The Lapidus Procedure as Salvage After Failed Surgical Treatment of Hallux Valgus

Coetzee, J. N.; Resig, Scott; Kuskowski, Michael A.; Saleh, Khaled J.

doi:10.2106/00004623-200400001-00005

Cited by 38 publications

(20 citation statements)

References 12 publications

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“…10 To our knowledge, only one series has reported the use of the Lapidus procedure for recurrent HV. 11 The series concluded that in appropriately selected patients, the Lapidus procedure is a reliable and effective operation after failed surgical treatment of hallux valgus. In their series, there was a three out of 26 (11.5%) nonunion rate, all of which occurred in smokers.…”

Section: Discussionmentioning

confidence: 99%

The Use of the Lapidus Procedure for Recurrent Hallux Valgus

et al. 2011

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Section: Discussionmentioning

confidence: 99%

The Use of the Lapidus Procedure for Recurrent Hallux Valgus

et al. 2011

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“…the deformity usually occurs bilaterally, generally affects females twice as often as males, and the incidence varies depending on the population being studied and cultural practices, such as footwear use (10,34). hv has a multifactorial etiology including extrinsic and intrinsic causes (4,5,17,36). extrinsic factors that may play a role include persistent use of shoes with narrow toe box and elevated heels (15,16,27) and the presence of a subtle underlying neurological disorder, such as cerebral palsy (15).…”

Section: Resultsmentioning

confidence: 99%

Our Experience with Double Metatarsal Osteotomy in the Treatment of Hallux Valgus

Mathew

Šponer

Pavlata

et al. 2012

Acta Med. (Hradec Kralove, Czech Repub.)

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Adolescent hallux valgus (HV) is a progressive deformity of adolescent age consisting of metatarsus primus varus and hallux valgus. It has a high recurrence rate after conventional surgical correction. Ten feet in nine patients (two males, seven females) were treated surgically with the Peterson Newman bunion procedure, with a minimum follow-up of one year. During the final follow-up all these patients had no complaints of pain, joint stiffness or limping. Even though the patients had some mild loss of range of movements at the MTPjoints 4-6 degrees compared to preoperative value, it did not cause any functional impairment and all were satisfied with the final outcome. The double ostetomy for treatment ofhallux valgus is technically precise procedure, provides excellent correction and stability and has low rate of recurrence of deformity. We had an excellent outcome in 10 feet in our study without residual deformity or complications.

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“…osteotomy. 52 The Lapidus procedure 12,[53][54][55] was described as the final solution in case of HV recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…Instability at the first tarsometatarsal joint is considered a negative risk factor for osteotomy consolidation. [7][8][9][10] Fusion of the first metatarsophalangeal joint (MTPJ) 11 and fusion of the first tarsometatarsal joint (Lapidus procedure) 12 have been advocated as stable and definitive solutions in cases of HV recurrence. In many cases of HV recurrence, these 2 fusion techniques may be considered more invasive and demanding than required to achieve correction, with secondary impacts on the patient's recovery, motion, and function.…”

Section: Introductionmentioning

confidence: 99%

The Modified Subcapital Metatarsal Osteotomy in the Treatment of Hallux Valgus Recurrence

Scala

Cipolla

Giannini

et al. 2019

Foot & Ankle Specialist

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The purpose of the present study is to illustrate the use of a modified subcapital metatarsal osteotomy (MSMO) in the treatment of hallux valgus (HV) recurrence. The article reports the clinical and radiological outcomes of a cohort of 52 consecutive patients presenting with recurrent HV, treated with MSMO. A total of 52 patients (54 feet) underwent operations between May 2010 and November 2015. The mean time of follow-up was 2.5 years (range 5.5-1.0 years), and the mean age was 49 years (range 22-76 years). The patient cohort comprised 46 female and 6 male patients. The results of this research show that MSMO is a reliable technique for the correction of HV recurrence. The postoperative radiographic assessments show a statistically significant postoperative improvement of the HV angle (P < .05) and the intermetatarsal angle (P < .05). The postoperative position of the tibial sesamoid was significantly improved (P < .1). The distal metatarsal articular angle was improved (P < .001), though assessment may be affected by the previous operations performed on the first metatarsophalangeal joint. The statistical analysis shows that the postoperative American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal Scale parameters were significantly improved (P < 0.001). Results of this study indicate that the minimally invasive MSMO is effective in restoring anatomical alignment and improving patient outcomes in recurrent cases of HV. Levels of Evidence: Level III: Case-control study

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The Lapidus Procedure as Salvage After Failed Surgical Treatment of Hallux Valgus

Cited by 38 publications

References 12 publications

The Use of the Lapidus Procedure for Recurrent Hallux Valgus

The Use of the Lapidus Procedure for Recurrent Hallux Valgus

Our Experience with Double Metatarsal Osteotomy in the Treatment of Hallux Valgus

The Modified Subcapital Metatarsal Osteotomy in the Treatment of Hallux Valgus Recurrence

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