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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":{"status":"missing","reason":"not_collected"}},{"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"]}],"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."}}],"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 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}},"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 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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 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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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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":"ok","items":[{"id":"Y1","text":"Turkey's Ministry of Health publishes lists of authorized healthcare providers and facilitators holding authorization certificates","specialties":[],"source":{"url":"https://shgmturizmdb.saglik.gov.tr/EN-69410/announcements.html","host":"shgmturizmdb.saglik.gov.tr","quote":"Updated lists of healthcare providers and facilitators that have been granted authorization certificates by the Ministry","tier":"government","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-05-11","version":1},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK citizen passport holders can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"You can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"US ordinary passport holders are exempt from a visa for up to 90 days in any 180-day period in Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Ordinary passport holders are exempted from visa up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 150 days after arrival in Turkey and have at least 1 blank page","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"To enter Turkey, your passport must have an ‘expiry date’ at least 150 days after the date you arrive and at least 1 blank page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A US passport must be valid for six months beyond the entry date into Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Passports must be valid for six months beyond your entry date.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"uk","volatile":false,"text":"British prescriptions are not accepted in pharmacies in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/health","host":"gov.uk","quote":"British prescriptions are not accepted in pharmacies in Turkey.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/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","spain","thailand"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.62,"count":1473,"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 Turkey typically costs from _op_1148_price_from_ to _op_1148_price_to_. The final price depends on whether the surgery is unilateral or bilateral and the clinic's specialized technology. Patients save around _price_percent_discount_% compared to the US, where this procedure costs _price_compare_US_average_ on average. Most Turkish medical centers provide surgical fees, 3D-printed titanium hardware, hospital stays, and local transfers in their service packages.</p>\n\n<ul>\n<li><strong>Bilateral surgery:</strong> Typically adds 60-80% to the base cost compared to a single foot correction.</li>\n<li><strong>3D-printed technology:</strong> Premium clinics using CAD-assisted planning and patient-specific surgical guides often charge 20-30% more.</li>\n<li><strong>Hospital tier:</strong> Prices in JCI-accredited hubs like Istanbul and Ankara vary based on facility amenities and length of stay.</li>\n<li><strong>Specialized hardware:</strong> The use of advanced titanium plates and custom implants is factored into the total equipment cost.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing specialized centers like Professor Gemalmaz - 3D Patient-Specific Orthopedics offers unique value through CAD-assisted planning. This clinic is currently the only one in Turkey implementing specifically 3D-printed orthopedic procedures. While standard surgeries are available at large facilities like Hisar Hospital Intercontinental, investing in patient-specific guides can lead to more precise bone alignment and potentially smoother mechanical recovery.</p>","faq":[{"q":"Is the Lapidus 3-D bunion correction in Turkey safe, and what credentials do the surgeons have?","a":"<p>Lapidus 3-D bunion correction in Turkey is safe when performed by board-certified orthopedic surgeons in JCI-accredited facilities. Clinics report success rates between 85% and 95% using advanced 3D-printed surgical guides and CAD-assisted planning to ensure precise bone alignment and permanent correction.</p> <ul> <li><strong>Surgeon qualifications:</strong> Specialists typically hold European Board of Orthopaedics and Traumatology (EBOT) certifications.</li> <li><strong>Clinical standards:</strong> Top hospitals like Memorial Şişli maintain Joint Commission International (JCI) accreditation.</li> <li><strong>Advanced technology:</strong> Surgeons use patient-specific 3D-printed guides and custom implants for complex cases.</li> <li><strong>Expert experience:</strong> Leading doctors like Dr. Olcay Guler have performed over 900 bunion procedures.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many clinics offer standard bunion surgery, true 3-D correction requires specialized infrastructure. Professor Gemalmaz in Istanbul is unique for using in-house CAD-assisted planning. This technology allows for personalized 3D-printed guides that aren't available at every general orthopedic clinic.