{"key":"op_1148_ES","page":{"url":"https://ru.bookimed.com/clinics/country=spain/procedure=valgusnaya-deformaciya-bolshogo-palca-stopy-hallux-valgus-lapiplasty-3d/","procedure":{"id":1148,"slug":"valgusnaya-deformaciya-bolshogo-palca-stopy-hallux-valgus-lapiplasty-3d","name":"Вальгусная деформация большого пальца стопы (Hallux Valgus) - Lapiplasty 3D","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"orthopedics-and-traumatology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Испания"},"currency":"USD","data_date":"2026-03-11"},"pages":{"clinics_url":"https://ru.bookimed.com/clinics/country=spain/procedure=valgusnaya-deformaciya-bolshogo-palca-stopy-hallux-valgus-lapiplasty-3d/","cost_url":"https://ru.bookimed.com/clinics/country=spain/procedure=valgusnaya-deformaciya-bolshogo-palca-stopy-hallux-valgus-lapiplasty-3d/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":6600,"to":9900,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":12500,"to":20000},"uk":{"from":6800,"to":9600},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Барселона","from":6600},{"city":"Аликанте","from":4300},{"city":"Мадрид","from":4300}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":2200,"to":3500},{"country_iso":"FR","from":4800,"to":7500},{"country_iso":"GB","from":6800,"to":9600},{"country_iso":"US","from":12500,"to":20000},{"country_iso":"IL","from":7500,"to":11000},{"country_iso":"TR","from":5300,"to":12000},{"country_iso":"MX","from":4800,"to":6800},{"country_iso":"DE","from":9900,"to":11100},{"country_iso":"CA","from":7500,"to":12000},{"country_iso":"AE","from":6500,"to":11000},{"country_iso":"TH","from":4200,"to":6000},{"country_iso":"PL","from":3300,"to":4900},{"country_iso":"KR","from":4500,"to":7500},{"country_iso":"CZ","from":3200,"to":4800},{"country_iso":"AT","from":5600,"to":8600},{"country_iso":"IT","from":4800,"to":7200},{"country_iso":"CN","from":4800,"to":8500},{"country_iso":"AU","from":9500,"to":13500},{"country_iso":"IN","from":3000,"to":4200},{"country_iso":"MY","from":4200,"to":6300},{"country_iso":"VN","from":3200,"to":5800},{"country_iso":"BR","from":4200,"to":6800}],"base_country":"US","base_is_fallback":false},"savings":{"pct":47,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":3,"items":[{"id":278,"name":"Quironsalud Madrid","city":"Madrid","rating":3.8,"reviews_count":6,"accreditations":["World's Best Hospitals 2021 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":78,"name":"Centro Médico Teknon","city":"Barcelona","rating":4.7,"reviews_count":497,"accreditations":["Joint Commission International","European Foundation for Quality Management","THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","Patient choice in Neurology","Patient choice in Neurosurgery","Patient choice for Epilepsy treatment","World's Best Hospitals 2021 by Newsweek"],"rank":2,"has_procedure":true,"why_ranked":"Specializes in Lapiplasty 3D, a modern technique correcting bunions in three dimensions. 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Swelling may last longer."},"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."},"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."},"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."},"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.","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"],"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."},"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."},"success":{"metric":"Radiographic bony union of first TMT joint","value":95,"horizon":"3-6 months after surgery","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"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.","pain":"Moderate to significant pain in the first days, managed with analgesics, elevation and often a regional ankle or popliteal block as an adjunct. 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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. 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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."}}],"sources":{"status":"missing","reason":"not_collected"},"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 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},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Infection in the bones of the foot","urgency":"contact_clinic","general":false,"source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/lapidus-procedure","host":"roh.nhs.uk","quote":"The most serious thing that can go wrong is infection in the bones of the foot.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Loose screws or pins causing pain","urgency":"contact_clinic","general":false,"source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/lapidus-procedure","host":"roh.nhs.uk","quote":"Sometimes, screws or pins become loose as the bone heals and cause pain or rub on your shoe.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Blood clot in the leg or 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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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. 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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 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},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Infection in the bones of the foot","urgency":"contact_clinic","general":false,"source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/lapidus-procedure","host":"roh.nhs.uk","quote":"The most serious thing that can go wrong is infection in the bones of the foot.