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En effet du fait de la perte d’appui du gros orteil, les contraintes mécaniques se reportent sur les rayons latéraux.","text",{"type":126,"children":132},[133],{"text":134,"type":130},"Il s’agit de douleurs plantaires et dorsales situées en amont des 2 et 3ème orteils. A ce stade, le traitement de l’hallux valgus ne suffit habituellement pas et il faut l’associer à des ostéotomies des rayons latéraux.",{"type":126,"children":136},[137],{"text":138,"type":130},"La plus célèbre est l’ostéotomie de Weil qui permet de faire la zone d’appui et d’harmoniser la répartition des charges. Il est également possible de proposer une chirurgie per cutané dans ce type de pathologie. Les résultats en sont très prometteurs.",{"type":126,"children":140},[141],{"text":142,"type":130},"",{"type":126,"children":144},[145],{"text":146,"type":130},"Les suites opératoires sont identiques au traitement de l’hallux valgus isolé, bien que le pied soit initialement plus oedematié. La rééducation est fondamentale.",{"type":126,"children":148},[149],{"text":142,"type":130},{"type":126,"children":151},[152],{"text":153,"type":130},"Au stade ultérieur, les orteils se mettent en griffe irréductibles responsables d’un conflit avec le cuir de la chaussure. 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