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Related Experiment Videos

Adolescent bunions treated by the modified Lapidus procedure.

H R Clark1, R G Veith, S T Hansen

  • 1Children's Orthopaedic Hospital, Seattle, Washington.

Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
|January 1, 1987
PubMed
Summary

The modified Lapidus procedure effectively corrects adolescent bunions, especially those with a hypermobile first ray. This surgical approach yielded excellent or good results in 91% of patients, offering a reliable solution.

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Area of Science:

  • Orthopedic surgery
  • Foot and ankle reconstruction

Background:

  • Adolescent bunions (hallux valgus) often cause pain and footwear issues.
  • A hypermobile first ray is a common contributing factor in adolescent bunions.
  • Surgical correction is frequently necessary for skeletally mature adolescents.

Purpose of the Study:

  • To evaluate the efficacy of the modified Lapidus procedure for adolescent bunions.
  • To assess outcomes in skeletally mature female patients with hypermobile first rays.
  • To determine the long-term success rate and complication profile of the procedure.

Main Methods:

  • Retrospective review of 20 skeletally mature female patients (32 feet) undergoing modified Lapidus procedure.
  • Rigid internal fixation was utilized for all cases.

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  • Follow-up included clinical examination and radiographic assessment for an average of 24.3 months.

    • Main Results:

    • 91% of patients achieved excellent or good outcomes.
    • Preoperative symptoms included 100% bunion pain and shoe wear difficulty.
    • 93% presented with a hypermobile first ray; one recurrence required reoperation.

    Conclusions:

    • The modified Lapidus procedure is a highly effective treatment for adolescent bunions with a hypermobile first ray.
    • The procedure demonstrates a low recurrence rate and high patient satisfaction.
    • This surgical technique is recommended as the primary option for this specific patient demographic.