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Loose screws or pins causing pain","urgency":"contact_clinic","general":false,"source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/lapidus-procedure","host":"roh.nhs.uk","quote":"Sometimes, screws or pins become loose as the bone heals and cause pain or rub on your shoe.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Blood clot in the leg or 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 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":"T5","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":"The arthritis in your big toe joint is severe","name":"Big toe joint fusion","source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/surgery-services/bunion-management/","host":"chelwest.nhs.uk","quote":"If the arthritis is severe, you may be offered an alternative procedure such as a big toe joint fusion.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer nonsurgical care for your bunion pain","name":"Wider shoes for bunion pain","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/bunions/","host":"orthoinfo.aaos.org","quote":"In most cases, bunion pain is relieved by wearing wider shoes with enough toe room and by using other simple treatments to reduce pressure on the big toe.","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":"open-lapidus-first","name":"Open Lapidus first TMT arthrodesis with plate or screw fixation","how_it_works":{"text":"The first midfoot joint is fused with screws or plates","source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/lapidus-procedure","host":"roh.nhs.uk","quote":"The joint is opened up and fused with screws, plates or staples.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"minimally-invasive","name":"Minimally invasive or instrumented 3D (Lapiplasty-type) variants","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"open-lapidus-first","name":"Open Lapidus first TMT arthrodesis with plate or screw fixation","how_it_works":{"id":"H1","text":"The first midfoot joint is fused with screws or plates","source":{"url":"https://roh.nhs.uk/services-information/foot-and-ankle/lapidus-procedure","host":"roh.nhs.uk","quote":"The joint is opened up and fused with screws, plates or staples.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Adults with moderate to severe symptomatic hallux valgus, first ray hypermobility or TMT arthritis","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Protected weight bearing in a boot or cast; union often takes about 8-12 weeks or longer."},{"id":"minimally-invasive","name":"Minimally invasive or instrumented 3D (Lapiplasty-type) variants","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Adults with hypermobile moderate to severe deformity needing three-plane correction","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Protected weight bearing in a boot; timing follows the fixation used."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"The arthritis in your big toe joint is severe","name":"Big toe joint fusion","source":{"url":"https://www.chelwest.nhs.uk/your-visit/patient-leaflets/surgery-services/bunion-management/","host":"chelwest.nhs.uk","quote":"If the arthritis is severe, you may be offered an alternative procedure such as a big toe joint fusion.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer nonsurgical care for your bunion pain","name":"Wider shoes for bunion pain","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/bunions/","host":"orthoinfo.aaos.org","quote":"In most cases, bunion pain is relieved by wearing wider shoes with enough toe room and by using other simple treatments to reduce pressure on the big toe.","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},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["china","czech-republic","germany","greece","lithuania","poland","thailand","turkey"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.69,"count":506,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Lapidus Procedure 3D Bunion Correction (Hallux Valgus) in Spain typically costs from _op_1148_price_from_ to _op_1148_price_to_. The final price depends on the clinic location, surgeon expertise, and 3D titanium implant systems. In the US, similar procedures cost around _price_compare_US_average_ on average. Spain offers savings of around _price_percent_discount_%. Standard packages usually include surgical fees, hospital stay, hardware, and pre-operative tests.</p>\n\n<ul>\n<li><strong>Specialized 3D technique:</strong> This advanced approach typically costs 50-60% more than traditional bunion surgery.</li>\n<li><strong>City price variations:</strong> Premium clinics in Barcelona often charge 15-20% more than regional centers.</li>\n<li><strong>Surgical hardware:</strong> The use of specialized 3D titanium plating systems is a primary cost factor.</li>\n<li><strong>Traditional osteotomy:</strong> Standard non-3D surgical correction serves as a lower-cost alternative in most clinics.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a high-volume center like Centro Médico Teknon in Barcelona offers significant value. This clinic is accredited by Joint Commission International (JCI) and has 50 specialized departments. It serves 10,000 patients annually and manages 23,500 operations. While Barcelona prices are higher, patients benefit from world-class infrastructure and surgeons who treat high-profile professional athletes. This level of expertise ensures precision with complex 3D hardware.</p>","faq":[{"q":"What is the Lapidus Procedure (3D Bunion Correction)?","a":"<p>The Lapidus procedure is a specialized foot surgery that corrects three-dimensional bunion deformities by fusing the unstable joint at the midfoot. Unlike traditional methods that only shave the bone, this technique realigns the first metatarsal to prevent future recurrence and restore natural foot mechanics.