The modified lapidus arthrodesis: A retrospective analysis

Catanzariti, Alan R.; Mendicino, Robert W.; Lee, Michael S.; Gallina, Michael R.

doi:10.1016/s1067-2516(99)80003-9

Cited by 97 publications

(44 citation statements)

References 20 publications

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“…Reported outcomes after the modified Lapidus procedure have been consistently good to excellent in 70% to 92% of patients. 1,2,4,7,9,10,12,13 However, nonunion rates have been reported from 0% to 12% with revision rates for symptomatic nonunions ranging from 0% to 7.5% (Table 3). Approximately 12% of our patients had previous failed bunion surgeries.…”

Section: Discussionmentioning

confidence: 99%

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Fusion Rate of First Tarsometatarsal Arthrodesis in the Modified Lapidus Procedure and Flatfoot Reconstruction

2005

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Section: Discussionmentioning

confidence: 99%

“…Fusion of the first tarsometatarsal joint (TMTJ) has been used for the correction of hallux valgus, metatarsus primus varus 1,2,4,7,9,10,11,12,13 and endstage arthritis. 5,8 Symptomatic hallux valgus deformity and adult flatfoot conditions can present in many forms, and there is no single operative procedure to correct them.…”

Section: Introductionmentioning

confidence: 99%

Fusion Rate of First Tarsometatarsal Arthrodesis in the Modified Lapidus Procedure and Flatfoot Reconstruction

2005

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“…Shortening of 2.7 mm for TMT1 fusion is slightly greater [8]. Primary use of TMT1 fusion shows shortening rates of 4 mm [4], 4.7 mm [5], 4.5 mm [22], and 5 mm [27].…”

Section: Discussionmentioning

confidence: 86%

The Scarf Osteotomy: A Salvage Procedure for Recurrent Hallux Valgus in Selected Cases

Böck

Lanz

Kröner

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background The Scarf osteotomy was described as a technique to correct a metatarsus primus varus in primary hallux valgus surgery, but it is unclear whether the technique could correct recurrent hallux valgus when an initial procedure failed to provide any or an adequate lateral displacement of the metatarsal head. Questions/purposes We asked whether the Scarf osteotomy could reduce pain, improve the AOFAS score, reduce the deformity, and prevent further recurrence when used as a revision procedure. Patients and Methods Of 41 patients (45 feet) we treated for failed initial operations, we retrospectively reviewed 35 (39 feet) who underwent a Scarf osteotomy. We administered a VAS for pain and the AOFAS score preoperatively and postoperatively. Preoperative and postoperative radiographs were taken to assess the hallux valgus angle [HVA] and intermetatarsal angle [IMA]. The minimum followup was 24 months (mean, 42 months; range, 24-89 months). Results The mean VAS for pain improved from 5.9 to 0.4 points. The mean AOFAS score improved from 56 to 90 points. The radiographic evaluation showed improvement of the mean HVA from 30°to 8°and improvement of the IMA from 13°to 4°. Complications included one asymptomatic recurrence with a 20°-HVA, one overcorrection with a

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“…8 Several publications have evaluated functional outcomes of the Lapidus fusion and have reported favorable results and patient satisfaction. 13,17,19,20,34 Despite favorable outcomes, many surgeons hesitate to perform the Lapidus arthrodesis secondary to the potential complications of nonunion, patient deconditioning, or DVT among other morbidity associated with long-term off-loading.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies in the current literature have evaluated functional outcomes of the Lapidus fusion, noting favorable results and patient satisfaction. 13,17,19,20 Amid these favorable reports, known complications of nonunion, malunion, shortening, transfer metatarsalgia, dorsal drift, intercuneiform diastasis, and increased postoperative convalescence may have deterred the use of this procedure for correction of hallux valgus. [10][11][12][13][14][15][16][17][20][21][22] Also, increased patient morbidity, such as deconditioning and deep vein thrombosis (DVT) risk with long periods of off-loading, has been anecdotally noted as a deterrent.…”

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confidence: 99%

Results of Lapidus Arthrodesis and Locked Plating With Early Weight Bearing

Sorensen

Hyer

Berlet

2009

Foot & Ankle Specialist

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In the endeavor toward Lapidus fusion, the authors have studied a new application of locked plating for the first tarsometatarsal joint. The goal was to assess the time to fusion, time to ambulation, rate of delayed union/nonunion, rate of revision, and need for hardware removal following the use of locked-plate technology in the fusion of the first tarsometatarsal joint. The findings denoted an average of 6.95 weeks to radiographic fusion, an average of 2 weeks to ambulation, a 9.52% rate of asymptomatic mal-union, a 0% rate of delayed union or nonunion, and a 0% rate of revision. The rate of need for hardware removal was 4.76%.

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The modified lapidus arthrodesis: A retrospective analysis

Cited by 97 publications

References 20 publications

Fusion Rate of First Tarsometatarsal Arthrodesis in the Modified Lapidus Procedure and Flatfoot Reconstruction

Fusion Rate of First Tarsometatarsal Arthrodesis in the Modified Lapidus Procedure and Flatfoot Reconstruction

The Scarf Osteotomy: A Salvage Procedure for Recurrent Hallux Valgus in Selected Cases

Results of Lapidus Arthrodesis and Locked Plating With Early Weight Bearing

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