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The Lapidus procedure

M H Hofbauer1, J P Grossman

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|July 1, 1996
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First metatarsal cuneiform joint arthrodesis is a surgical option for hallux abducto valgus. This study reviews modified techniques, fixation, patient selection, and clinical outcomes for this controversial procedure.

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Area of Science:

  • Orthopedics
  • Podiatry
  • Foot and Ankle Surgery

Background:

  • First metatarsal cuneiform (MTC) joint arthrodesis has been a primary surgical approach for hallux abducto valgus since the early 1900s.
  • Popularized by Paul W. Lapidus, the MTC joint arthrodesis procedure has experienced fluctuating popularity within orthopedic and podiatric fields.
  • Despite its history, the procedure remains a subject of debate regarding its efficacy and optimal application.

Purpose of the Study:

  • To present the authors' experiences with modified operative techniques for MTC joint arthrodesis.
  • To highlight the application of advanced internal fixation principles in MTC joint fusion.
  • To emphasize the critical role of proper patient selection in achieving successful clinical results.

Main Methods:

  • Review of surgical cases involving modified MTC joint arthrodesis.
  • Application of advanced internal fixation techniques.
  • Systematic evaluation of patient selection criteria.
  • Analysis of clinical outcomes and patient results.

Main Results:

  • The authors detail their experiences with modified surgical techniques for MTC joint arthrodesis.
  • Emphasis is placed on the successful use of advanced internal fixation methods.
  • Positive clinical results are reported, correlating with careful patient selection.

Conclusions:

  • Modified MTC joint arthrodesis, utilizing advanced fixation and careful patient selection, can yield favorable clinical outcomes.
  • The study supports the continued consideration of MTC joint arthrodesis as a viable surgical option for hallux abducto valgus.
  • Proper patient selection is paramount for the success of this surgical intervention.