{"id":2756,"date":"2021-10-26T18:54:01","date_gmt":"2021-10-26T16:54:01","guid":{"rendered":"https:\/\/hallux-valgus-nice.fr\/?page_id=2756"},"modified":"2021-10-26T19:01:59","modified_gmt":"2021-10-26T17:01:59","slug":"chirugien-orthopediste-tourette-levens","status":"publish","type":"page","link":"http:\/\/hallux-valgus-nice.fr\/en\/chirugien-orthopediste-tourette-levens\/","title":{"rendered":"Orthopedic surgeon Tourette Levens"},"content":{"rendered":"<p><video loop=\"loop\" autoplay=\"\" muted=\"\" width=\"1220\"><\/video><\/p>\n\n\n\n<h3>Doctor Eddy Becquet<\/h3>\n\n\n\n<h2>Foot surgeon<br>Hallux valgus Marseille<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.doctolib.fr\/chirurgien-orthopediste\/nice\/eddy-becquet\">Make an appointment<\/a> I<\/p>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h3>Foot Surgeon<\/h3>\n\n\n\n<h3>Doctor Becquet<\/h3>\n\n\n\n<p>Saint-George Clinic<\/p>\n\n\n\n<p>Hall 3 \u2013 3\u00e8me \u00e9tage<br>2 avenue de rimiez<br>06100 Nice<\/p>\n\n\n\n<p>Tel : 04 93 169 169<a href=\"\">Make an appointment<\/a><\/p>\n\n\n\n<h3>Chirurgie percutan\u00e9e et mini-invasive pour le traitement de l\u2019Hallux Valgus :<\/h3>\n\n\n\n<p><a href=\"https:\/\/hallux-valgus-nice.fr\/en\/index.php\/chirurgie-hallux-valgus-nice\/\">Quel traitement pour l\u2019Hallux Valgus<\/a><\/p>\n\n\n\n<p><a href=\"http:\/\/hallux-valgus-nice.fr\/en\/chirurgien-hallux-valgus-nice\/\">The benefits of percutaneous and minimally invasive foot surgery<\/a><\/p>\n\n\n\n<p><a href=\"http:\/\/hallux-valgus-nice.fr\/en\/chirurgie-pied-nice-3\/\">Fast Track, rapid recovery after percutaneous foot surgery<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"372\" height=\"494\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgien-orthopediste-nice-eddy-becquet-001.jpg\" alt=\"hallux valgus nice | chirurgien pied Nice\" class=\"wp-image-649\" title=\"hallux valgus nice | foot surgeon Nice\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgien-orthopediste-nice-eddy-becquet-001.jpg 372w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgien-orthopediste-nice-eddy-becquet-001-226x300.jpg 226w\" sizes=\"(max-width: 372px) 100vw, 372px\" \/><\/figure>\n\n\n\n<p>\ue02d<\/p>\n\n\n\n<h4>Locoregional anesthesia<\/h4>\n\n\n\n<p>Un seul membre anesth\u00e9si\u00e9 }<\/p>\n\n\n\n<h4>Operation in less than 30 minutes<\/h4>\n\n\n\n<p>Incision de 2mm \u00e0 2 cm \ue009<\/p>\n\n\n\n<h4>At home the same day<\/h4>\n\n\n\n<p>Autonomie compl\u00e8te du patient \ue002<\/p>\n\n\n\n<h4>No rehabilitation<\/h4>\n\n\n\n<p>Immediate return to walking<\/p>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h2>Prise en charge de l\u2019op\u00e9ration du pied<br>Traitement de l\u2019Hallux Valgus en 4 \u00e9tapes<\/h2>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"600\" height=\"401\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-pied-nice-clinique-hallux-valgus-saint-george-operation.jpg\" alt=\"hallux valgus nice | Saint George Nice\" class=\"wp-image-1718\" title=\"hallux valgus nice | Saint George Nice\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-pied-nice-clinique-hallux-valgus-saint-george-operation.jpg 600w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-pied-nice-clinique-hallux-valgus-saint-george-operation-480x321.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 600px, 100vw\" \/><\/figure>\n\n\n\n<h4>STEP 1<\/h4>\n\n\n\n<h2>OUTPATIENT ADMISSION<\/h2>\n\n\n\n<p>Percutaneous and minimally invasive surgery allows for outpatient management.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"1000\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L.jpg\" alt=\"hallux valgus nice | Infirmier Nice\" class=\"wp-image-623\" title=\"hallux valgus nice | Nurse Nice\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L-300x200.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L-768x512.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L-1024x683.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L-1080x720.jpg 1080w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><\/figure>\n\n\n\n<h4>STEP 2<\/h4>\n\n\n\n<h2>ANESTHESIA<br>LOOREGIONALE<\/h2>\n\n\n\n<p>Popliteal block or ankle block (where only the foot is asleep)<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1024\" height=\"684\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-1024x768-01.jpg\" alt=\"hallux valgus nice | Op\u00e9ration pied Nice\" class=\"wp-image-1717\" title=\"hallux valgus nice | Foot surgery Nice\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-1024x768-01.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-1024x768-01-980x655.jpg 980w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-1024x768-01-480x321.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1024px, 100vw\" \/><\/figure>\n\n\n\n<h4>STEP 3<\/h4>\n\n\n\n<h2>L\u2019INTERVENTION CHIRURGICALE<\/h2>\n\n\n\n<p>Takes about 30 minutes with percutaneous and minimally invasive surgery.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"1001\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/09\/chirurgie-orthopedique-nice-pied-becquet-feet-detail-P4Z7JS5.jpg\" alt=\"hallux valgus nice | Retour \u00e0 domicile Nice\" class=\"wp-image-1233\" title=\"hallux valgus nice | Return home Nice\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/09\/chirurgie-orthopedique-nice-pied-becquet-feet-detail-P4Z7JS5.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/09\/chirurgie-orthopedique-nice-pied-becquet-feet-detail-P4Z7JS5-300x200.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/09\/chirurgie-orthopedique-nice-pied-becquet-feet-detail-P4Z7JS5-768x513.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/09\/chirurgie-orthopedique-nice-pied-becquet-feet-detail-P4Z7JS5-1024x683.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/09\/chirurgie-orthopedique-nice-pied-becquet-feet-detail-P4Z7JS5-1080x721.jpg 1080w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><\/figure>\n\n\n\n<h4>STEP 4<\/h4>\n\n\n\n<h2>SAME DAY RELEASE<\/h2>\n\n\n\n<p>After a passage in the recovery room, exit with the analgesic device.<\/p>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h3>La chirurgie percutan\u00e9e et mini-invasive de l&rsquo;hallux valgus<\/h3>\n\n\n\n<p>La chirurgie percutan\u00e9e du pied, \u00e0 l\u2019instar des autres sp\u00e9cialit\u00e9s chirurgicales n\u2019a de cesse de profiter des derni\u00e8res innovations technologiques pour s\u2019enrichir et progresser dans la voie d\u2019un abord aussi minime que possible, d\u2019autant plus que pour cette chirurgie, une composante esth\u00e9tique non n\u00e9gligeable est \u00e0 prendre en consid\u00e9ration. https:\/\/www.youtube.com\/embed\/knNcvnrxztk?feature=oembed<\/p>\n\n\n\n<h3>T\u00e9moignage de Agathe apr\u00e8s l&rsquo;op\u00e9ration de son Hallux Valgus<\/h3>\n\n\n\n<p>Apr\u00e8s quelques semaines, Agathe est revenue sur son op\u00e9ration de son Hallux Valgus. Une op\u00e9ration supervis\u00e9 par le Docteur Becquet. Satisfaite de l\u2019op\u00e9ration, elle explique dans cette vid\u00e9o le d\u00e9roulement de la chirurgie jusqu\u2019au retour \u00e0 son domicile. https:\/\/www.youtube.com\/embed\/S6BKXx0KSsM?feature=oembed<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"1500\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-pied-nice-oignon-hallux-valgus-definition-EPU-002-02.jpg\" alt=\"hallux valgus nice | d\u00e9finition\" class=\"wp-image-1710\" title=\"hallux valgus nice | definition\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-pied-nice-oignon-hallux-valgus-definition-EPU-002-02.