing":true},"country_price":{"UA":{"amount":3000,"max_amount":6000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"US":{"amount":12000,"max_amount":32000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":3000,"max_amount":6000,"currency":"USD","clinic_count":29,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":13200,"max_amount":15000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":7000,"max_amount":11000,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"US":true,"TR":true,"DE":true,"TH":true},"description":"Операція відновлює форму грудей після мастектомії за допомогою імплантів або тканин тіла. Це відновлює контури тіла та повертає впевненість.
"},"591":{"operation":{"name":"Реконструкція суглобів та пальців стопи","alias":"reconstruction-of-foot-joints-and-toes","use_for_listing":true},"country_price":{"UA":{"amount":1800,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":14000,"max_amount":27000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3500,"max_amount":6200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":10800,"max_amount":18700,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":4200,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":false,"DE":true,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":true,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false},"description":"Ця процедура виправляє деформацію стопи та суглобів пальців, покращуючи рухливість, зменшуючи біль та покращуючи загальний стан стопи.
"},"770":{"operation":{"name":"Реконструктивна пластична операція","alias":"reconstructive-surgery","use_for_listing":true},"country_price":{"UA":{"amount":2000,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":9000,"max_amount":20000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5800,"max_amount":13800,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":4800,"max_amount":10500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":5800,"max_amount":6500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"US":false,"TR":true,"DE":false,"TH":true},"description":"Ця терапія відновлює функції тіла, покращує зовнішній вигляд завдяки хірургічному втручанню, значною мірою виграючи у методів трансплантації.
"},"1287":{"operation":{"name":"Препекторальна реконструкція молочної залози","alias":"prepectoral-breast-reconstruction","use_for_listing":true},"country_price":{"UA":{"amount":3800,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":18000,"max_amount":36000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"DE":{"amount":8500,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":5800,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"US":false,"TR":true,"DE":false,"TH":false},"description":"Ця операція оновлює груди після мастектомії, встановлюючи імплантати на грудні м’язи для більш природного вигляду та прискорення одужання.
"},"1506":{"operation":{"name":"Реконструкція грудей за допомогою DIEP-клаптя","alias":"diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery","use_for_listing":true},"country_price":{"UA":{"amount":5500,"max_amount":8800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":45000,"max_amount":75000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":25300,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"},"DE":{"amount":14500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":10000,"max_amount":13500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"US":false,"TR":true,"DE":false,"TH":true},"description":"**Реконструкція клаптями DIEP (хірургія клаптями з глибокого нижнього епігастрального перфоратора):** Ця операція відновлює груди, використовуючи шкіру і жир з нижньої частини живота, зберігаючи м\"язи для природного вигляду і більш плавного відновлення."}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":23249}},"responsibleDoctor":{"id":3065,"alias":"kayhan-turan","name":"Kayhan Turan ","photo":"doctor/612e235a45616","advisory_text":"Доктор Кайхан Туран — хірург-ортопед, що спеціалізується на роботизованому ендопротезуванні суглобів та спортивній медицині. Він виконав перші в Туреччині роботизовані операції з ендопротезування колінного та кульшового суглобів і виконав понад 3500 роботизованих операцій.","linkedin":"https://www.linkedin.com/in/drkayhanturan/","specialities":[{"id":"sur.016","name":"Хірург-ортопед","illness_kind_id":33}]},"direction":{"id":3,"name":"Ортопедія та травматологія","alias":"orthopedics-and-traumatology"},"illness_kind":{"id":3,"name":{"en":"Orthopedics"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["regional","sedation"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk work earlier with elevation; standing or manual work later; depends on extent of reconstruction."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within 12 months, mostly minor wound, stiffness or numbness; serious ones under 5%."},"contraindications":["Active foot or soft-tissue infection","Severe peripheral arterial disease or critically poor foot perfusion","Uncontrolled diabetes or poor soft-tissue condition (relative, requires optimization)","Smoking or nicotine use (relative; impairs wound and bone healing)","Medical conditions making anesthesia unsafe"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; one night if extensive reconstruction or pain control needed."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":8,"max":16,"unit":"weeks","qualifier":"Low-impact activity first; impact sports later, after radiographic bone healing and surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling subsides slowly; fusion or osteotomy healing and full shoe tolerance take longer."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After wound check and suture removal, subject to surgeon clearance and thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":10,"max":14,"unit":"days","qualifier":"First dressing change and wound inspection before travel."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":14,"unit":"days","qualifier":"Sutures removed when wound has healed."},"requirement":"routine"},{"purpose":"result_review","after":{"min":42,"max":90,"unit":"days","qualifier":"X-ray review of bone healing, possibly remote."