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Lapidus: when and why?

A Hernandez1, P A Hernandez, W A Hernandez

  • 1New York College of Podiatric Medicine, New York.

Clinics in Podiatric Medicine and Surgery
|January 1, 1989
PubMed
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The Lapidus procedure, once complex and yielding poor hallux valgus results, is re-examined. This study argues for its continued efficacy and place in foot surgery.

Area of Science:

  • Orthopedic surgery
  • Podiatric surgery
  • Surgical techniques

Background:

  • The Lapidus procedure for hallux valgus correction has faced declining use due to perceived complexity and suboptimal outcomes.
  • Historical data suggests challenges associated with the Lapidus procedure, leading to its reduced application in clinical practice.

Purpose of the Study:

  • To re-evaluate the Lapidus procedure for hallux valgus.
  • To redefine the indications and optimal use of the Lapidus procedure.
  • To advocate for the continued relevance of the Lapidus procedure in the foot surgeon's toolkit.

Main Methods:

  • Review of historical and current literature on the Lapidus procedure.
  • Analysis of case studies and outcomes associated with the procedure.

Related Experiment Videos

  • Clinical assessment of patient selection and surgical technique.
  • Main Results:

    • The article presents evidence supporting the efficacy of the Lapidus procedure when performed correctly.
    • Specific indications for the Lapidus procedure are identified, highlighting patient and deformity characteristics.
    • The authors demonstrate that the procedure, when indicated, can yield favorable results.

    Conclusions:

    • The Lapidus procedure remains a viable and effective surgical option for specific cases of hallux valgus.
    • Proper patient selection and meticulous surgical technique are crucial for successful outcomes.
    • The Lapidus procedure deserves reconsideration as a valuable tool in orthopedic foot and ankle surgery.