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-pied-nice-oignon-hallux-valgus-definition-EPU-002-02-1280x1280.jpg 1280w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-pied-nice-oignon-hallux-valgus-definition-EPU-002-02-980x980.jpg 980w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-pied-nice-oignon-hallux-valgus-definition-EPU-002-02-480x480.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 1500px, 100vw\" \/><\/figure>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h1>Definition of Hallux Valgus<\/h1>\n\n\n\n<p><a href=\"https:\/\/www.doctolib.fr\/chirurgien-orthopediste\/nice\/eddy-becquet\">Make an appointment<\/a><\/p>\n\n\n\n<h2>Dr Becquet's office<br>The Saint George Clinic<\/h2>\n\n\n\n<h2>2 Avenue de Rimiez<br>06105 Nice<\/h2>\n\n\n\n<h2>Tel : 04 93 169 169<\/h2>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h2>L\u2019Hallux valgus, qu\u2019est-ce que c\u2019est ?<\/h2>\n\n\n\n<p>Sous son nom compliqu\u00e9 et savant, l\u2019hallux valgus n\u2019est ni plus ni moins un mal extr\u00eamement courant mieux connu sous le sobriquet d\u2019 \u00ab oignon \u00bb. Il consiste en une d\u00e9formation du gros orteil. La bosse correspondant \u00e0 la t\u00eate de l\u2019os (le m\u00e9tatarse) grossit, devient inflammatoire et douloureuse.<br>La locomotion normale est g\u00ean\u00e9e et aggrave le mal, provoquant un cercle vicieux. Le port des chaussures devient particuli\u00e8rement douloureux. Cette maladie peut \u00eatre associ\u00e9e \u00e0 de l\u2019arthrose de l\u2019articulation concern\u00e9e appel\u00e9e hallux rigidus. Dans ce cas, les deux maux devront \u00eatre trait\u00e9s. https:\/\/www.youtube.com\/embed\/Xb48t1DccvU?feature=oembed<\/p>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h3>Causes of hallux valgus<\/h3>\n\n\n\n<p>The causes are multiple:<br>-This condition affects the female sex in more than 90 % of cases, most often around the age of 50, an age when hormonal impregnation changes due to the menopause: this would lead to hyperlaxity favoring the deformation of the big toe.<br>-In 30 % of cases, a family factor is found.<br>\u2013 L\u2019exce\u0300s ponde\u0301ral favorise e\u0301galement la formation de l\u2019hallux valgus.<br>-The morphotype of the foot is a key element that can explain the deformity of the big toe. Indeed, in 75 % of cases, hallux valgus is associated with an Egyptian morphotype corresponding to the case where the big toe is longer than the second toe.<br>With this morphology, the big toe is too long to be able to position itself normally in the shoe, in particular when it has a pointed toe: it is thus forced to deform itself by taking in width the place that it cannot take in length, hence the deformation in hallux valgus.<br>Conversely, the square foot (big toe the same length as the second toe) and the Greek foot (big toe shorter than the second toe) are much less likely to cause hallux valgus.<br>Moreover, one of the objectives of the surgery will be to obtain one of these two morphotypes when the pre-operative morphotype is Egyptian. In this way, the operation will eliminate a cause of recurrence.<br>-Hyperlaxity is not the only cause of the predominance of hallux valgus in women, since it is also caused by wearing shoes with pointed toes and\/or high heels.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"391\" height=\"261\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/diffus.png\" alt=\"hallux valgus nice | d\u00e9finition\" class=\"wp-image-174\" title=\"hallux valgus nice | definition\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/diffus.png 391w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/diffus-300x200.png 300w\" sizes=\"(max-width: 391px) 100vw, 391px\" \/><\/figure>\n\n\n\n<h3>The treatment<\/h3>\n\n\n\n<p>To provide immediate relief, open-toed shoes are recommended, or alternatively, soft, flat shoes.<br>Painkillers may also be prescribed in some cases.<br>A podiatrist can also help to counteract the deformity of the toes with orthoplastics. This is only possible at the very beginning of the deformity, as this technique is not effective on a deformity that has already been fixed.<br>Moreover, wearing orthopedic insoles can be relevant when the toes are already clawed and the joints are already in a pronounced inflammatory state. This allows to reduce the pressure on these joints and thus to reduce this type of pain.<br>These treatments are symptomatic and will not prevent the long-term deterioration of the patient's foot. The only effective solution is surgery.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"5000\" height=\"2851\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1.jpg\" alt=\"hallux valgus nice | Illustration\" class=\"wp-image-561\" title=\"hallux valgus nice | Illustration\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1.jpg 5000w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1-300x171.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1-768x438.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1-1024x584.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1-1080x616.jpg 1080w\" sizes=\"(max-width: 5000px) 100vw, 5000px\" \/><\/figure>\n\n\n\n<h3>How to treat hallux valgus?<\/h3>\n\n\n\n<p>If the so-called symptomatic treatments do not succeed in stopping the evolution of the deformities and pain, only surgery can truly cure hallux valgus.<br>The choice of technique is made with the practitioner. There are minimally invasive techniques, with incisions of a maximum of 2 centimeters, and percutaneous techniques, which involve making very small incisions, of the order of a millimeter.<br>The procedure is performed under local anesthesia. Sedation can be offered to the patient if desired. The patient can leave the hospital the same day.<\/p>\n\n\n\n<h3>Spontaneous evolution of hallux valgus<\/h3>\n\n\n\n<p>Hallux valgus always evolves spontaneously towards self-aggravation, accompanied by pain when walking and putting on shoes, which increases, sometimes associated with a sensation of numbness of the big toe.<br>At the beginning of the evolution, the deformity of the big toe is isolated: the main reason for consultation remains the pain located opposite the exostosis, where one finds most often an inflammatory bursitis which can ulcerate and lead to an infection. In addition to the classic deformity, there may be a rotation disorder: the toe turns on itself, so that the nail no longer looks towards the zenith.<br>The deformity continues to evolve on its own, so much so that the hallux valgus ends up deviating the other toes laterally. This is how the 2nd ray syndrome appears, corresponding to the appearance of a claw on the 2nd toe pushed by the big toe which takes its place.<br>This deformity, initially limited to the 2nd toe, progressively extends to the entire forefoot.<br>The lateral toes retracted in the form of claws will come into conflict with the shoe, resulting in painful dorsal corns.<br>At the same time, under the effect of the claw, the metatarsophalangeal joint will subluxate or even dislocate, giving rise to metatarsalgia (pain when pressing on the metatarsal head).<br>It is always preferable to correct deformities when they are limited to the big toe, which simplifies the surgical procedure but also the postoperative course and reduces the recurrence rate.