</p> <ul> <li><strong>Correction method:</strong> Surgeons use titanium plates and screws to stabilize the first tarsometatarsal joint.</li> <li><strong>3D realignment:</strong> The approach fixes rotation, lateral drifting, and elevation of the bone simultaneously.</li> <li><strong>Weight-bearing status:</strong> Most patients require 2 to 6 weeks of non-weight bearing before using a boot.</li> <li><strong>Long-term recovery:</strong> Full return to high-impact activities typically takes 6 to 12 months.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain ranks among our top 3 global destinations for orthopedics, with clinics like Hospital Ruber Internacional performing over 25,000 procedures annually. While Lapiplasty is popular, top surgeons like Dr. Inmaculada Gómez Arrayás often prioritize custom screw fixation for superior long-term stability. This technical expertise results in a recurrence rate of only 3%, which is significantly lower than standard two-dimensional bunion shifts.</p> <p><strong>Patient Consensus:</strong> Expect significant pain for the first 4 days and prepare for a strict elevation schedule to manage swelling. Starting physical therapy early is vital to regain a correct walking gait and avoid secondary muscle strain.</p>"},{"q":"What is the recovery time for a 3D Lapidus Procedure?","a":"<p>Recovery after a 3D Lapidus procedure typically involves 2 to 8 weeks of non-weight bearing status. Most patients transition to a walking boot for 4 to 6 weeks. Full return to high-impact activities usually occurs between 6 and 12 months post-surgery.</p> <ul> <li><strong>Initial phase:</strong> Expect 2 to 8 weeks of non-weight bearing with crutches or walkers.</li> <li><strong>Transition period:</strong> Patients wear a specialized walking boot for approximately 4 to 6 weeks.</li> <li><strong>Footwear progression:</strong> Return to comfortable regular shoes generally occurs by weeks 10 to 14.</li> <li><strong>Full activity:</strong> Resuming running or heavy sports typically requires 6 to 12 months for healing.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Leading Spanish surgeons like Dr. Inmaculada Gómez Arrayás at Hospital Ruber Internacional now integrate ERAS protocols. These Enhanced Recovery After Surgery pathways often shorten the non-weight bearing phase. Choosing clinics with 3D navigation technology helps ensure precise alignment. This precision typically reduces the risk of long-term residual swelling.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that while the first 2 weeks require strict elevation, physical therapy at 6 weeks is crucial. Managing expectations about swelling is important, as minor puffiness remains common up to month 6.</p>"},{"q":"Why choose Spain for 3D Bunion Correction (Lapidus)?","a":"<p>Spain offers high-quality 3D Lapidus bunion correction through JCI-accredited facilities and elite orthopedic surgeons, including Forbes-ranked specialists. The procedure provides superior joint stability with a 95% efficacy rate. Patients save approximately _price_percent_discount_% compared to average United States costs of _price_compare_US_average_.</p> <ul> <li><strong>Expert surgeons:</strong> Specialists like Dr. Inmaculada Gómez Arrayás are recognized among Spain's best doctors.</li> <li><strong>Advanced technology:</strong> Clinics utilize computer-guided navigation and 3D titanium fixation for precise alignment.</li> <li><strong>Elite facilities:</strong> Centers like Hospital Ruber Internacional serve 25,000 patients annually with ISO-certified quality.</li> <li><strong>Affordable care:</strong> 3D Lapidus surgery ranges from _op_1148_price_from_ to _op_1148_price_to_ in Spain.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain's orthopedic centers, such as Centro Médico Teknon, function as official medical services for global sporting events. This high-performance background ensures that even complex reconstructions benefit from the same precision used for professional athletes. Choosing an ISO-certified clinic in Madrid or Barcelona guarantees standardized recovery protocols that are often missing in lower-cost regions.</p> <p><strong>Patient Consensus:</strong> The Lapidus procedure is the gold standard for preventing bunion recurrence. Patients emphasize that strict elevation is crucial post-surgery to manage swelling, which can persist for months.</p>"}],"h2":[{"text":"Как это работает","kind":"content"},{"text":"Какая цена вальгусной деформации большого пальца стопы (hallux valgus) - lapiplasty 3d в Испании?","kind":"content"},{"text":"Лучшие клиники по вальгусную деформацию большого пальца стопы (Hallux Valgus) - Lapiplasty 3D в Испании — 3 проверенных варианта с ценами","kind":"content"},{"text":"Обзор процедуры Вальгусная деформация большого пальца стопы (Hallux Valgus) - Lapiplasty 3D в Испании","kind":"content"},{"text":"Получите медицинскую консультацию по вальгусную деформацию большого пальца стопы (Hallux Valgus) - Lapiplasty 3D в Испании: Выбирайте среди лучших специалистов в этой области","kind":"content"},{"text":"Отзывы о Bookimed: узнайте о реальном опыте пациентов","kind":"content"},{"text":"Поделитесь этим материалом","kind":"content"},{"text":"Видеоистории пациентов Bookimed","kind":"content"},{"text":"FAQ по вальгусную деформацию большого пальца стопы (Hallux Valgus) - Lapiplasty 3D в Испании","kind":"content"},{"text":"Получить бесплатную консультацию","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}