},"requirement":"routine"}],"indications":["Painful forefoot deformity (bunion, hallux rigidus, hammertoe) despite conservative care","Foot or toe arthritis with persistent pain despite conservative treatment","Post-traumatic or inflammatory (e.g. rheumatoid) deformity of the foot","Painful or unstable flatfoot or cavus after failed non-operative treatment","Deformity causing recurrent ulcers, pressure lesions or unwearable shoes"],"main_risks":["Infection and wound-healing problems","Persistent pain or stiffness","Recurrence or under/over-correction of deformity","Nonunion or malunion when fusion or osteotomy is performed","Nerve injury or numbness","Blood clots (deep vein thrombosis)","Hardware irritation or failure","Transfer metatarsalgia or adjacent joint overload","Complex regional pain syndrome"],"pain":"Moderate to significant pain in the first days to 2 weeks, typically managed with regional anesthetic blocks, multimodal analgesia, elevation and rest; pain usually settles over weeks, while swelling may persist for months.","preparation":["Clinical examination, weight-bearing foot X-rays; CT or MRI if needed","Medical and anesthetic assessment; optimization of diabetes and other conditions","Smoking cessation advice","Review of medications with the surgical team","Arrange crutches, walker, protective shoe or cast, and home setup"],"recovery_timeline":[{"phase":"Days 0-14","description":"Rest, elevation and pain control; wound heals until suture removal.","restrictions":["Protected weight-bearing in special shoe","Keep dressing dry","Use crutches if advised"]},{"phase":"Weeks 2-6","description":"Gradual walking in protective footwear; swelling persists.","restrictions":["No driving until cleared","Avoid prolonged standing","No impact activity"]},{"phase":"Weeks 6-12","description":"Transition to normal shoes after X-ray confirms healing; begin mobility exercises.","restrictions":["No running or jumping","Limit high-heeled shoes"]},{"phase":"Months 3-12","description":"Return to full activity; swelling and stiffness gradually resolve.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Time to walk comfortably in normal shoes; longer after fusion."},"result_longevity":"Often long-lasting after healed osteotomy or fusion, though deformity can recur and adjacent joints may wear over time.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation for recurrence, nonunion, hardware removal or persistent pain within about 5 years."},"scars":"Scars are located on the top, side or sole of the foot depending on approach; usually linear and fade over months, though minimally invasive techniques leave smaller incisions.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation addressing all planned foot and toe corrections."},"stages":[{"code":"surgery","label":"Reconstructive foot and toe surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one session."}}],"qualifier":"Staged surgery is uncommon in the usual protocol."},"success":{"metric":"Patients satisfied with pain relief and foot function","value":85,"unit":"percent","horizon":"12 months","population":"Adults with painful forefoot deformity or arthritis after failed conservative care","evidence_status":"limited"},"techniques":[{"name":"Corrective osteotomy with soft-tissue realignment (e.g. for bunion)","suits_whom":"Painful hallux valgus or other forefoot deformity with preserved joint cartilage","recovery":"Often protected weight-bearing in a special shoe for several weeks; varies with technique."},{"name":"Joint fusion (arthrodesis)","suits_whom":"Advanced arthritis or rigid severe deformity of toe or midfoot/hindfoot joints","recovery":"Usually a period of restricted weight-bearing while bone heals; longer than for soft-tissue procedures."},{"name":"Lesser-toe correction (e.g. tendon transfer, joint resection or fusion for hammertoe/claw toe)","suits_whom":"Fixed or flexible lesser-toe deformities causing pain or ulceration","recovery":"Usually shorter, with a protective shoe and early walking as directed by the surgeon."},{"name":"Joint replacement or interposition arthroplasty (selected joints)","suits_whom":"Selected patients with arthritis, e.g. of the big toe joint, where motion preservation is desired","recovery":"Varies by implant and joint; protected mobilization followed by gradual return to activity."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Depends on number of joints and toes corrected and fusion or osteotomy extent."},"initial_assessment_documents":["Weight-bearing foot X-rays, front and side views","Photos of both feet standing, top and back","Foot or ankle MRI/CT report (if available)","Previous foot surgery operative reports (if available)","Recent HbA1c and blood test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days for wound check and suture removal. Follow-up X-rays can be reviewed remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon explains the goals, method, risks, complications and recovery plan","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/patient-guide-to-safe-surgery","host":"orthoinfo.aaos.org","quote":"It is important that you understand the goals of your surgery, how the surgery will be done, any possible risks or complications, and the plan for your recovery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you receive a consent form that clearly outlines the planned surgical procedure","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/patient-guide-to-safe-surgery","host":"orthoinfo.aaos.org","quote":"Your doctor will review, discuss and then ask you to sign a consent form that clearly outlines the planned surgical procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that the surgical approach is recommended based on your X-rays and physical exam","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/bunions/","host":"orthoinfo.aaos.org","quote":"Your surgeon will recommend the best approach and type of bunion surgery that is right for you based on your X-rays and physical exam finings.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask about recovery time; a long recovery is common after bunion surgery","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/bunions/","host":"orthoinfo.aaos.org","quote":"Bunion surgery is typically performed as a same-day procedure with no hospital stay, but a long recovery is common after bunion surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the surgical site is confirmed with you and marked before the operation","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/patient-guide-to-safe-surgery","host":"orthoinfo.aaos.org","quote":"Your doctor will confirm the surgical site with you and then mark the correct area on your skin with a magic marker.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that new caregivers introduce themselves and explain their role in your treatment","scope":"treatment_type","source":{"url":"https://orthoinfo.aaos.org/en/treatment/patient-guide-to-safe-surgery","host":"orthoinfo.aaos.org","quote":"Ask new and unfamiliar caregivers to identify themselves and explain their role in your 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":["DE","TR","UA","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}