<\/p>\n\n\n\n<h3>What are the objectives of surgical treatment?<\/h3>\n\n\n\n<p>The goal is to realign the big toe to restore its anatomy, and consequently its function, while keeping the metatarsophalangeal joint intact, unlike many surgical techniques that have been abandoned (or should be), which have given hallux valgus surgery a bad reputation for recurrence and iatrogenic metatarsalgia. Today, there is a reliable surgical technique that was developed at the end of the 1990s: it is based on osteotomies in the 1st metatarsal and the 1st phalanx.<br>To reduce the deformity of the big toe, it will be necessary to reduce the excessive gap between the 1st and 2nd metatarsals (reduction of the metatarsus varus). To do this, a Scarf osteotomy is performed, allowing the translation of the 1st metatarsal towards the 2nd metatarsal.<br>The second bone procedure will be performed in the 1st phalanx by an osteotomy, allowing to achieve three objectives:<br>\u2013 une re\u0301duction du valgus phalangien (= de\u0301viation en dehors de la 1e\u0300re phalange) par la de\u0301coupe d\u2019un segment d\u2019os en forme de coin<br>\u2013 un raccourcissement de la 1e\u0300re phalange permettant dans le cas d\u2019un pied e\u0301gyptien, qui pourrait e\u0302tre source de re\u0301cidive post-ope\u0301ratoire en cas de non correction, de le transformer en pied carre\u0301 ou grec.<br>\u2013 une correction d\u2019un e\u0301ventuel trouble de rotation dans le gros orteil, afin d\u2019obtenir en post-ope\u0301ratoire un ongle regardant vers le ze\u0301nith.<br>To be successful, this surgical treatment must be accompanied by a rigorous postoperative protocol, both for the resumption of support and for the treatment of edema and pain.<\/p>\n\n\n\n<h3>Surgical techniques.<\/h3>\n\n\n\n<p>The minimally invasive and percutaneous techniques mentioned above are interesting, but more difficult to implement for the practitioner.<\/p>\n\n\n\n<p>-Percutaneous surgery<br>This technique is only 15 years old in Europe. It is not specific to the treatment of hallux valgus nor is it systematic. As its name indicates, it is performed through the skin, with miniature burs introduced after making very small incisions with mini scalpels. The surgeon cannot directly visualize the operation. He has of course several tools to do so:<br>The first is fluoroscopy. It consists of using a very low-powered X-ray machine in order to make the exposure of the patient and especially of the surgeon completely acceptable. Of course, this technique only allows the visualization of bones. It is mainly a means of control for an experienced surgeon who can thus see the operated areas.<br>Le deuxi\u00e8me est l\u2019utilisation par le chirurgien son toucher et de son ressenti. La contrepartie est donc que seuls des chirurgiens tr\u00e8s exp\u00e9riment\u00e9s peuvent utiliser la technique d\u2019intervention percutan\u00e9e.<br>Obviously, when properly performed, it has only advantages. It is minimally invasive and allows a quick recovery after the operation.<\/p>\n\n\n\n<p>-Minimally invasive surgery<br>Cette technique ne demande que des incisions inf\u00e9rieures \u00e0 2 centim\u00e8tres. En revanche, le reste de l\u2019op\u00e9ration est comparable \u00e0 une chirurgie \u00ab classique \u00bb, avec quelques entr\u00e9es percutan\u00e9es. L\u2019ost\u00e9otomie en mini-chevron est par exemple une technique d\u00e9velopp\u00e9e r\u00e9cemment qui permet de minimiser fortement la taille du champ op\u00e9ratoire.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"1000\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L.jpg\" alt=\"chirurgie pied nice\" class=\"wp-image-623\" title=\"foot surgery nice\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L-300x200.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L-768x512.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L-1024x683.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-from-franceperf-1500px-Fotolia_86262261_L-1080x720.jpg 1080w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><\/figure>\n\n\n\n<h3>When to consult?<\/h3>\n\n\n\n<p>Consultation is highly recommended when the pain is embarrassing or even disabling when walking or putting on shoes. The pain may be more intense on the other toes, when they curl up into claws, than on the big toe itself, if the disease is already advanced.<br>It is therefore necessary to explain to the patient that the cure can only come from the treatment of the big toe, even if it is the other toes that may cause him more pain at the time of diagnosis.<br>Some people, especially young women, also consult for aesthetic reasons. Surgery to treat hallux valgus is then totally contraindicated.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"1125\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px.jpg\" alt=\"chirurgie pied nice\" class=\"wp-image-624\" title=\"foot surgery nice\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-300x225.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-768x576.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-1024x768.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-510x382.jpg 510w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-1080x810.jpg 1080w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><\/figure>\n\n\n\n<h3>What are the criteria for surgery?<\/h3>\n\n\n\n<p>The intensity of the pain is the main criterion. However, one should not wait until the pain becomes unbearable, as the operation may become more cumbersome with time.<br>It is indeed easier to intervene on an early hallux valgus than on the same disease that has evolved to the point of deforming all or part of the other toes.<br>This is all the more relevant as considerable progress has been made in recent years, particularly with regard to the invasiveness of the procedures, which minimizes the postoperative sequelae.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"391\" height=\"261\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/pole_excellence.png\" alt=\"hallux valgus nice | Op\u00e9ration Nice\" class=\"wp-image-173\" title=\"hallux valgus nice | Operation Nice\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/pole_excellence.png 391w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/pole_excellence-300x200.png 300w\" sizes=\"(max-width: 391px) 100vw, 391px\" \/><\/figure>\n\n\n\n<h3>What are the advantages of these techniques for the treatment of hallux valgus?<\/h3>\n\n\n\n<p>The main advantages of these techniques are their minimally invasive nature.<br>-Pain is considerably reduced, as well as postoperative swelling and bruising.<br>-The resumption of support is immediately possible<br>-Outpatient care<br>-Une recup\u00e9ration plus rapide apr\u00e8s l\u2019op\u00e9ration<\/p>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"2560\" height=\"1460\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/chirurgie-main-pied-Nice-Becquet-NEVROME-MORTON-scaled.jpg\" alt=\"hallux valgus nice | Illustration\" class=\"wp-image-1956\" title=\"hallux valgus nice | Illustration\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/chirurgie-main-pied-Nice-Becquet-NEVROME-MORTON-scaled.jpg 2560w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/chirurgie-main-pied-Nice-Becquet-NEVROME-MORTON-1280x730.jpg 1280w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/chirurgie-main-pied-Nice-Becquet-NEVROME-MORTON-980x559.jpg 980w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/chirurgie-main-pied-Nice-Becquet-NEVROME-MORTON-480x274.