{"id":3440,"date":"2014-03-07T10:23:49","date_gmt":"2014-03-07T10:23:49","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/ca\/?p=3440"},"modified":"2016-10-24T08:31:08","modified_gmt":"2016-10-24T08:31:08","slug":"tractament-quirurgic-duna-exostosi-interdigital","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/tractament-quirurgic-duna-exostosi-interdigital\/","title":{"rendered":"Tractament quir\u00fargic d\u2019una exostosi interdigital"},"content":{"rendered":"<div style=\"text-align: justify;\">\n<p><img  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\" decoding=\"async\" class=\"alignnone size-medium wp-image-897\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis-interdigital_foto-articulo.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  \/><span style=\"line-height: 1.5;\">Denominem exostosi digital a la hipertr\u00f2fia parcial circumscrita de la superf\u00edcie de la falange de qualsevol dit. L\u2019exostosi \u00e9s una prolongaci\u00f3 de la falange sense ruptura del periosti i sense migraci\u00f3. Radiol\u00f2gicament \u00e9s unilateral, de configuraci\u00f3 osteocartilaginosa, sense nucli d\u2019ossificaci\u00f3 propi, radioopaca, i sense difer\u00e8ncia amb l\u2019os adjacent. L\u2019exostosi produeix visualment una queratosi distal o propera a aquesta, ja que entre la pell i la exostosi no hi ha teixit suficient per a produir queratosis m\u00e9s profundes. Les caracter\u00edstiques d\u2019aquesta patologia s\u00f3n:<\/span><\/p>\n<ul>\n<li>Recidiva de la lesi\u00f3 d\u00e8rmica despr\u00e9s d\u2019alguns dies de la seva enucleaci\u00f3.<\/li>\n<li>Posteriorment a la deslaminaci\u00f3 de la queratosi, persisteix dolor i mol\u00e8sties.<\/li>\n<li>Inflamaci\u00f3 del teixit adip\u00f3s.<\/li>\n<li>S\u2019aprecia una promin\u00e8ncia \u00f2ssia en la zona dolorosa.<\/li>\n<\/ul>\n<p>Aplicarem el tractament quir\u00fargic, despr\u00e9s d\u2019haver esgotat la via conservadora. Pensem que en molts casos estem parlant de pacients de mitjana edat, amb mol\u00e8sties molt freq\u00fcents i d\u2019elevada intensitat, les quals demanden una soluci\u00f3 definitiva. El material necessari per a aquest tipus d\u2019intervenci\u00f3 \u00e9s:<\/p>\n<ul>\n<li>M\u00e0nec de bistur\u00ed (n\u00ba 3).<\/li>\n<li>Kocher o \u201cmosquits\u201d.<\/li>\n<li>\u201cCrancs\u201d. * Cisell.<\/li>\n<li>Llima doble de Miller.<\/li>\n<li>Pinces de Adson.<\/li>\n<li>Tisores corbes i rectes.<\/li>\n<li>Material de sutura.<\/li>\n<\/ul>\n<p>Es realitza la t\u00e8cnica mitjan\u00e7ant anest\u00e8sia troncular i sense hemost\u00e0sia (al menys despr\u00e9s del legrat). Fem una incisi\u00f3 transversal en la zona dorsoplantar distal a dos o tres mil\u00b7l\u00edmetres de la promin\u00e8ncia \u00f2ssia, s\u2019introdueix el bistur\u00ed perpendicularment a l\u2019eix de falange fins a tocar l\u2019os, i, a partir d\u2019aqu\u00ed, es descendeix ben a prop del teixit ossi per a separar les parts toves i delimitar l\u2019exostosi. No es deu incidir lateralment perqu\u00e8 podr\u00edem danyar el paquet neurovascular. S\u2019introdueix un cisell separant teixit ossi tou i es delimita la promin\u00e8ncia \u00f2ssia, la qual acostuma a ser m\u00e9s gran del que sembla en la radiografia, degut a l\u2019exist\u00e8ncia d\u2019una zona cartilaginosa radiotransparent. Es legra exhaustivament amb la llima de proximal a distal i de profunditat a superf\u00edcie (sense vaiv\u00e9). En les primeres capes (cortical i periosti) notem que la llima rellisca i a continuaci\u00f3 notem el raspat ossi. Amb el polze de la m\u00e0 passiva pressionem de proximal a distal per a que surtin a l\u2019exterior les part\u00edcules \u00f2ssies legrades. Legrem \u00e0mpliament, ja que al produir un traumatisme ossi sempre hi ha una regeneraci\u00f3 \u00f2ssia degut a la rica xarxa capil\u00b7lar superficial. Si no ho fem aix\u00ed, es pot tornar a regenerar el teixit ossi, produint de nou i en poc temps l\u2019exostosi. Afavorim el sagnat de la zona per ajudar a eliminar possibles part\u00edcules \u00f2ssies. Rentem abundantment la incisi\u00f3 amb s\u00e8rum fisiol\u00f2gic. Tornem a realitzar una altra radiografia dorsoplantar intraquir\u00fargica, a poder ser en la mateixa posici\u00f3 pre-quir\u00fargica (la radiografia obliqua no d\u00f3na imatge real de la grand\u00e0ria de l\u2019exostosi i la lateral no mostra res). Hem d\u2019observar en la radiografia que el cap de la falange proximal est\u00e0 en el mateix pla que la base de la falange mitjana, ja que si no \u00e9s aix\u00ed, es poden produir \u00e0lgies post-operat\u00f2ries. Si observem una nebulosa en la radiografia, es tracta de petites part\u00edcules o fragments ossis que deuen drenar-se mitjan\u00e7ant rentats, ja que, si no es fes aix\u00ed, es reagruparien i tornarien a regenerar l\u2019exostosi novament. S\u2019han de fer rentats i radiografies fins que la zona quedi totalment neta de fragments ossis. Infiltrem anest\u00e8sic i corticoides en proporci\u00f3 9 a 1. No hem d\u2019abusar del corticoide perqu\u00e8 al