{"id":5110,"date":"2024-02-06T11:37:07","date_gmt":"2024-02-06T10:37:07","guid":{"rendered":"https:\/\/dottfabriziosergio.it\/newsite\/?page_id=5110"},"modified":"2024-03-13T15:17:14","modified_gmt":"2024-03-13T14:17:14","slug":"piede-piatto","status":"publish","type":"page","link":"https:\/\/dottfabriziosergio.it\/newsite\/piede-piatto\/","title":{"rendered":"Piede piatto"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5110\" class=\"elementor elementor-5110\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b994f34 e-flex e-con-boxed e-con e-parent\" data-id=\"b994f34\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ed0e5b3 elementor-widget elementor-widget-pxl_heading\" data-id=\"ed0e5b3\" data-element_type=\"widget\" data-widget_type=\"pxl_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pxl-heading\">\n\t<div class=\"pxl-heading--inner\">\n\t\t\t<h3 class=\"pxl-item--title  highlight-default Rajdhani\" data-wow-delay=\"ms\">\n\tPiede piatto\t\t\n\t<\/h3>\n<\/div>\n<\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2ad97ef e-flex e-con-boxed e-con e-parent\" data-id=\"2ad97ef\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ff52367 elementor-widget elementor-widget-pxl_image\" data-id=\"ff52367\" data-element_type=\"widget\" data-widget_type=\"pxl_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pxl-image-single   \" data-wow-delay=\"ms\" data-maxtilt=\"\" data-speedtilt=\"\">\r\n                        <div class=\"pxl-item--inner\">\r\n                                <img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"543\" src=\"https:\/\/dottfabriziosergio.it\/newsite\/wp-content\/uploads\/2024\/02\/piede-piatto-dott-fabrizo-sergio-l.jpg\" class=\"no-lazyload attachment-full\" alt=\"\" \/>                            <\/div>\r\n            <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4e690ee e-flex e-con-boxed e-con e-parent\" data-id=\"4e690ee\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c2add72 elementor-widget elementor-widget-spacer\" data-id=\"c2add72\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e30d29c elementor-widget elementor-widget-text-editor\" data-id=\"e30d29c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div id=\"allegati-main\" style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s; margin-top: 30px; color: #626262; font-family: 'Open Sans', sans-serif; font-size: 13px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: 0.26px; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">\u00a0<\/div><div class=\"clearfix\" style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s; color: #626262; font-family: 'Open Sans', sans-serif; font-size: 13px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: 0.26px; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\">\u00a0<\/div><div class=\"blog-details-text\" style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s; color: #000000; font-family: 'Open Sans', sans-serif; font-size: 13px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: 0.26px; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;\"><div style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\"><strong style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s; font-weight: 600;\">Tecnica chirurgica mini-invasiva percutanea, con endortesi endosenotarsica \u00a0nel trattamento del piede piatto valgo.<\/strong><br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>\u00a0<\/div><div style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\"><br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>Tale intervento viene preso in considerazione se non si \u00e8 avuta la giusta correzione entro l\u20198\u00b0-9\u00b0 anno di et\u00e0.\u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>\u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>L&#8217;intervento consiste nell&#8217;introduzione di una\u00a0 vite in titanio per via percutanea, attraverso una mini incisione\u00a0\u00a0della cute, al\u2019interno del seno del tarso.<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>Il synus tarsi \u00e8 quello spazio normalmente esistente tra calcagno e astragalo tra le articolazioni della sottoastragalica la cui escursione eccessiva in pronazione \u00e8 responsabile della deformit\u00e0.