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2560px, 100vw\" \/><\/figure>\n\n\n\n<h2>Morton's Neuroma<\/h2>\n\n\n\n<p><a href=\"http:\/\/hallux-valgus-nice.fr\/en\/nevrome-de-morton-nice\/\">Read more<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"2560\" height=\"1460\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/chirurgie-main-pied-Nice-Becquet-ORTEILS-GRIFFE-scaled.jpg\" alt=\"hallux valgus nice | Illustration\" class=\"wp-image-1955\" title=\"hallux valgus nice | Illustration\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/chirurgie-main-pied-Nice-Becquet-ORTEILS-GRIFFE-scaled.jpg 2560w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/chirurgie-main-pied-Nice-Becquet-ORTEILS-GRIFFE-1280x730.jpg 1280w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/chirurgie-main-pied-Nice-Becquet-ORTEILS-GRIFFE-980x559.jpg 980w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/chirurgie-main-pied-Nice-Becquet-ORTEILS-GRIFFE-480x274.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 2560px, 100vw\" \/><\/figure>\n\n\n\n<p><a href=\"http:\/\/hallux-valgus-nice.fr\/en\/orteils-en-griffe-nice\/\"><\/a><\/p>\n\n\n\n<h2>Claw toes<\/h2>\n\n\n\n<p><a href=\"http:\/\/hallux-valgus-nice.fr\/en\/orteils-en-griffe-nice\/\">Read more<\/a><\/p>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h2>Foot surgeon<\/h2>\n\n\n\n<h2>at the Saint George clinic in Nice<\/h2>\n\n\n\n<h2>Doctor<\/h2>\n\n\n\n<h2>Eddy Becquet<\/h2>\n\n\n\n<p>Dipl\u00f4m\u00e9 de la facult\u00e9 de M\u00e9decine de Lille, ancien interne et chef de clinique des h\u00f4pitaux de Lille, le Docteur Becquet s\u2019est orient\u00e9 d\u00e8s 1997 vers la chirurgie de la main et du pied dont il a fait sa sp\u00e9cialit\u00e9.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"372\" height=\"494\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgien-orthopediste-nice-eddy-becquet-001.jpg\" alt=\"chirurgie pied nice\" class=\"wp-image-649\" title=\"orthopedic-surgeon-nice-eddy-becquet-001\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgien-orthopediste-nice-eddy-becquet-001.jpg 372w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgien-orthopediste-nice-eddy-becquet-001-226x300.jpg 226w\" sizes=\"(max-width: 372px) 100vw, 372px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"586\" height=\"768\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-accueil.jpg\" alt=\"\" class=\"wp-image-1719\" title=\"surgery-hand-foot-Nice-Becquet-eye-union-hallux-valgus-operation-accueil\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-accueil.jpg 586w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-accueil-480x629.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 586px, 100vw\" \/><\/figure>\n\n\n\n<h4>His method<\/h4>\n\n\n\n<h3>Who is Dr. Becquet?<\/h3>\n\n\n\n<p>Depuis plus de 15 ans, Docteur Becquet se passionne pour la chirurgie de l\u2019hallux valgus. Conscient que les techniques traditionnelles pour op\u00e9rer cette pathologie donnaient des suites longues et douloureuses, il s\u2019est int\u00e9ress\u00e9 tr\u00e8s rapidement aux techniques mini-invasive et percutan\u00e9e qui permettent au chirurgien de travailler avec de petites incisions : l\u2019impact traumatique est bien moindre sur l\u2019hallux valgus op\u00e9r\u00e9 et permet ainsi une r\u00e9cup\u00e9ration rapide, tant sur la reprise de l\u2019appui qui est imm\u00e9diat qu\u2019en mati\u00e8re de douleurs qui deviennent inexistantes ou tr\u00e8s supportables.<a href=\"https:\/\/www.doctolib.fr\/chirurgien-orthopediste\/nice\/eddy-becquet\">Make an appointment<\/a><\/p>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<p>Pour obtenir une r\u00e9cup\u00e9ration encore plus rapide apr\u00e8s chirurgie de l\u2019hallux valgus, le Docteur Becquet, toujours \u00e0 la recherche d\u2019innovation, est devenu adepte du Fast-Track. Il s\u2019agit d\u2019une m\u00e9thode de prise en charge du patient visant \u00e0 prendre les mesures n\u00e9cessaires pour ma\u00eetriser son stress post-op\u00e9ratoire afin de lui permettre une r\u00e9cup\u00e9ration plus rapide et diminuer sensiblement le risque de complications. Ainsi dans le cadre de la chirurgie de l\u2019hallux valgus, le Docteur Becquet a mis en place avec son \u00e9quipe une prise en charge de type FAST-TRACK associant :<\/p>\n\n\n\n<p>Une information d\u00e9taill\u00e9e tant orale qu\u2019\u00e9crite donn\u00e9e au patient tout au long de sa prise en charge, contribuant ainsi \u00e0 le s\u00e9curiser mais aussi \u00e0 le rendre ma\u00eetre et acteur de ses soins<\/p>\n\n\n\n<p>Minimally invasive and percutaneous surgery is much less traumatic on the tissues thanks to the miniaturization of the incisions<\/p>\n\n\n\n<p>L\u2019anesth\u00e9sie loco-r\u00e9gionale qui d\u2019une part a facilit\u00e9 la prise en charge en ambulatoire et d\u2019autre part a permis d\u2019optimiser le contr\u00f4le de la douleur par un r\u00e9veil tr\u00e8s progressif du pied op\u00e9r\u00e9<\/p>\n\n\n\n<p>L\u2019hospitalisation ambulatoire, en r\u00e9duisant \u00e0 quelques heures le passage du patient \u00e0 la clinique, permet de diminuer sensiblement le caract\u00e8re anxiog\u00e8ne d\u2019une hospitalisation. En effet le patient pr\u00e9f\u00e8re retrouver rapidement son environnement habituel.<\/p>\n\n\n\n<p>The personalized follow-up at home is reassuring for the patient. It will therefore promote rapid recovery after surgery:<\/p>\n\n\n\n<p>\u2013 par l\u2019intervention d\u2019un prestataire de service et son \u00e9quipe d\u2019infirmiers lib\u00e9raux qui fera le relais entre le patient et le chirurgien<br>\u2013 passage pluriquotidien au domicile du patient gr\u00e2ce \u00e0 une application Smartphone<br>\u2013 coordinatrice du prestataire joignable 24h\/24 en cas de probl\u00e8me<br>\u2013 rapport quotidien au chirurgien sur l\u2019\u00e9volution post-op\u00e9ratoire de son patient<br>\u2013 informations orales et \u00e9crites donn\u00e9es au patient sur son suivi op\u00e9ratoire ; l\u2019information donn\u00e9e par le prestataire et son \u00e9quipe d\u2019infirmiers est strictement identique \u00e0 celle donn\u00e9e par le chirurgien pour \u00e9viter toute discordance dans le discours qui est source d\u2019anxi\u00e9t\u00e9 chez le patient<br>\u2013 mise en place et suivi d\u2019un diffuseur antalgique pour optimiser la gestion de la douleur post-op\u00e9ratoire, d\u00e9j\u00e0 bien ma\u00eetris\u00e9e par l\u2019association technique mini-invasive et percutan\u00e9e et l\u2019anesth\u00e9sie loco-r\u00e9gionale<\/p>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h2>CURRICULUM VITAE<\/h2>\n\n\n\n<p>9<\/p>\n\n\n\n<h4>Former intern of the hospitals of Lille 1997<\/h4>\n\n\n\n<p>9<\/p>\n\n\n\n<h4>Former chief of clinic of the hospitals of Lille 2002<\/h4>\n\n\n\n<p>9<\/p>\n\n\n\n<h4>Appointed Specialist in Hand and Foot Surgery 2002<\/h4>\n\n\n\n<p>9<\/p>\n\n\n\n<h4>Inter-university diploma in surgical pathology of the hand 2002<\/h4>\n\n\n\n<p>9<\/p>\n\n\n\n<h4>University Diploma in Vascular and Nerve Microsurgery 2000<\/h4>\n\n\n\n<p>9<\/p>\n\n\n\n<h4>University Diploma in Legal Compensation for Personal Injury 2004<\/h4>\n\n\n\n<p>9<\/p>\n\n\n\n<h4>Inter-university diploma in arthroscopy 2002<\/h4>\n\n\n\n<p>9<\/p>\n\n\n\n<h4>Lecturer for the National Diploma of Orthopaedic and Traumatological Surgery 2003<\/h4>\n\n\n\n<p>9<\/p>\n\n\n\n<h4>Lecturer in Anatomy of the Hand and Foot 2002<\/h4>\n\n\n\n<p>9<\/p>\n\n\n\n<h4>Associate member of the French Society of Hand Surgery<\/h4>\n\n\n\n<p>9<\/p>\n\n\n\n<h4>Member of the French Association of Foot Surgery<\/h4>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h2>Cabinet<\/h2>\n\n\n\n<p>Retrouvez votre orthop\u00e9diste au 3\u00e8me \u00e9tage du Hall 3 et n\u2019oubliez pas votre carte vitale !