entrar aquest en contacte amb la trab\u00e8cula \u00f2ssia que hem deixat com a capa externa, es poden produir problemes greus post-operatoris, tals com la osteoporosi. S\u2019aconsella primer carregar el corticoide i despr\u00e9s l\u2019anest\u00e8sic, per a evitar que es cristal\u00b7litzi el corticoide, produint trastorns iatrog\u00e8nics. Una vegada ja hagi estat infiltrada la mescla, pressionem la ferida quir\u00fargica de proximal a distal per a drenar-la, ja que nom\u00e9s ens interessa l\u2019efecte farmacol\u00f2gic antiinflamatori. A continuaci\u00f3 suturem amb seda 5 o mitjan\u00e7ant dos punts simples. En el cas que us estem mostrant ferulitzarem el cinqu\u00e8 dit amb una gasa doblegada en forma d\u2019\u201dU\u201d, impedint aix\u00ed la mobilitzaci\u00f3 dorsoplantar, i, per a m\u00e9s subjecci\u00f3, s\u2019uneix al quart dit amb l\u2019ajut d\u2019un embenat circular. Pot impregnar-se amb iode la f\u00e8rula en forma d\u2019\u201dU\u201d, per a donar-li major rigidesa o consist\u00e8ncia, i per tant, menor mobilitat al cinqu\u00e8 dit. L\u2019embenat deu ser semicompressiu alineant el dit. S\u2019aconsellar\u00e0 al pacient rep\u00f2s durant 48 hores. Prescrivim l\u2019analg\u00e8sic corresponent, i l\u2019informem de les actuacions que deu efectuar davant determinades patologies sorgides. Retirem l\u2019ap\u00f2sit quir\u00fargic a les 48 hores i curem amb iodo povidona dos vegades al dia (cada 12 hores). Ensenyem al pacient a fer l\u2019embenat en forma d\u2019\u201dU\u201d. Als 7 dies retirem la sutura i confeccionem una ortesi de silicona, que deuria emprar fins aconseguir la normalitat articular. La dita ortesis ha de ser utilitzada durant un per\u00edode que oscil\u00b7la entre sis mesos i un any.<\/p>\n<div id=\"attachment_898\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis01.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-898\" class=\"size-full wp-image-898 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis01.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"681\" \/><\/a><p id=\"caption-attachment-898\" class=\"wp-caption-text\">Heloma interdigital causat per exostosi.<\/p><\/div>\n<div id=\"attachment_899\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis02.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-899\" class=\"size-full wp-image-899 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis02.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"685\" \/><\/a><p id=\"caption-attachment-899\" class=\"wp-caption-text\">Radiografia de l\u2019exostosi.<\/p><\/div>\n<div id=\"attachment_900\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis03.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-900\" class=\"size-full wp-image-900 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis03.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"679\" \/><\/a><p id=\"caption-attachment-900\" class=\"wp-caption-text\">Incisi\u00f3 quir\u00fargica.<\/p><\/div>\n<div id=\"attachment_901\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis04.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-901\" class=\"size-full wp-image-901 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis04.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"632\" \/><\/a><p id=\"caption-attachment-901\" class=\"wp-caption-text\">Esquema frontal de l&#8217;angle de la incisi\u00f3.<\/p><\/div>\n<div id=\"attachment_902\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis05.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-902\" class=\"size-full wp-image-902 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis05.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"686\" \/><\/a><p id=\"caption-attachment-902\" class=\"wp-caption-text\">Separaci\u00f3 del teixit mitjan\u00e7ant enformador.<\/p><\/div>\n<div id=\"attachment_903\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis06.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-903\" class=\"size-full wp-image-903 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis06.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"685\" \/><\/a><p id=\"caption-attachment-903\" class=\"wp-caption-text\">Raspat amb llima.<\/p><\/div>\n<div id=\"attachment_904\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis07.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-904\" class=\"size-full wp-image-904 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis07.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"615\" \/><\/a><p id=\"caption-attachment-904\" class=\"wp-caption-text\">Forma correcta i incorrecta de realitzaci\u00f3 del raspat.<\/p><\/div>\n<div id=\"attachment_905\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis08.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-905\" class=\"size-full wp-image-905 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis08.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"681\" \/><\/a><p id=\"caption-attachment-905\" class=\"wp-caption-text\">Afavoriment de sagnat.