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The Lapidus Bunionectomy Revolution: Current Concepts and Considerations.
Christy M King1, Francesca M Castellucci-Garza2
1Kaiser San Francisco Bay Area Foot & Ankle Residency Program, Kaiser Oakland Foundation Hospital, 275 MacArthur Boulevard, Clinic 17, Oakland, CA 94611, USA; Foot & Ankle Surgery, Orthopedics and Podiatry Department, Kaiser Oakland, Oakland, CA, USA.
The modified Lapidus bunionectomy addresses hallux valgus, a common foot deformity. Research continues to refine surgical techniques for better outcomes and fewer complications, with early weight-bearing supported across various fixation methods.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Reconstruction
- Surgical Innovation
Background:
- Hallux valgus is a prevalent foot deformity requiring effective surgical intervention.
- The Lapidus procedure, originating from midfoot arthrodesis, is a foundational technique for correcting hallux valgus and medial column instability.
- Understanding the multiplanar nature of hallux valgus is crucial for advancing surgical correction.
Purpose of the Study:
- To review the evolution and current understanding of the modified Lapidus bunionectomy for hallux valgus.
- To explore various fixation techniques used in the Lapidus bunionectomy.
- To assess the literature supporting early weight-bearing protocols for this procedure.
Main Methods:
- Literature review of surgical techniques for hallux valgus, focusing on the Lapidus bunionectomy.
- Analysis of historical and modern approaches to midfoot arthrodesis for hallux valgus correction.
- Examination of different fixation constructs and their outcomes in Lapidus bunionectomy.
Main Results:
- The modified Lapidus bunionectomy is a well-established technique for hallux valgus.
- No single fixation technique has emerged as definitively superior for the Lapidus procedure.
- Existing literature supports the feasibility and benefits of early weight-bearing following Lapidus bunionectomy, irrespective of fixation type.
Conclusions:
- Continued evolution in understanding hallux valgus deformity guides surgical technique refinement.
- Further research may identify optimal fixation strategies for the Lapidus bunionectomy.
- Current evidence supports early weight-bearing as a viable option, promoting faster patient recovery.