<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"1125\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0217.jpg\" alt=\"Chirurgien du pied Nice\" class=\"wp-image-215\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0217.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0217-300x225.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0217-768x576.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0217-1024x768.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0217-510x382.jpg 510w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0217-1080x810.jpg 1080w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"1125\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0213.jpg\" alt=\"Chirurgien du pied Nice\" class=\"wp-image-214\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0213.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0213-300x225.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0213-768x576.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0213-1024x768.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0213-510x382.jpg 510w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0213-1080x810.jpg 1080w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"1125\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0209.jpg\" alt=\"Chirurgien du pied Nice\" class=\"wp-image-213\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0209.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0209-300x225.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0209-768x576.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0209-1024x768.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0209-510x382.jpg 510w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/CHIRURGIE-MAIN-PIED-NICE-BECQUET-_0209-1080x810.jpg 1080w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"1125\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px.jpg\" alt=\"chirurgie pied nice\" class=\"wp-image-624\" title=\"foot surgery nice\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-300x225.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-768x576.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-1024x768.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-510x382.jpg 510w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/Chirurgie-pied-hallux-valgus-orteil-nice-becquet-IMG_2423-1500px-1080x810.jpg 1080w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><\/figure>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h2>Foot surgery | Hallux Valgus | Nice<\/h2>\n\n\n\n<p><a href=\"https:\/\/www.doctolib.fr\/chirurgien-orthopediste\/nice\/eddy-becquet\">Make an appointment<\/a><\/p>\n\n\n\n<h2>Dr Becquet's office<br>The Saint George Clinic<\/h2>\n\n\n\n<h2>2 Avenue de Rimiez<br>06105 Nice<\/h2>\n\n\n\n<h2>Tel : 04 93 169 169<\/h2>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h3>Minimally invasive and percutaneous surgery<br>Outpatient procedure<br>Reprise imm\u00e9diate de l\u2019appui<\/h3>\n\n\n\n<h3>An operation taking half an hour.<\/h3>\n\n\n\n<p>The operation can be performed by percutaneous surgery (incision of the order of a millimeter) or minimally invasive (incision of the order of a centimeter)<a href=\"https:\/\/www.doctolib.fr\/chirurgien-orthopediste\/nice\/eddy-becquet\">Make an appointment<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"586\" height=\"768\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-accueil.jpg\" alt=\"\" class=\"wp-image-1719\" title=\"surgery-hand-foot-Nice-Becquet-eye-union-hallux-valgus-operation-accueil\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-accueil.jpg 586w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-accueil-480x629.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 586px, 100vw\" \/><\/figure>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h3>When is it necessary to have surgery?<\/h3>\n\n\n\n<p>The essential criterion is the level of pain that the patient complains of. For a similar deformity, the feeling of pain can be completely different from one person to another. When walking and shoeing become painful, it is essential to put the option of surgery on the table.<br>A hallux valgus cannot resolve itself, it will necessarily deteriorate more or less quickly and progressively evolve towards a self-deformation.<br>The earlier the surgery is performed, the more likely it is to permanently prevent recurrence and the less invasive it will be.<br>Indeed, the new techniques of intervention can be used, they are much less cumbersome and have postoperative consequences in general limited.<\/p>\n\n\n\n<h3>Percutaneous surgery<\/h3>\n\n\n\n<p>This technique appeared a few years ago and is increasingly used for hallux valgus. When properly performed, it offers many advantages. It consists of operating through the skin, making mini incisions just sufficient to pass miniaturized instruments.<br>Il n\u2019est pas possible pour le chirurgien de voir directement ce qu\u2019il r\u00e9alise. Son toucher et son exp\u00e9rience vont \u00eatre primordiaux. N\u00e9anmoins il dispose d\u2019une technique compl\u00e9mentaire qui lui permet malgr\u00e9 tout d\u2019avoir une vision sur le d\u00e9roulement de l\u2019op\u00e9ration : l\u2019amplificateur de brillance par fluoroscopie.<br>Elle consiste \u00e0 s\u2019aider d\u2019un appareil \u00e0 rayon X tr\u00e8s peu puissant mais qui permet de visualiser un \u00e9l\u00e9ment cl\u00e9 dans le traitement de l\u2019hallux valgus : les os. L\u2019appareil est bien s\u00fbr qualifi\u00e9 et st\u00e9rilis\u00e9, et son taux de rayons est suffisamment faible pour que les chirurgiens puissent l\u2019utiliser tr\u00e8s r\u00e9guli\u00e8rement sans risque. Notons que cette technique n\u2019est qu\u2019une aide et un prolongement du ressenti du chirurgien. Rien ne peut remplacer son savoir-faire et son exp\u00e9rience.<\/p>\n\n\n\n<p>Les int\u00e9r\u00eats de cette technique sont \u00e9vidents : les incisions sont tr\u00e8s r\u00e9duites, les douleurs sont moindres et la r\u00e9cup\u00e9ration est plus rapide. Elle permet d\u2019\u00e9viter une hospitalisation.<\/p>\n\n\n\n<h3>What will be the level of pain?<\/h3>\n\n\n\n<p>The techniques used in the past have tarnished the image of this type of surgery to treat hallux valgus. Mini-invasive techniques and advances in local anesthesia allow for operations with very little pain in the overwhelming majority of cases.<br>La sensibilit\u00e9 \u00e0 la douleur n\u2019\u00e9tant pas la m\u00eame selon les personnes, il n\u2019est pas possible de garantir une intervention avec \u00ab z\u00e9ro douleur \u00bb. Toutefois la pratique de cette intervention uniquement en ambulatoire est un signe que la gestion de la douleur post op\u00e9ratoire ne pose en g\u00e9n\u00e9ral aucun probl\u00e8me s\u00e9rieux.