</p> <p><strong>Patient Consensus:</strong> Patients emphasize the importance of checking a surgeon's specific fusion success rates. Real-world experiences suggest verifying if the clinic provides the necessary specialized walking boots for early mobility.</p>"},{"q":"What exactly does the Lapidus 3-D procedure fix, and how is it different from conventional bunion surgery?","a":"<p>The Lapidus 3-D procedure fixes bunions by correcting the three-dimensional rotation of the metatarsal bone at its foundation. Unlike conventional surgery that simply shaves the bony bump, this method stabilizes the unstable tarsometatarsal joint to prevent future recurrence and restore natural foot anatomy.</p> <ul> <li><strong>Correction axis:</strong> Addresses bone leaning, lifting, and rotation instead of 2-D sideways shifting.</li> <li><strong>Root cause:</strong> Permanently stabilizes the unstable tarsometatarsal joint at the base of the toe.</li> <li><strong>Advanced tools:</strong> Employs computer-aided planning and 3-D printed custom surgical guides for precision.</li> <li><strong>Fixation method:</strong> Uses low-profile titanium plates for multi-plane stability instead of temporary pins.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Turkish orthopedic centers like Professor Gemalmaz’s clinic are pioneers in CAD-assisted 3-D printed surgical guides. This technology allows surgeons to map your specific bone structure before the first incision. While traditional Lapidus relies on free-hand cutting, these patient-specific guides ensure the correction aligns perfectly with your unique anatomy.</p> <p><strong>Patient Consensus:</strong> Patients with severe or recurring bunions favor this procedure for its long-term stability. However, some with mild cases note that the fusion can lead to reduced toe flexibility compared to simpler surgeries.</p>"},{"q":"What results and long-term outcomes can I expect after Lapidus surgery in Turkey?","a":"<p>Patients undergoing Lapidus surgery in Turkey can expect 85% to 95% success rates with permanent bunion correction through 3D joint stabilization. Long-term outcomes include significant relief from chronic pain, restored foot alignment, and the ability to return to high-impact sports within 3 to 6 months.</p> <ul> <li><strong>Anatomical correction:</strong> Results involve 3D realignment of the first metatarsal bone for permanent stability.</li> <li><strong>Mobility restoration:</strong> Most patients resume running and jumping between 3 and 12 months post-surgery.</li> <li><strong>Recurrence risk:</strong> Fusion techniques maintain a low recurrence rate below 10% for hypermobile patients.</li> <li><strong>Recovery milestones:</strong> Initial non-weight-bearing lasts 2 weeks, with full bone fusion typically by week 12.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Turkish specialists like Associate Professor Halil Can Gemalmaz utilize CAD-assisted surgical planning and 3D-printed custom guides to ensure precise bone alignment. This level of patient-specific engineering, often found in specialized boutiques rather than large general hospitals, significantly reduces the 5% to 10% risk of nonunion by optimizing the contact surface between fused bones.</p> <p><strong>Patient Consensus:</strong> While the first 8 weeks involve challenging swelling and crutch use, patients report life-changing relief and stable results even 10 years later. Many consider the temporary stiffness a fair trade for the elimination of chronic bunion pain and the ability to wear supportive shoes comfortably.</p>"},{"q":"Who is a good candidate for Lapidus 3-D bunion correction?","a":"<p>Ideal candidates for Lapidus 3D bunion correction include patients with moderate to severe deformities and significant instability in the first tarsometatarsal joint. This procedure suits those with a hallux valgus angle exceeding 20-30 degrees or individuals seeking permanent correction after a failed traditional bunionectomy.</p> <ul> <li><strong>Joint instability:</strong> Patients with hypermobility or excessive looseness at the first tarsometatarsal joint.</li> <li><strong>Severe deformity:</strong> Individuals with a rotational 3D deformity where the bone has twisted.</li> <li><strong>Revision cases:</strong> Those who experienced bunion recurrence following traditional 2D shaving or osteotomy.</li> <li><strong>Active lifestyle:</strong> Healthy patients aged 12 to 80 willing to follow strict recovery protocols.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Bookimed data highlights that specialized centers like Professor Gemalmaz in Istanbul utilize CAD-assisted planning and 3D-printed guides. This precision is vital because 3D correction addresses the root rotational cause. Choosing clinics with specific 3D plating experience helps minimize common post-operative hardware prominence issues.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that this surgery is a major commitment requiring 8–12 weeks of non-weightbearing. It is most successful for those with flat feet or ligament laxity who prioritize a low recurrence rate over a quick return to walking.</p>"},{"q":"How long will I stay in Turkey and what does the standard package include?","a":"<p>Patients typically stay in Turkey for 7 to 10 days for a Lapidus 3D bunion correction. This timeframe includes the 2-hour surgery, 1 to 2 nights of hospital observation, and a mandatory 5 to 7 day recovery period before receiving fit-to-fly clearance from surgeons.