Arthroscopic Lapidus Arthrodesis of the First Tarsometatarsal Joint for Treatment of Hallux Valgus Deformity of the Foot

Modified Endoscopic Distal Soft Tissue Procedure (mEDSTP) and Arthroscopic Lapidus Arthrodesis for Correction of Severe Hallux Valgus

“…Lapidus arthrodesis is an established treatment option for severe hallux valgus deformity, especially in patients suffering from instability of the first tarsometatarsal joint. 21 Compared to the open technique, the arthroscopic Lapidus procedure can better preserve the subchondral bone and have less risk of transfer metatarsalgia. 21 …”

“… 21 Compared to the open technique, the arthroscopic Lapidus procedure can better preserve the subchondral bone and have less risk of transfer metatarsalgia. 21 …”

“…Arthroscopic Lapidus arthrodesis has been reported to reduce the complications associated with open procedure including first metatarsal shortening, metatarsal elevatus, and nonunion. 15 , 16 , 17 , 18 , 19 , 20 , 21 The purpose of this technical note is to describe the combined technique of a modified endoscopic distal soft tissue procedure and arthroscopic Lapidus arthrodesis for correction of severe hallux valgus deformity. It is indicated for symptomatic severe hallux valgus deformity, especially those associated with ligamentous laxity.…”

“…It is also contraindicated in hallux valgus with the medial collateral (metatarsophalangeal) ligament as the primary structure of failure (e.g., traumatic hallux valgus deformity in which the intermetatarsal angle is relatively preserved) or if another concomitant open medial column procedure is needed ( Table 1 ). 21 , 22 , 23 , 24 …”