<br>The management of pain is done very seriously in spite of everything. The quality of the local anesthesia will of course make it possible to feel no pain during the operation, but its effects will last at least 12 hours, limiting the pain that would immediately follow the operation. It is in fact in these hours following the operation that the pain can reappear, and the fact of having a prolonged analgesia in the operated area makes it possible to reduce post-operation stress and anxiety.<br>This device is complemented by a special device that will help the patient manage any pain once they leave the hospital. In the past, the patient had to stay in the clinic with an infusion to get an electric syringe.<\/p>\n\n\n\n<p>Now the patient has a single-use analgesic diffuser which, with the help of home nurses, allows the patient to return home as soon as possible. This has several important advantages. The patient can indeed<br>\u2013 Manger chez lui et dormir hors de la clinique<br>\u2013 \u00catre au calme par rapport \u00e0 l\u2019environnement bruyant d\u2019une clinique<br>\u2013 \u00catre entour\u00e9 de ses proches sans restriction.<\/p>\n\n\n\n<h3>Operations to treat hallux valgus<\/h3>\n\n\n\n<p>When symptomatic treatment options are exhausted, the only option left is surgery. It is the only way to eradicate the cause and the pain. The technique to be used must be shared between the patient and the practitioner. There are several approaches. The first is the percutaneous technique, which leaves only almost invisible incisions, and the second is called mini-invasive, and will be performed with incisions limited to 2 centimeters.<br>The procedures are performed with local anesthesia and sedation (optional). The patient does not need to stay at the clinic in the evening, and can leave immediately after the procedure.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1077\" height=\"720\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-HALLUX-VALGUS-verti-720.jpg\" alt=\"\" class=\"wp-image-1793\" title=\"surgery-hand-foot-Nice-Becquet-toe-onion-HALLUX-VALGUS-verti-720\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-HALLUX-VALGUS-verti-720.jpg 1077w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-HALLUX-VALGUS-verti-720-980x655.jpg 980w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-HALLUX-VALGUS-verti-720-480x321.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1077px, 100vw\" \/><\/figure>\n\n\n\n<h3>The mini-invasive technique<\/h3>\n\n\n\n<p>La chirurgie est dite mini invasive quand les incisions pratiqu\u00e9es sont de l\u2019ordre de 2 centim\u00e8tres. Toutefois les techniques employ\u00e9es \u00e0 l\u2019int\u00e9rieur du pied restent similaires \u00e0 la chirurgie dite classique.<br>Once the incisions have been made, the surgeon will carry out the operation. By performing osteotomies with specific instruments, most of which are inspired by the percutaneous technique.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"998\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/11\/Operation-hallux-valgus-pied-traitement-Nice-woman-standing-barefoot-in-fresh-snow-D9YX4BS.jpg\" alt=\"Op\u00e9ration Hallux valgus Nice - Clinique Saint-Antoine - Clinique Saint George\" class=\"wp-image-1255\" title=\"Is cryotherapy for everyone?\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/11\/Operation-hallux-valgus-pied-traitement-Nice-woman-standing-barefoot-in-fresh-snow-D9YX4BS.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/11\/Operation-hallux-valgus-pied-traitement-Nice-woman-standing-barefoot-in-fresh-snow-D9YX4BS-300x200.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/11\/Operation-hallux-valgus-pied-traitement-Nice-woman-standing-barefoot-in-fresh-snow-D9YX4BS-768x511.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/11\/Operation-hallux-valgus-pied-traitement-Nice-woman-standing-barefoot-in-fresh-snow-D9YX4BS-1024x681.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2020\/11\/Operation-hallux-valgus-pied-traitement-Nice-woman-standing-barefoot-in-fresh-snow-D9YX4BS-1080x719.jpg 1080w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><\/figure>\n\n\n\n<h3>How long will it take for me to walk normally?<\/h3>\n\n\n\n<p>Les techniques employ\u00e9es permettent de reprendre appui sur son pied juste apr\u00e8s l\u2019op\u00e9ration, avec l\u2019aide d\u2019une chaussure sp\u00e9cifique que le patient devra garder environ une semaine. La reprise d\u2019appui doit se faire avec l\u2019ensemble de la plante du pied. En effet, il ne faut pas marcher en appuyant sur le c\u00f4t\u00e9 du pied ou sur le talon. Cela n\u2019est pas forc\u00e9ment \u00e9vident et beaucoup de patients vont instinctivement ne pas respecter cette consigne. Il est normal d\u2019appr\u00e9hender la reprise de la marche apr\u00e8s l\u2019op\u00e9ration ; aussi on pr\u00e9conise un protocole progressif pour rassurer les patients.<br>During the first week, walking is allowed but must be limited to what is strictly necessary. It is recommended not to leave your home. Treading and prolonged standing without walking should be avoided. When the patient sits or lies down, it is recommended to elevate the foot and leg.<br>The following week, the patient can walk outside the home, gradually. Walking periods should be limited to about 15 minutes, but should not exceed a total of two hours per day.<br>Augmenter progressivement sa quantit\u00e9 de marche en fonction de son ressenti. Il est conseill\u00e9 d\u2019abandonner d\u00e9finitivement la chaussure sp\u00e9ciale et de mettre une chaussure souple et plate comme des \u00ab baskets \u00bb.<br>L\u2019arr\u00eat de travail d\u00e9pend de l\u2019activit\u00e9. Le travail peut \u00eatre repris au bout de deux semaines dans les cas favorables. Il ne faut bien s\u00fbr pas que l\u2019activit\u00e9 n\u00e9cessite de beaucoup marcher ou de \u00ab pi\u00e9tiner \u00bb de mani\u00e8re r\u00e9p\u00e9titive. Dans le cas contraire, la p\u00e9riode de convalescence devra \u00eatre prolong\u00e9e. En cas de reprise pr\u00e9coce du travail, il faut que la sur\u00e9l\u00e9vation du pied soit possible quand le patient sera assis.<br>In general, as a precaution, the prescribed time off work is about three weeks.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"5000\" height=\"2851\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1.jpg\" alt=\"Chirurgie du pied Hallux valgus\" class=\"wp-image-561\" title=\"Bunion, Hallux valgus\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1.jpg 5000w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1-300x171.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1-768x438.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1-1024x584.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-HALLUX-VALGUS-1-1080x616.jpg 1080w\" sizes=\"(max-width: 5000px) 100vw, 5000px\" \/><\/figure>\n\n\n\n<h3>Les nouvelles techniques de l&rsquo;hallux valgus<\/h3>\n\n\n\n<p>For several years, much less invasive techniques have been developed to treat hallux valgus. They consist in making very small incisions instead of having a large operating field. They are therefore more complicated for the surgeon to implement.<\/p>\n\n\n\n<h3>Les int\u00e9r\u00eats des interventions mini-invasives et percutan\u00e9es pour soigner l&rsquo;hallux valgus<\/h3>\n\n\n\n<p>The percutaneous technique is very recent in Europe. It is a tool that must be adapted to the procedure. It is not systematically used for hallux valgus and should not be. It consists of performing an operation through the skin, using miniaturized instruments dedicated to this type of surgery.