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The modified Lapidus fusion.

Timo Schmid1, Fabian Krause1

  • 1Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, Bern 3010, Switzerland.

Foot and Ankle Clinics
|June 1, 2014
PubMed
Summary
This summary is machine-generated.

The Lapidus fusion is effective for severe hallux valgus but has risks. This overview focuses on surgical techniques for this powerful foot deformity correction procedure.

Keywords:
Hallux valgusMetatarsocuneiform fusionModified Lapidus procedureTechnique

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Area of Science:

  • Orthopedic Surgery
  • Podiatry
  • Surgical Techniques

Background:

  • The Lapidus fusion is a potent surgical technique for correcting hallux valgus (bunions).
  • Its effectiveness stems from a proximal correction site and long lever arm.
  • However, it is associated with a high complication rate and extended recovery.

Purpose of the Study:

  • To provide a comprehensive overview of the Lapidus fusion procedure.
  • To highlight its application in specific moderate to severe hallux valgus cases.
  • To focus on the surgical technique and its nuances.

Main Methods:

  • Review of the Lapidus fusion procedure for hallux valgus correction.
  • Discussion of indications including specific deformity angles and joint conditions.
  • Emphasis on surgical technique details.

Main Results:

  • Lapidus fusion is indicated for moderate to severe hallux valgus with specific criteria (e.g., intermetatarsal angle >14°).
  • It is suitable for cases involving first ray hypermobility, first tarsometatarsal joint arthritis, and recurrent deformities.
  • The procedure is performed in 5% to 10% of hallux valgus corrections.

Conclusions:

  • Lapidus fusion is a powerful, albeit complex, option for specific hallux valgus deformities.
  • Careful patient selection and surgical technique are crucial for optimal outcomes.
  • Despite its drawbacks, it remains an important procedure for challenging cases.