Lapidus Proceedure

NewsBot · Apr 25, 2024

The Surgical Learning Curve for Modified Lapidus Procedure for Hallux Valgus Deformity
J. Benjamin Jackson et al
Source

Background
Hallux valgus is one of the most common orthopaedic deformities of the foot, affecting as much as 23% of the population age 18 to 65. In addition to its high prevalence, it has a complex multifactorial pathogenesis. Surgical correction options have variable rates of success and new techniques are being developed. The modified Lapidus procedure attempts to correct in 3 planes of deformity, which may create a steeper learning curve for those newly adopting the technique.
Methods
A retrospective review was performed on patients who underwent hallux valgus reconstruction with a modified Lapidus procedure between March 2018 and July 2020. Exclusion criteria included revision surgery, 6 or more concurrent procedures, or a flexor digitorum longus tendon transfer for adult acquired flatfoot correction.
Results
There were a total of 81 modified Lapidus procedures for hallux valgus within the study time frame and 68 were included in the study. Over a period of 2 years there was a significant decrease in overall surgery duration from 78.93 minutes at month 0 to 61.80 minutes at 24 months (P = .036). The average preoperative/postoperative intermetatarsal angles were 15.08° and 4.91°, respectively. There was an average decrease of 10.17°. The rate of nonunion was 4.41% (3/68), and the rate of recurrence at 6 months was 5.88% (4/68). There was not a significant difference in the rate of recurrence (P = .394) or the rate of nonunion (P = .817) as the surgeon increased in experience.
Conclusion
Although there is a significant learning curve for the modified Lapidus procedure, it is largely overcome by the 23rd case. Additionally, experience with the technique does not appear to affect the patient outcomes of nonunion or recurrence.
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NewsBot · May 2, 2024 at 12:04 AM

Patient expectation and satisfaction post lapidus procedure for severe type hallux valgus surgery in Saudi Arabia: a singlecenter study
Abbas Hadi Alsuwayj et al
Source

Objective: This study aimed to evaluate the patient’s satisfaction and expectations post-hallux valgus (HV) surgery. Methods: A survey-based, cross-sectional study was conducted among patients who had undergone HV surgery (Lapidus procedure) at a university hospital in Riyadh; from January 2020 to December 2022. The participants were interviewed by telephone in December 2022. The questionnaire was divided into two parts. The first part demonstrates patient’s personal data, and the second part focuses mainly on patient expectations and satisfaction. Results: A total of 28 patients who underwent corrective surgery for HV were included. Patients’ ages ranged from 18 to 59 years. Around 60.7% of patients had high expectations before the surgery. Where 53.6% reported that they faced no problems after the operation, while 46.4% reported that they had problems after surgery such as pain, stiffness, nonunion or recurrent deformity. When patients were asked to describe their original foot condition since treatment, 39.3% showed a much better case, 32.1% said it was better, 17.9% said it was the same, and 10.7% showed deterioration. A total of 14 (50%) cases were satisfied regarding surgery output, 5 (17.9%) showed some satisfaction or uncompleted treatment and 9 (32.1%) were unsatisfied. Conclusion: It was concluded that 67.9% of the patient satisfaction was related to improvement after the surgery. Due to the level of education, gender, and patients’ high expectations before surgery; it is recommended to conduct multiple research on this topic and increase the data and variables.
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Lapidus Proceedure

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Lapidus Proceedure

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Lapidus Procedure

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