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| http://dx.doi.org/10.1308/147870805x28145 | DOI Listing |
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Radiographic and Clinical Outcomes of First Tarsometatarsal Joint Arthrodesis With a Biplanar Locking Plate System Versus the Modified Lapidus Technique With Crossed-Screw Fixation: A Retrospective Multicenter Comparison.
HSS J
October 2024
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
: Hallux valgus (HV) is recognized as a triplanar deformity. A biplanar locking plate (BLP) system corrects this deformity through first tarsometatarsal joint (TMTJ) arthrodesis, with specialized reduction tools and cutting guides. Yet the optimal surgical technique and fixation construct for first TMTJ arthrodesis remains controversial.
View Article and Find Full Text PDFFirst cuneo-metatarsal arthrodesis (Modified Lapidus) with plantar plate for the treatment of hallux valgus: clinical and radiological outcomes at one year follow-up.
Orthop Traumatol Surg Res
December 2024
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Trousseau, CHRU de Tours, Avenue de la République, 37170 Chambray-lès-Tours, France; Centre de la Cheville et du Pied, Clinique Saint Léonard, 49800 Trélazé, France.
Article Synopsis
- - The modified Lapidus arthrodesis is an effective surgical technique for treating moderate to severe hallux valgus deformities, focusing on first tarsometatarsal joint hypermobility and enabling immediate weight-bearing post-surgery.
- - A study involving 66 patients found a 98.75% success rate for bone union after the procedure, with some minor complications such as one non-union case and two wound issues.
- - Significant improvements in foot alignment were noted, with reductions in hallux valgus angle and intermetatarsal angle, indicating that this surgical method, when performed with a plantar plate and compression screw, is both reliable and beneficial for patients.
Secondary Surgery Following Lapidus Bunionectomy.
J Foot Ankle Surg
October 2024
Department of Podiatric Surgery, Kaiser Permanente Oakland, Oakland, CA. Electronic address:
While the Lapidus bunionectomy is a common procedure utilized to address hallux valgus, the incidence of secondary surgery is not well established. Our primary goal was to determine the incidence of revision surgery and hardware removal following the Lapidus bunionectomy in addition to the risk factors associated with each. A retrospective nested case-control study of adult patients who underwent a Lapidus bunionectomy for symptomatic hallux valgus over a 9-year period was performed.
View Article and Find Full Text PDFMinimally Invasive Chevron Akin Osteotomy for Hallux Valgus Correction.
JBJS Essent Surg Tech
January 2024
Department of Orthopedic Surgery, University of Texas Medical Branch, Galveston, Texas.
Background: The minimally invasive chevron Akin osteotomy technique is indicated for the treatment of symptomatic mild to moderate hallux valgus deformities. The aim of the procedure is to restore alignment of the first ray while minimizing soft-tissue disruption.
Description: Prior to the procedure, radiographs are utilized to characterize the patient's hallux valgus deformity by determining the hallux valgus angle and intermetatarsal angle.
Multiple factors contributing to the metatarsal head eversion in hallux valgus deformity. A prospective study using weight-bearing CT.
Foot (Edinb)
December 2023
Kent State University College of Podiatric Medicine, 6000 Rockside Woods Blvd, Independence, OH 44131, USA. Electronic address:
Article Synopsis
- The study examines the influence of rearfoot position (pronation/supination) and metatarsal torsion on the deformity hallux abducto valgus (HAV) in 12 subjects using weight-bearing CT.
- Key findings reveal that while first metatarsal eversion is greater in a pronated foot, this difference is not statistically significant; however, there is a strong correlation between metatarsal torsion and eversion, particularly when the foot is pronated.
- The research highlights the importance of multiple factors, including metatarsal torsion and pronation, in evaluating and treating HAV, suggesting that pre-operative weight-bearing CT scans can aid in surgical planning.
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