Доктор Пау Риголь Рамон специализируется на 3D-коррекции вальгусной деформации стопы. Он обладает 7-летним опытом работы и выполнил более 900 процедур. Стоимость процедуры Lapiplasty 3D в аккредитованном JCI медицинском центре Текнон составляет примерно 9 000–12 000 €. Обычно в эту сумму включены операция, гонорар хирурга, 1 ночь госпитализации и контрольные визиты. Эта передовая методика позволяет давать нагрузку на стопу уже через несколько дней и имеет более низкий риск рецидива по сравнению с традиционными методами.
Медицинский центр Teknon (Centro Médico Teknon) — частный многопрофильный медицинский центр в Барселоне, Испания, входящий в Quirónsalud, крупнейшую частную медицинскую группу Испании. Центр специализируется на нейрохирургии, ортопедии, онкологии и кардиохирургии, а также предлагает лечение в области кардиологии, репродуктивной медицины, офтальмологии и передовой диагностики. Имея аккредитацию JCI и статус одного из ведущих частных госпиталей Барселоны, Centro Médico Teknon проводит сложные операции и принимает иностранных пациентов, включая публичных людей, спортсменов и знаменитостей. Центр оказывает помощь только взрослым пациентам и ежегодно принимает около 10 000 пациентов, большинство из которых приезжают из русскоязычных стран, Европы и стран Содружества, США, Канады и Австралии.
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Член команды TraumaUnit под руководством д-ра Хоакима Касаньяса Синтеса
Centro Médico Teknon (Барселона)
Медицинский факультет, Автономный университет Барселоны (UAB), 1998–2004
Ординатура по ортопедии и травматологии, Parc de Salut Mar, Барселона, 2005–2010
Итоговая оценка MIR (SECOT): С отличием
Постдипломная хирургическая подготовка, UAB, 2006–2007
Патология стопы – отлично
Травматология верхней конечности – отлично
Опухоли опорно-двигательной системы – с почетом
Остеосинтез – отлично
Хирургия кисти и локтя – отлично
Хирург-ортопед, Hospital de Viladecans, 2010
Ортопед, PAMEM, Барселона, 2010
Ортопед, Parc de Salut Mar, Барселона, 2010–2015
Ведущий специалист и координатор Центра диабетической стопы, Hospital Universitari d’Igualada, 2015–2022
Хирург-ортопед, Parc Taulí, Сабадель — отделения стопы и травм, 2022–н.в.
С 2021 года — член TraumaUnit в Teknon: одна из ведущих ортопедических команд Европы, специализирующаяся на сложных реконструкциях, периферических нервах, плечевом сплетении и сложных травмах
Консультант по внешней фиксации и лечению диабетической стопы в MBA (Orthofix) и Medcomtech (Mikai)
С 2015 года — приглашённый специалист в NAGARKOT
Santa Corona Hospital, Италия, 2020 — продвинутая подготовка у д-ра Карло Саломоне
TrueLok Elevate, Верона, 2024
Charcot Foot Reconstruction, Верона, 2023
Diabetic Foot Symposium, Гаага, 2023
IBRA Severe Foot & Ankle Deformities, Лондон, 2018
Артроскопия голеностопа, Барселона, 2018
Percutaneous Foot Surgery, IMSKE Валенсия, 2022
Vall d’Hebron Foot & Knee Training, Барселона, 2021
Регулярный лектор и член программного комитета национальных и международных конференций по диабетической стопе, деформациям и внешней фиксации
Выступления:
Diabetic Foot Iberia, Барселона, 2024
Standing Strong, MBA Барселона, 2024 – модератор и спикер
Advances in Diabetic Foot, Parc Taulí, Сабадель, 2025 – директор и докладчик
Flatfoot Case Review, AMES Medical, Барселона, 2024
Ядро TraumaUnit — признанной международной ортопедической команды в Teknon
Один из ведущих специалистов по стопе Шарко, посттравматическим деформациям и диабетической стопе
Активный участник международных программ по хирургическому обучению
Более 15 лет клинического опыта в лучших больницах Испании
Доктор Пау Риголь Рамон — это синтез хирургического мастерства, международного опыта и научного подхода. Ему доверяют пациенты с самых сложными ортопедическими проблемами со всего мира.
