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New techniques and alternative fixation for the lapidus arthrodesis
Nathan J Young1, Charles M Zelen
1Foot and Ankle Associates of Southwest Virginia, 1802 Braeburn Drive, Suite M120, Salem, VA 24153, USA.
Clinics in Podiatric Medicine and Surgery
|July 6, 2013
Summary
Arthrodesis of the first metatarsocuneiform joint can correct hallux valgus but risks nonunion. Locking plates show promise for lower nonunion rates in this surgical fusion.
Area of Science:
- Orthopedic surgery
- Foot and ankle reconstruction
Background:
- First metatarsocuneiform joint arthrodesis is effective for moderate to severe hallux valgus and first ray hypermobility.
- Painful nonunion is a significant complication associated with this procedure.
Observation:
- Locking plates are an emerging fixation technique for first metatarsocuneiform joint arthrodesis.
- Preliminary research suggests locking plates may reduce nonunion rates compared to traditional methods.
Findings:
- Proper joint preparation and compression are crucial for successful fusion, irrespective of fixation method.
- A case report details a successful Lapidus fusion using locking plates after a prior failed fusion with screws alone.
Implications:
- Innovative fixation techniques like locking plates warrant further investigation for their long-term efficacy in preventing nonunion.
- Continued research is needed to establish the role of locking plates in optimizing outcomes for first metatarsocuneiform joint arthrodesis.