<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>L\u2019introduzione pertanto di una vite in questo spazio \u00a0limita l\u2019iperpronazione impedendo lo scivolamento dell\u2019astragalo sul calcagno. Tale correzione \u00e8 inizialmente di natura meccanica ma successivamente assume una natura propriocettiva, in quanto lo stimolo meccanico esercitato dalla vite a livello dei recettori presenti nei tessuti del synus tarsi stimola per via riflessa i muscoli deputati al mantenimento della volta la cui tensione viene adattata alla nuova situazione<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>\u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>L&#8217;intervento \u00e8 tecnicamente molto semplice, \u00a0ha una durata di circa 5-10 minuti, in anestesia locale con blanda sedazione per evitare stress al piccolo paziente.<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>\u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>Il ricovero avviene in one-day-surgery con permanenza di 12-24 ore nella struttura<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>\u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>Al termine dell\u2019intervento viene confezionato uno stivaletto gessato o prescritto un tutore ,\u00a0 che dovr\u00e0 essere portato per 15-20 giorni<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>Dopo tale periodo il gesso o il tutore\u00a0 viene rimosso e viene prescritto un ciclo di 10 giorni di fisioterapia\u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>\u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>\u00a0A due mesi dall&#8217;intervento il piccolo paziente pu\u00f2 tornare a correre e a praticare l&#8217;attivit\u00e0 sportiva desiderata.<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>\u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>I risultati sono nella stragrande maggioranza dei casi ottimi con riallineamento del retropiede e incremento notevole della volta longitudinale mediale del piede e non sono state in pratica osservate reazioni avverse al prodotto o mobilizzazioni dell&#8217;impianto che hanno richiesto la rimozione.\u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>\u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>L&#8217;intervento \u00e8 indicato nei soggetti in accrescimento, \u00a0tra gli 8 e i 12 anni, con piede piatto-valgo di terzo grado. \u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>\u00a0<br style=\"box-sizing: border-box; transition-timing-function: ease-in-out; transition-duration: 0.2s;\" \/>Il conclusione l\u2019intervento di artrorisi rappresenta una soluzione efficace, allorquando la terapia ortesica non ha sortito effetti, considerando oltretutto la minima \u00a0invasivit\u00e0 chirurgica, la rapida ripresa funzionale del distretto e la possibilit\u00e0 di sottrarre questi pazienti ad interventi chirurgici maggiormente aggressivi e demolitivi \u00a0che spesso si rendono necessari appena superata l\u2019et\u00e0 dell\u2019accrescimento scheletrico e spesso nell&#8217;et\u00e0 adulta.<\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-df1b3f5 e-flex e-con-boxed e-con e-parent\" data-id=\"df1b3f5\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-554334b elementor-widget elementor-widget-spacer\" data-id=\"554334b\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-18e3a20 elementor-widget elementor-widget-pxl_image\" data-id=\"18e3a20\" data-element_type=\"widget\" data-widget_type=\"pxl_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pxl-image-single   \" data-wow-delay=\"ms\" data-maxtilt=\"\" data-speedtilt=\"\">\r\n                        <div class=\"pxl-item--inner\">\r\n                                <img decoding=\"async\" width=\"800\" height=\"543\" src=\"https:\/\/dottfabriziosergio.it\/newsite\/wp-content\/uploads\/2024\/02\/piede-piatto-dott-fabrizo-sergio-b-l.jpg\" class=\"no-lazyload attachment-full\" alt=\"\" \/>                            <\/div>\r\n            <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-57a3cdf elementor-widget elementor-widget-pxl_image\" data-id=\"57a3cdf\" data-element_type=\"widget\" data-widget_type=\"pxl_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pxl-image-single   \" data-wow-delay=\"ms\" data-maxtilt=\"\" data-speedtilt=\"\">\r\n                        <div class=\"pxl-item--inner\">\r\n                                <img decoding=\"async\" width=\"800\" height=\"543\" src=\"https:\/\/dottfabriziosergio.it\/newsite\/wp-content\/uploads\/2024\/02\/piede-piatto-dott-fabrizo-sergio-1-l.jpg\" class=\"no-lazyload attachment-full\" alt=\"\" \/>                            <\/div>\r\n            <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff732cb elementor-widget elementor-widget-pxl_image\" data-id=\"ff732cb\" data-element_type=\"widget\" data-widget_type=\"pxl_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pxl-image-single   \" data-wow-delay=\"ms\" data-maxtilt=\"\" data-speedtilt=\"\">\r\n                        <div class=\"pxl-item--inner\">\r\n                                <img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"543\" src=\"https:\/\/dottfabriziosergio.it\/newsite\/wp-content\/uploads\/2024\/02\/piede-piatto-dott-fabrizo-sergio2-l.jpg\" class=\"no-lazyload attachment-full\" alt=\"\" \/>                            <\/div>\r\n            <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d101e4 elementor-widget elementor-widget-pxl_image\" data-id=\"4d101e4\" data-element_type=\"widget\" data-widget_type=\"pxl_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pxl-image-single   \" data-wow-delay=\"ms\" data-maxtilt=\"\" data-speedtilt=\"\">\r\n                        <div class=\"pxl-item--inner\">\r\n                                <img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"543\" src=\"https:\/\/dottfabriziosergio.it\/newsite\/wp-content\/uploads\/2024\/02\/piede-piatto-dott-fabrizo-sergio13-l.jpg\" class=\"no-lazyload attachment-full\" alt=\"\" \/>                            <\/div>\r\n            <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e6e7755 elementor-widget elementor-widget-pxl_image\" data-id=\"e6e7755\" data-element_type=\"widget\" data-widget_type=\"pxl_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pxl-image-single   \" data-wow-delay=\"ms\" data-maxtilt=\"\" data-speedtilt=\"\">\r\n                        <div class=\"pxl-item--inner\">\r\n                                <img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"543\" src=\"https:\/\/dottfabriziosergio.it\/newsite\/wp-content\/uploads\/2024\/02\/piede-piatto-dott-fabrizo-sergio12-l.jpg\" class=\"no-lazyload attachment-full\" alt=\"\" \/>                            <\/div>\r\n            <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b7ca6f elementor-widget elementor-widget-pxl_image\" data-id=\"2b7ca6f\" data-element_type=\"widget\" data-widget_type=\"pxl_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pxl-image-single   \" data-wow-delay=\"ms\" data-maxtilt=\"\" data-speedtilt=\"\">\r\n                        <div class=\"pxl-item--inner\">\r\n                                <img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"543\" src=\"https:\/\/dottfabriziosergio.it\/newsite\/wp-content\/uploads\/2024\/02\/piede-piatto-dott-fabrizo-sergio15-l.jpg\" class=\"no-lazyload attachment-full\" alt=\"\" \/>                            <\/div>\r\n            <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6914122 elementor-widget elementor-widget-pxl_image\" data-id=\"6914122\" data-element_type=\"widget\" data-widget_type=\"pxl_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pxl-image-single   \" data-wow-delay=\"ms\" data-maxtilt=\"\" data-speedtilt=\"\">\r\n                        <div class=\"pxl-item--inner\">\r\n                                <img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"543\" src=\"https:\/\/dottfabriziosergio.it\/newsite\/wp-content\/uploads\/2024\/02\/piede-piatto-dott-fabrizo-sergio16-l.jpg\" class=\"no-lazyload attachment-full\" alt=\"\" \/>                            <\/div>\r\n            <\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Piede piatto \u00a0\u00a0Tecnica chirurgica mini-invasiva percutanea, con endortesi endosenotarsica \u00a0nel trattamento del piede piatto valgo.\u00a0Tale intervento viene preso in considerazione se non si \u00e8 avuta la giusta correzione entro l\u20198\u00b0-9\u00b0 anno di et\u00e0.\u00a0\u00a0L&#8217;intervento consiste nell&#8217;introduzione di una\u00a0 vite in titanio per via percutanea, attraverso una mini incisione\u00a0\u00a0della cute, al\u2019interno del seno del tarso.Il synus tarsi [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5110","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/dottfabriziosergio.it\/newsite\/wp-json\/wp\/v2\/pages\/5110"}],"collection":[{"href":"https:\/\/dottfabriziosergio.it\/newsite\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dottfabriziosergio.it\/newsite\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dottfabriziosergio.it\/newsite\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dottfabriziosergio.it\/newsite\/wp-json\/wp\/v2\/comments?post=5110"}],"version-history":[{"count":4,"href":"https:\/\/dottfabriziosergio.it\/newsite\/wp-json\/wp\/v2\/pages\/5110\/revisions"}],"predecessor-version":[{"id":5125,"href":"https:\/\/dottfabriziosergio.it\/newsite\/wp-json\/wp\/v2\/pages\/5110\/revisions\/5125"}],"wp:attachment":[{"href":"https:\/\/dottfabriziosergio.it\/newsite\/wp-json\/wp\/v2\/media?parent=5110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}