<\/p>\n\n\n\n<p>Ceci permet :<br>-The fact that the patient does not remain hospitalized<br>-Prompt recovery<br>-Less swelling and pain<br>-A possibility to walk very quickly after the operation.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"1001\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/hallux-valgus-nice-pied-pansement-unrecognizable-doctor-bandaging-foot-of-patient-YRE5L7S.jpg\" alt=\"Douleur \u00e0 la main - Chirurgien de la main - Chirurgien du pied \u00e0 Nice\" class=\"wp-image-1904\" title=\"Unrecognizable doctor bandaging foot of patient\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/hallux-valgus-nice-pied-pansement-unrecognizable-doctor-bandaging-foot-of-patient-YRE5L7S.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/hallux-valgus-nice-pied-pansement-unrecognizable-doctor-bandaging-foot-of-patient-YRE5L7S-1280x854.jpg 1280w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/hallux-valgus-nice-pied-pansement-unrecognizable-doctor-bandaging-foot-of-patient-YRE5L7S-980x654.jpg 980w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/04\/hallux-valgus-nice-pied-pansement-unrecognizable-doctor-bandaging-foot-of-patient-YRE5L7S-480x320.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 1500px, 100vw\" \/><\/figure>\n\n\n\n<h3>How to manage dressings?<\/h3>\n\n\n\n<p>One week after the operation, the first dressing will be redone by the surgeon. The following ones will be done by a nurse. The liberal nurses are perfectly qualified to carry out these new dressings. They will be changed every two days for two weeks.<br>Au bout de deux semaines, les fils seront enlev\u00e9s par l\u2019infirmi\u00e8re et vous pourrez alors reprendre une douche et mouiller l\u2019int\u00e9gralit\u00e9 du pied op\u00e9r\u00e9 \u2013 le s\u00e9chage du pied (avec \u00e9ventuellement l\u2019usage d\u2019un s\u00e8che cheveux) est important pour \u00e9viter tout ph\u00e9nom\u00e8ne de mac\u00e9ration de la cicatrice (pr\u00e9sence de croutes lorsque la cicatrice est encore r\u00e9cente). Si des broches ext\u00e9rioris\u00e9es ont \u00e9t\u00e9 pos\u00e9es, votre cicatrice pourra \u00e9galement \u00eatre mouill\u00e9e \u00e0 condition de bien s\u00e9cher l\u2019extr\u00e9mit\u00e9 apparente de la broche.<\/p>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h2>La r\u00e9cup\u00e9ration apr\u00e8s chirurgie :<\/h2>\n\n\n\n<h2>a rapid phase<\/h2>\n\n\n\n<h3>THE MODALITIES OF A RETURN HOME<\/h3>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"860\" height=\"1014\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/03\/chirurgie-pied-nice-fitness-couple-at-gym-X67JW38.jpg\" alt=\"\" class=\"wp-image-1826\" title=\"Fitness couple at gym\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/03\/chirurgie-pied-nice-fitness-couple-at-gym-X67JW38.jpg 860w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/03\/chirurgie-pied-nice-fitness-couple-at-gym-X67JW38-480x566.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 860px, 100vw\" \/><\/figure>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h2>Supervised by health professionals, specialists in percutaneous surgery in the Nice area<\/h2>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h2>Successful return home is essential<\/h2>\n\n\n\n<p>C\u2019est une condition de r\u00e9cup\u00e9ration et de succ\u00e8s incontournable et il convient de bien l\u2019accompagner. Un suivi rapproch\u00e9 est alors d\u00e9ploy\u00e9 par l\u2019interm\u00e9diaire d\u2019interventions d\u2019une \u00e9quipe d\u00e9di\u00e9e d\u2019infirmi\u00e8res ou d\u2019infirmiers lib\u00e9raux. Ceux-ci feront les interm\u00e9diaires au quotidien entre le chirurgien et le patient : E<\/p>\n\n\n\n<h3>Available at any time of the day or night<\/h3>\n\n\n\n<p>E<\/p>\n\n\n\n<h3>Presence several times a day at home.<\/h3>\n\n\n\n<p>E<\/p>\n\n\n\n<h3>Daily feedback to the surgeon on the patient's progress<\/h3>\n\n\n\n<p>E<\/p>\n\n\n\n<h3>Rigorous note-taking of the postoperative follow-up and written and oral communication of the surgeon's instructions and information.<\/h3>\n\n\n\n<p>E<\/p>\n\n\n\n<h3>Provision of an analgesic diffuser for good management of possible postoperative pain<\/h3>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"500\" height=\"654\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgien-main-pied-Nice-hallux-valgus-Becquet-serrer-main.jpg\" alt=\"\" class=\"wp-image-1731\" title=\"surgeon-hands-foot-Nice-hallux-valgus-Becquet-tighten-hand\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgien-main-pied-Nice-hallux-valgus-Becquet-serrer-main.jpg 500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2021\/02\/chirurgien-main-pied-Nice-hallux-valgus-Becquet-serrer-main-480x628.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 500px, 100vw\" \/><\/figure>\n\n\n\n<h1>Chirurgien orthop\u00e9diste Tourette Levens<\/h1>\n\n\n\n<h2>Pain management after surgery:<\/h2>\n\n\n\n<p>Lorsque le patient quitte l\u2019h\u00f4pital ou la clinique, il dispose d\u2019un dispositif sp\u00e9cifique qui permet une diffusion progressive de produits anti-douleur, par voie intraveineuse. Cela permet de compl\u00e9ter dans la durer, l\u2019effet analg\u00e9sique de l\u2019anesth\u00e9sie. Les antalgiques utilis\u00e9s ne sont pas d\u00e9riv\u00e9s de la morphine, pour \u00e9viter les intol\u00e9rances. Ce dispositif est un progr\u00e8s dans la mesure o\u00f9 gr\u00e2ce \u00e0 sa miniaturisation, le patient n\u2019est pas oblig\u00e9 \u00e0 rester allong\u00e9, contrairement aux perfusions classiques. Ce dispositif facilite la convalescence du patient et le rassure. Les infirmi\u00e8res lib\u00e9rales qui vont suivre le patient \u00e0 son retour sont parfaitement form\u00e9es \u00e0 son utilisation.<\/p>\n\n\n\n<p>Le patient peut ainsi :<br>-Staying at home at night, and avoiding the noise and anxiety of the hospital environment<br>-Being surrounded by loved ones right after the operation, which reassures him and facilitates his recovery.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"1500\" height=\"1125\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-IMG_2449.jpg\" alt=\"chirurgie pied nice\" class=\"wp-image-636\" title=\"foot surgery nice\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-IMG_2449.jpg 1500w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-IMG_2449-300x225.jpg 300w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-IMG_2449-768x576.jpg 768w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-IMG_2449-1024x768.jpg 1024w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-IMG_2449-510x382.jpg 510w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/chirurgie-main-pied-Nice-Becquet-orteil-oignon-hallux-valgus-operation-IMG_2449-1080x810.jpg 1080w\" sizes=\"(max-width: 1500px) 100vw, 1500px\" \/><\/figure>\n\n\n\n<h2>Management of postoperative edema<\/h2>\n\n\n\n<p>Pain management cannot be fully effective if instructions for limiting foot swelling are not followed. Swelling will distend the tissue and cause pain.<\/p>\n\n\n\n<p>Pour s\u2019en pr\u00e9munir les habitudes suivantes sont \u00e0 mettre en place d\u00e8s la fin de l\u2019op\u00e9ration :<br>1) Elevate the operated limb as soon as the patient sits or lies down. In fact, venous return is favored, which will help limit the edema.