</p> <ul> <li><strong>Surgery duration:</strong> The 3D-planned procedure typically requires 2 to 3 hours under general anesthesia.</li> <li><strong>Hospital stay:</strong> Most clinical protocols include 1 to 2 nights for pain management and monitoring.</li> <li><strong>Standard inclusions:</strong> Packages bundle surgical fees, 3D-printed guides, airport transfers, and 5 to 7 nights hotel.</li> <li><strong>Pre-travel clearance:</strong> Surgeons conduct a follow-up assessment 5 days post-op to confirm travel safety.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many orthopedic clinics handle thousands of cases, Professor Gemalmaz’s facility is the only one in Turkey using patient-specific 3D-printed guides. This specialized technology ensures higher precision than standard Lapidus techniques. We recommend choosing packages with at least 7 hotel nights to accommodate swelling changes before your flight.</p> <p><strong>Patient Consensus:</strong> Patients often suggest using a knee scooter instead of crutches to navigate Istanbul’s airports comfortably. Many recommend booking flexible return flights in case post-operative swelling requires a few extra days of elevation before departure.</p>"},{"q":"Will the Lapidus surgery leave visible scars and how big are they?","a":"<p>Lapidus surgery leaves a permanent scar on the foot, typically ranging from 1 to 5 inches depending on the specific technique. Modern 3D-guided procedures in Turkey often utilize smaller medial incisions that fade from pink to a faint, pale line over 6 to 12 months.</p> <ul> <li><strong>Traditional approach:</strong> Results in a 3 to 5 inch incision on the inner foot.</li> <li><strong>3D-guided technique:</strong> Uses 3D-printed guides for precision, typically requiring a smaller 1.5 inch incision.</li> <li><strong>Minimally invasive:</strong> Uses keyhole entries, leaving scars under 1 centimeter that appear as dots.</li> <li><strong>Scar placement:</strong> Surgeons usually place incisions along the medial foot to hide them in shoes.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Precision is the biggest factor in scar reduction for this bone-fusion procedure. In Turkey, specialized centers like Professor Gemalmaz’s clinic use 3D-printed custom surgical guides. These tools allow surgeons to plan the exact entry point before the first cut. This often results in cleaner, shorter incisions than traditional freehand methods, even for complex 3D bunion corrections.</p> <p><strong>Patient Consensus:</strong> Patients report that while the scar looks most prominent and swollen at 4 weeks, it becomes barely noticeable in sandals after one year. Consistent use of silicone sheets and high-SPF sunscreen is highly recommended to assist the natural fading process.</p>"},{"q":"How should I prepare for travel to Turkey for my Lapidus procedure?","a":"<p>Preparation for a Lapidus procedure in Turkey involves organizing medical documentation, securing specialized travel insurance, and planning for a 4–6 week non-weight-bearing recovery period. Patients should coordinate 3D surgical planning with clinics like Professor Gemalmaz or Hisar Hospital to ensure custom surgical guides are ready upon arrival.</p> <ul> <li><strong>Medical documentation:</strong> Bring digital X-rays, MRIs, and a surgeon-signed flight permit for the return journey.</li> <li><strong>Specialized insurance:</strong> Obtain medical tourism insurance to cover potential complications, as standard policies often exclude surgery.</li> <li><strong>Recovery essentials:</strong> Pack wide-leg trousers, non-slip slip-on shoes, and a waterproof leg cover for showering.</li> <li><strong>Logistical planning:</strong> Request airport wheelchair assistance in advance and book ground-floor accommodations to avoid stairs.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While most international protocols require 8 weeks of non-weight-bearing rest, Bookimed data shows Turkish centers like Professor Gemalmaz utilize 3D-printed surgical guides. This precision planning can reduce non-weight-bearing time to 4–6 weeks. Patients should choose Istanbul-based clinics for these advanced CAD-assisted procedures to maximize recovery speed and alignment accuracy.</p> <p><strong>Patient Consensus:</strong> Patients emphasize flying direct to avoid swelling during layovers and activating a local SIM card immediately for WhatsApp coordination with medical teams. Bringing a companion for the first week is highly recommended to assist with mobility while using knee scooters or crutches.</p>"}],"h2":[{"text":"Как это работает","kind":"content"},{"text":"Какая цена вальгусной деформации большого пальца стопы (hallux valgus) - lapiplasty 3d в Турции?","kind":"content"},{"text":"Предложения по вальгусную деформацию большого пальца стопы (Hallux Valgus) - Lapiplasty 3D в Турции — ноябрь 2026","kind":"content"},{"text":"Лучшие клиники по вальгусную деформацию большого пальца стопы (Hallux Valgus) - Lapiplasty 3D в Турции — 17 проверенных вариантов с ценами","kind":"content"},{"text":"Обзор процедуры Вальгусная деформация большого пальца стопы (Hallux Valgus) - Lapiplasty 3D в Турции","kind":"content"},{"text":"Лучшие специалисты по вальгусную деформацию большого пальца стопы (Hallux Valgus) - Lapiplasty 3D в Турции — 22 доктора с отзывами и ценами","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 Турции","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":[{"field":"medical.hospital_nights","chosen":"offers","offers":2,"parsed_details":{"min":0,"max":0}}]}