<\/p><\/div>\n<div id=\"attachment_906\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis09.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-906\" class=\"size-full wp-image-906 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis09.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"679\" \/><\/a><p id=\"caption-attachment-906\" class=\"wp-caption-text\">Sutura.<\/p><\/div>\n<div id=\"attachment_907\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis10.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-907\" class=\"size-full wp-image-907 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis10.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"681\" \/><\/a><p id=\"caption-attachment-907\" class=\"wp-caption-text\">Finalitzaci\u00f3 de l&#8217;acte quir\u00fargic.<\/p><\/div>\n<div id=\"attachment_908\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis11.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-908\" class=\"size-full wp-image-908 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis11.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"415\" \/><\/a><p id=\"caption-attachment-908\" class=\"wp-caption-text\">Embenat en &#8220;U&#8221;.<\/p><\/div>\n<div id=\"attachment_909\" style=\"width: 1034px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis12.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-909\" class=\"size-full wp-image-909 \"  title=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis12.jpg\"  alt=\"Tractament quir\u00fargic d\u2019una exostosi interdigital\"  width=\"1024\" height=\"674\" \/><\/a><p id=\"caption-attachment-909\" class=\"wp-caption-text\">Tractament postoperatori amb silicona interdigital.<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Denominem exostosi digital a la hipertr\u00f2fia parcial circumscrita de la superf\u00edcie de la falange de qualsevol dit. L\u2019exostosi \u00e9s una prolongaci\u00f3 de la falange sense ruptura del periosti i sense migraci\u00f3. Radiol\u00f2gicament \u00e9s unilateral, de configuraci\u00f3 osteocartilaginosa, sense nucli d\u2019ossificaci\u00f3 propi, radioopaca, i sense difer\u00e8ncia amb l\u2019os adjacent. L\u2019exostosi produeix visualment una queratosi distal o [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":4134,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[282,287],"tags":[],"class_list":["post-3440","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","category-cirurgia-podologica"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tractament quir\u00fargic d\u2019una exostosi interdigital - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tractament quir\u00fargic d\u2019una exostosi interdigital - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"Denominem exostosi digital a la hipertr\u00f2fia parcial circumscrita de la superf\u00edcie de la falange de qualsevol dit. L\u2019exostosi \u00e9s una prolongaci\u00f3 de la falange sense ruptura del periosti i sense migraci\u00f3. Radiol\u00f2gicament \u00e9s unilateral, de configuraci\u00f3 osteocartilaginosa, sense nucli d\u2019ossificaci\u00f3 propi, radioopaca, i sense difer\u00e8ncia amb l\u2019os adjacent. L\u2019exostosi produeix visualment una queratosi distal o [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/old.institutcataladelpeu.com\/ca\/tractament-quirurgic-duna-exostosi-interdigital\/\" \/>\n<meta property=\"og:site_name\" content=\"Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/institutcataladelpeu\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-03-07T10:23:49+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-10-24T08:31:08+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/exostosis01.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"681\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:site\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-duna-exostosi-interdigital\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-duna-exostosi-interdigital\\\/\"},\"author\":{\"name\":\"Miguel \u00c1ngel Ba\u00f1os Bernad\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#\\\/schema\\\/person\\\/d2ccc8088f9445f3e2758c2a60caf354\"},\"headline\":\"Tractament quir\u00fargic d\u2019una exostosi interdigital\",\"datePublished\":\"2014-03-07T10:23:49+00:00\",\"dateModified\":\"2016-10-24T08:31:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-duna-exostosi-interdigital\\\/\"},\"wordCount\":1027,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-duna-exostosi-interdigital\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/wp-content\\\/uploads\\\/2014\\\/03\\\/exostosis01.jpg\",\"articleSection\":[\"Articles\",\"Cirurgia podol\u00f2gica\"],\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-duna-exostosi-interdigital\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-duna-exostosi-interdigital\\\/\",\"url\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-duna-exostosi-interdigital\\\/\",\"name\":\"Tractament quir\u00fargic d\u2019una exostosi interdigital - 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