<br>2) Le suivi du protocole de reprise de la locomotion dans les trois semaines suivant l\u2019intervention. Le non-respect de ce protocole peut engendrer une r\u00e9surgence de l\u2019\u0153d\u00e8me et donc des douleurs. Pour rappel, voici les grandes lignes de ce protocole :<\/p>\n\n\n\n<p>Foot support should be limited to the strict minimum during the first week, and the patient should remain at home. Standing without walking or stomping should be avoided.<br>La deuxi\u00e8me semaine, le patient peut sortir de chez lui en limitant le temps de marche \u00e0 des p\u00e9riodes d\u2019environ un quart d\u2019heure, pas plus de deux heures par jour. La chaussure post op\u00e9ratoire pourra alors \u00eatre enlev\u00e9e d\u00e9finitivement au profit de chaussures souples, type \u201cBasket\u201d.<br>During the third week, the patient gradually increases his walking time according to his feeling.<\/p>\n\n\n\n<p>3) Self-education which will consist of<\/p>\n\n\n\n<p>-Quickly return to a flat footed stance after the operation<br>-Put on soft shoes after one week<br>-Resume walking after one week away from home<\/p>\n\n\n\n<p>4) Icing, which consists of applying a cold pack when the patient's foot is elevated in a sitting or lying position. This will limit swelling and inflammation and therefore the onset of pain.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" width=\"391\" height=\"261\" src=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/diffus.png\" alt=\"chirurgie percutan\u00e9e nice\" class=\"wp-image-174\" title=\"percutaneous surgery nice\" srcset=\"https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/diffus.png 391w, https:\/\/hallux-valgus-nice.fr\/wp-content\/uploads\/2019\/06\/diffus-300x200.png 300w\" sizes=\"(max-width: 391px) 100vw, 391px\" \/><\/figure>\n\n\n\n<h2>Zoom on the analgesic diffuser<\/h2>\n\n\n\n<p>C\u2019est un mat\u00e9riel \u00e0 usage unique constitu\u00e9 d\u2019un mini r\u00e9servoir et d\u2019une tubulure permettant la diffusion du produit.<br>Through a strong network of trained nurses, the reservoir is filled once a day and the patient's pain level is reviewed.<br>This diffuser is an important progress in the management of pain and allows the patient to go home, reassured, and as soon as possible.<br>When the device is removed, conventional oral painkillers are prescribed for about four days. After this period, painkillers must be taken according to the patient's feelings.<br>The three provisions aimed at limiting pain (local anaesthesia, portable diffuser and traditional oral treatment) follow a philosophy that aims to avoid the onset of pain and to maintain a good level of comfort for the patient.<\/p>\n\n\n\n<h2>The use of Fast Track, or rapid recovery after surgery.<\/h2>\n\n\n\n<p>Fast-track is a protocol created 20 years ago in Denmark. It aims to restore the patient's autonomy as quickly as possible after an operation, by taking multifactorial responsibility for his recovery. It covers measures taken during the operation and in postoperative management, as well as pain relief devices.<\/p>\n\n\n\n<p>Quel est l\u2019objectif du fast-track ?<br>The objective is to limit the psychological and physical stress related to an operation. This allows for a better recovery and increases the chances of success. It also allows to limit the risks linked to prolonged hospitalizations (nosocomial diseases, circulatory disorders etc.)<br>Quelle est sa d\u00e9clinaison pour le traitement de l\u2019hallus valgus ?<\/p>\n\n\n\n<p>-The use of minimally invasive surgical techniques such as percutaneous and mini-invasive techniques. They are much less aggressive for tissues such as skin, tendons or muscles and therefore allow a good recovery.<\/p>\n\n\n\n<p>-L\u2019emploi d\u2019une anesth\u00e9sie loco-r\u00e9gionale qui implique un endormissement limit\u00e9 au strict n\u00e9cessaire. Cela permet d\u2019\u00e9viter une anesth\u00e9sie g\u00e9n\u00e9rale source de lourdeur et de complication. L\u2019anesth\u00e9sie loco r\u00e9gionale permet \u00e9galement de garder un bon niveau d\u2019analg\u00e9sie post op\u00e9ratoire pendant plusieurs heures ;<\/p>\n\n\n\n<p>-The hospitalization in day hospital that these new techniques allow and the progress in anesthesia. The patient can quickly return to his normal routine, which reduces his stress and anxiety. This obviously contributes to a better recovery in the best conditions.<\/p>\n\n\n\n<p>A close follow-up at the patient's home with a team of providers. They provide daily monitoring and a reinforced link with the care team and the surgeon. This makes it possible to secure the crucial weeks following the operation.<\/p>\n\n\n\n<p>-Reinforced coordination between the perioperative staff and the hospital teams. This allows for a permanent follow-up of the patients. The messages given to the patient are perfectly coherent, which aims to reassure them.<\/p>\n\n\n\n<p>-The patient does not just undergo the procedure. He is an actor and participates in his complete recovery. The patient is put in a situation to manage his own pain, thanks to a scale used with the help of the liberal nurses.<\/p>\n\n\n\n<p>-Finally, it should be remembered that the level of information provided to the patient on the complete course of his or her care is essential to ensure that the care is perfectly mastered and that the complementary measures to be implemented after the operation are well followed.<\/p>\n\n\n\n<h3>To contact the<\/h3>\n\n\n\n<h2>Chirurgien du Pied | Hallux valgus Marseille<\/h2>\n\n\n\n<p>Doctor Becquet's office<br>Saint-George Polyclinic<\/p>\n\n\n\n<p>Hall 3 \u2013 3\u00e8me \u00e9tage<br>2 avenue de rimiez<br>06105 Nice<\/p>\n\n\n\n<h4>Phone<\/h4>\n\n\n\n<p>04 93 169 169<a href=\"https:\/\/www.doctolib.fr\/chirurgien-orthopediste\/nice\/eddy-becquet\">Make an appointment<\/a> https:\/\/www.google.com\/maps\/embed?pb=!1m14!1m8!1m3!1d11531.637973255894!2d7.277524!3d43.733207!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x0%3A0x48862bfb785f00e!2sClinique%20Saint%20George!5e0!3m2!1sfr!2sfr!4v1614273807949!5m2!1sfr!2sfr<\/p>\n\n\n\n<h3>Quick links<\/h3>\n\n\n\n<p><a href=\"https:\/\/hallux-valgus-nice.fr\/en\/index.php\/chirurgie-hallux-valgus-nice\/?preview_id=1408&amp;preview_nonce=2e71b11b99&amp;preview=true\">Hallux valgus Marseille | D\u00e9finition<\/a><\/p>\n\n\n\n<p><a href=\"http:\/\/hallux-valgus-nice.fr\/en\/chirurgien-hallux-valgus-nice\/\">Hallux valgus Marseille | Op\u00e9ration du pied<\/a><\/p>\n\n\n\n<p><a href=\"http:\/\/hallux-valgus-nice.fr\/en\/chirurgien-pied-nice\/\">Hallux valgus Marseille | Retour \u00e0 domicile<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/chirurgie-main-pied.fr\/\">Hand and foot surgery Nice<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/chirurgie-percutanee-pied-nice.fr\/\">Minimally invasive and percutaneous surgery<\/a><\/p>\n\n\n\n<h3>Operator's manual<\/h3>\n\n\n\n<p><a href=\"https:\/\/hallux-valgus-nice.fr\/en\/wp-content\/uploads\/2019\/06\/manuel.jpg\/\">Read the manual<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Docteur Eddy Becquet Chirurgien du piedHallux valgus Marseille Prendre rendez-vous I Chirurgien orthop\u00e9diste Tourette Levens Chirurgien du Pied Docteur Becquet Clinique Saint-George Hall 3 \u2013 3\u00e8me \u00e9tage2 avenue de rimiez06100 Nice T\u00e9l : 04 93 169 169Prendre rendez-vous Chirurgie percutan\u00e9e et mini-invasive pour le traitement de l\u2019Hallux Valgus : Quel traitement pour l\u2019Hallux Valgus Les [&hellip;]<\/p>","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.1 - 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