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[The modified Lapidus arthrodesis].

H-J Trnka1, S Hofstätter

  • 1Fusszentrum Wien, Osterreich. hans4hallux@fusszentrum.at

Der Orthopade
|July 20, 2005
PubMed
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Modified Lapidus arthrodesis corrects hallux valgus using tarsometatarsal joint fusion. This surgical technique offers high correction potential and improved healing for unstable hallux deformities.

Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Skeletal Deformity Correction

Background:

  • Hallux valgus is a prevalent lower limb deformity.
  • The Lapidus arthrodesis is a surgical option for hallux valgus correction.
  • An unstable hallux often indicates the need for a classic Lapidus arthrodesis.

Purpose of the Study:

  • To describe a modified Lapidus arthrodesis technique for hallux valgus.
  • To outline the indications and clinical examination for this procedure.
  • To discuss the advantages and potential complications of the modified Lapidus arthrodesis.

Main Methods:

  • A modified Lapidus arthrodesis is performed at the base of the hallux.
  • The technique involves a lateral tissue approach with medial capsular reefing.

Related Experiment Videos

  • Arthrodesis of the tarsometatarsal 1 joint is the primary surgical step.
  • Preoperative assessment includes dorsoplanar and lateral standing X-rays.
  • Main Results:

    • The modified technique allows for significant correction of hallux valgus.
    • Potential complications include postoperative metatarsalgia and pseudoarthrosis.
    • Advantages include high correction potential and enhanced healing.

    Conclusions:

    • The modified Lapidus arthrodesis is an effective surgical option for hallux valgus.
    • Careful patient selection and surgical technique are crucial.
    • While effective, the procedure requires meticulous surgical technique and extended post-operative care.