{"id":13370,"date":"2023-10-18T10:59:11","date_gmt":"2023-10-18T10:59:11","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13370"},"modified":"2023-10-18T10:59:14","modified_gmt":"2023-10-18T10:59:14","slug":"llr-policy-for-bunions-hallux-valgus","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/llr-policy-for-bunions-hallux-valgus\/","title":{"rendered":"Politica LLR pentru Bunions (Hallux Valgus)"},"content":{"rendered":"

<\/p>\n\n\n\n

Categoria<\/strong><\/p>\n\n\n\n

Criterii de prag<\/p>\n\n\n\n

Hallux valgus, cunoscut \u00een mod obi\u0219nuit sub numele de bunions, poate provoca dureri de diferite grade, cu limitarea func\u021biei \u0219i a mobilit\u0103\u021bii ca efect al presiunii exercitate de pantofi peste proeminen\u021ba medial\u0103 a capului metatarsian. Managementul conservator, cum ar fi ortezele, nu ajut\u0103 \u00eentotdeauna la recuperarea simptomelor \u0219i la \u00eembun\u0103t\u0103\u021birea rezultatului pe termen lung. Interven\u021bia chirurgical\u0103 poate aduce \u00eembun\u0103t\u0103\u021biri semnificative ale simptomelor \u0219i parametrilor clinici, dar nu este \u00eentotdeauna lipsit\u0103 de riscuri.<\/p>\n\n\n\n

\u00cen primul r\u00e2nd, ar trebui folosite tehnici de management conservatoare. Aceste tehnici includ:<\/p>\n\n\n\n

\u2022 Evitarea pantofilor cu toc \u00eenalt \u0219i purtarea pantofilor din piele, care se \u00eentind, cu talie largi<\/p>\n\n\n\n

\u2022 Tratamente nechirurgicale, cum ar fi tampoane, atele, bran\u021buri sau scuturi.<\/p>\n\n\n\n

\u2022 Analgezie simpl\u0103.<\/p>\n\n\n\n

ICB-urile vor NU FOND DE RUTIN\u0102<\/strong> interven\u021bii chirurgicale pentru bunions asimptomatice \u00een scop cosmetic<\/p>\n\n\n\n

Tratamentul chirurgical al bunions este un serviciu de zi la Spitalul General Leicester \u0219i spitalul comunitar din Leicestershire<\/p>\n\n\n\n

Eligibilitate<\/strong><\/p>\n\n\n\n

<\/p>\n\n\n\n

GCC-urile LLR vor finan\u021ba aceast\u0103 procedur\u0103 numai dac\u0103 sunt \u00eendeplinite urm\u0103toarele criterii<\/strong>
\u00a0<\/em><\/strong>
\u00b7 Managementul conservator a e\u0219uat
\u00a0
-\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/a>Pacientul este apt pentru opera\u021bie cu un IMC <45
\u00a0
\u00b7 Pacientul este dispus s\u0103 aib\u0103 o opera\u021bie care \u00eei poate opri s\u0103 lucreze sau s\u0103 conduc\u0103 timp de 8 s\u0103pt\u0103m\u00e2ni
\u00a0
\u0218I<\/strong>
\u00a0
\u00b7 Pacientul sufer\u0103 de durere sever\u0103 sau deformare care provoac\u0103 afectare func\u021bional\u0103 semnificativ\u0103, inclusiv:
\u00a0
o Simptome care \u00eempiedic\u0103 pacientul s\u0103-\u0219i \u00eendeplineasc\u0103 responsabilit\u0103\u021bile profesionale sau educa\u021bionale
\u00a0
SAU<\/strong>
\u00a0<\/strong>
o Simptome care \u00eempiedic\u0103 pacientul s\u0103 desf\u0103\u0219oare activit\u0103\u021bi casnice sau de \u00eengrijire
\u00a0
\u00a0
Pacien\u021bii cu un IMC > 45 au nevoie de consiliere pentru m\u0103suri de sc\u0103dere \u00een greutate, urmate de trimitere.

<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
Data revizuirii ARP 16: 2026<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"

Category Threshold Criteria Hallux valgus, commonly kown as bunions, can cause varying degree of pain with limitation of function and mobility as an effect of pressure from shoes over the […]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57],"tags":[69,83],"class_list":["post-13370","post","type-post","status-publish","format-standard","hentry","category-policies","tag-orthopaedics","tag-threshold"],"yoast_head":"\nLLR Policy for Bunions (Hallux Valgus) - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/llr-policy-for-bunions-hallux-valgus\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LLR Policy for Bunions (Hallux Valgus) - 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