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"},"1209":{"operation":{"name":"Вальгусная деформация большого пальца стопы - 3D-лапипластика","alias":"valgusnaya-deformaciya-bolshogo-palca-stopy-3d-lapiplastika","use_for_listing":true},"country_price":{"US":{"amount":14500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":12000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":4800,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":3200,"max_amount":4600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6600,"max_amount":9900,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"CZ":false,"ES":true},"description":"Эта операция исправляет деформацию большого пальца стопы путем выравнивания костей в 3D, что приводит к постоянным безболезненным результатам.
"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":3,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":23249}},"responsibleDoctor":{"id":3065,"alias":"kayhan-turan","name":"Кайхан Туран ","photo":"doctor/612e235a45616","advisory_text":"Доктор Кайхан Туран — хирург-ортопед, специализирующийся на роботизированной замене суставов и спортивной медицине. Он провел первые в Турции роботизированные операции по замене коленного и тазобедренного суставов и выполнил более 3500 роботизированных операций.","linkedin":"https://www.linkedin.com/in/drkayhanturan/","specialities":[{"id":"sur.016","name":"Хирург-ортопед","illness_kind_id":33}]},"direction":{"id":3,"name":"Ортопедия и травматология","alias":"ortopediya-i-travmatologiya"},"illness_kind":{"id":3,"name":{"en":"Orthopedics"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk work with foot elevated, in a boot. Standing or walking jobs take 8-12 weeks or longer."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within about 1 year: delayed union, nonunion, hardware irritation, wound problems. Varies with fixation and smoking."},"contraindications":["Active foot infection or open skin lesions at surgical site","Severe peripheral arterial disease or inadequate foot perfusion","Uncontrolled diabetes, especially with neuropathy (relative)","Active smoking or nicotine use (relative; raises nonunion risk)","Inability to comply with protected weight bearing (relative)","Skeletal immaturity with open growth plates","Severe osteoporosis or poor bone quality (relative)","Advanced first MTP joint arthritis (relative)","Unfitness for anesthesia or unaddressed thromboembolism risk (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Uncomplicated same-day surgery; discharge after anesthesia recovery and safe mobilization, with zero overnight stays."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":12,"max":24,"unit":"weeks","qualifier":"Running and impact exercise wait for radiographic union, recovered strength and surgeon clearance. 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."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you can ask the treating team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how aftercare will be coordinated after treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check with your home doctor how medical notes will be transferred to the overseas team","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"As the doctor could be involved in your aftercare, discuss with them how to transfer medical notes to the overseas team.","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":"Recommending bunion surgery just to improve how the feet look","scope":"procedure","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":"Pressure to make a quick decision about treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No discussion of possible complications before booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"No mention of aftercare in the offer for treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The provider cannot answer your treatment questions before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your 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lung","urgency":"emergency","general":false,"source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/lapidus-procedure","host":"roh.nhs.uk","quote":"Deep vein thrombosis and pulmonary embolism (clot in leg and lung).","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":"Home doctor needs the plaster and wound check dates","document":"written aftercare plan","source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/lapidus-procedure?highlight=WyJzY3Jld3MiLCJwbGF0ZXMiLCJ0ZW1wbGF0ZXMiLCJhbWF6aW5nIiwiYnJpbmciLCJleGNpdGluZyIsImZpbmQiLCJ3aWxsIl0=","host":"roh.nhs.uk","quote":"Your plaster will be changed and your wounds checked approximately 2-3 weeks after the operation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs the fusion X-rays to follow healing","document":"x-ray images","source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/lapidus-procedure?highlight=WyJzY3Jld3MiLCJwbGF0ZXMiLCJ0ZW1wbGF0ZXMiLCJhbWF6aW5nIiwiYnJpbmciLCJleGNpdGluZyIsImZpbmQiLCJ3aWxsIl0=","host":"roh.nhs.uk","quote":"Further x-rays will be arranged a few weeks later to check on the joint fusion.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Home doctor needs it to continue foot care after surgery","document":"foot surgery discharge advice","source":{"url":"https://www.nth.nhs.uk/resources/hallux-valgus-bunion-surgery/","host":"nth.nhs.uk","quote":"You will be given a leaflet, ‘Foot Surgery – Discharge Advice’, giving advice on how to look after yourself and your foot.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure 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