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Lapidus Proceedure

Discussion in 'Foot Surgery' started by Robertisaacs, Dec 14, 2009.

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  1. NewsBot

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    Modified Lapidus Procedure with Joint Compression, Meticulous Surface Preparation, and Shear-Strain-Relieved Bone Graft Yields Low Nonunion Rate.
    Mani SB et al
    HSS J. 2015 Oct;11(3):243-8
     
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    The Lapidus for a Failed Hallux Valgus Surgery.
    Hunter, Joshua G. MD; Myerson, Mark S. MD; Ellington, J. K. MD, MS
    Techniques in Foot & Ankle Surgery: May 27, 2016
     
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    Revision Lapidus Arthrodesis by Bone Endoscopy
    Tun Hing Lui
    Arthroscopy Techniques; 4 July 2016
     
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    Severe Hallux Valgus With Coalition of the Hallux Sesamoids Treated With Modified Lapidus Procedure: A Case Report.
    Kurashige T, Suzuki S
    Foot Ankle Spec. 2017 Apr 1:1938640017703187. doi: 10.1177/1938640017703187
    .
     
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    Comparison of postoperative outcomes between modified Mann procedure and modified Lapidus procedure for hallux valgus
    Akiyama Yui, MD, Takaaki Hirano, MD, Hiroyuki Mitsui, MD, ...
    Foot & Ankle Orthopaedics September 18, 2017
     
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    The Results of Modified Lapidus Procedure on Moderate-to-Severe Hallux Valgus with First Tarso-Metatarsal Joint Hypermobility
    Won Young Lee, Ki-Sun Sung, and Chaehoon Chung
    J Korean Foot Ankle Soc. 2017 Sep;21(3):88-92. Korean.
     
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    Plate Alone Versus Plate and Lag Screw for Lapidus Arthrodesis: A Biomechanical Comparison of Compression
    Peter Kameel Garas, MD, Steven Thomas DiSegna, MD, Abhay R. Patel, MD
    Foot & Ankle Specialist, 2018 Research Article
     
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    Stability of Locking Plate and Compression Screws for Lapidus Arthrodesis: A Biomechanical Comparison of Plate Position
    David Drummond, DPM et al
    JFAS; Article in Press
     
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    Biomechanical Characteristics of Biplane Multiplanar Tension-Side Fixation for Lapidus Fusion
    Paul Dayton et al
    JFAS; Article in Press
     
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    Hallux Valgus Correction by Opening Wedge Lapidus Fusion and Intercuneiform Stabilization.
    Hasselman CT, Cambell B, Patel T, Ferguson CM, Kline AJ.
    Clin Surg. 2017; 2: 1374.
     
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    The change of first metatarsal head articular surface position after Lapidus arthrodesis
    Jan Klouda, Rastislav Hromádka, Simona Šoffová, Stanislav PopelkaJr, Stanislav Popelka and Ivan Landor
    BMC Musculoskeletal Disorders201819:347
     
  13. Lab Guy

    Lab Guy Well-Known Member

    Appears authors did not derotate the first metatarsal to bring the Sesamoids back into the frontal plane prior to fixation. This and appropriate soft tissue balancing should prevent a second osteotomy.

    Steven
     
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    The change of first metatarsal head articular surface position after Lapidus arthrodesis
    Jan Klouda, Rastislav Hromádka, Simona Šoffová, Stanislav PopelkaJr, Stanislav Popelka and Ivan Landor
    BMC Musculoskeletal Disorders201819:347
     
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    Structures at Risk from an Intermetatarsal Screw for Lapidus Bunionectomy: A Cadaveric Study
    Bryan Van Dyke, DO, Eric So, DPM, Roberto Brandao, DPM, David Larson, DPM, Christopher Hyer, DPM
    AOFAS Annual Meeting 2018 1
     
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    Structures at Risk From an Intermetatarsal Screw for Lapidus Bunionectomy: A Cadaveric Study
    Eric So et al
    JFAS; Article in Press
     
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    Outcome of the modified Lapidus procedure for hallux valgus deformity during the first year following surgery: A prospective clinical and gait analysis study
    K.MoerenhoutaS.ChopraabX.Crevoisiera
    Clinical Biomechanics; 20 December 201
     
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    Lapidus operation combined with bone setting manipulation in treatment of hallux valgus in elderly patients
    Chen ZJ et al
    Zhongguo Gu Shang. 2018 Dec 25;31(12):1124-1128
     
  19. Dieter Fellner

    Dieter Fellner Well-Known Member

    "shortens the time of osteotomy and fixation"

    uh, what?

    The authors need to look again at their stats for time to fusion.

    " the first metatarsal joint reached bone fusion within 6 to 8 months, with an average of 4.7 months. The preoperative VAS score was 8.06±1.44, which was significantly different from 2.14±1.98 at 26 months(P<0.05). The preoperative AOFAS score was 53.90±7.89, which was significantly different from 92.80±2.78 at 26 mo"

    That doesn't even make sense

    Lapidus operation combined with bone setting manipulation in treatment of hallux valgus in elderly patients
    Chen ZJ et al
    Zhongguo Gu Shang. 2018 Dec 25;31(12):1124-1128
    OBJECTIVE:
    To investigate the clinical effect of Lapidus operation combined with bone setting manipulation of traditional Chinese medicine in treating hallux valgus in elderly patients.

    METHODS:
    From March 2013 to October 2017, 53 elderly patients (87 feet) with hallux valgus were treated with Lapidus operation combined with bone-setting manipulation of traditional Chinese medicine, including 12 males (18 feet) and 41 females (69 feet), ranging in age from 65 to 92 years old, with an average of (76.3±4.8) years old. Visual analogue scale(VAS) was used to evaluate the degree of relief of foot pain before and 26 months after operation. American Orthopaedic Foot and Ankle Society(AOFAS) was used to evaluate the function of foot pain. The changes of hallux valgus angle(HVA angle), interphalangeal angle (IMA angle) and metatarsal wedge angle(MCA angle) were compared on X-ray films.

    RESULTS:
    All the patients were followed up, and the duration ranged from 12 to 42 months, with an average of(26.0±2.7) months. In all patients, the first metatarsal joint reached bone fusion within 6 to 8 months, with an average of 4.7 months. The preoperative VAS score was 8.06±1.44, which was significantly different from 2.14±1.98 at 26 months(P<0.05). The preoperative AOFAS score was 53.90±7.89, which was significantly different from 92.80±2.78 at 26 months(P<0.05). The HVA, IMA and MCA were significantly improved from preoperative(38.60±2.72)°, (21.90±1.91)° and(20.90±2.20)° to the latest follow-up(17.80±1.94)°, (9.70±2.56)° and(11.70±0.48)°(P<0.05). According AOFAS score, 74 feet got an excellent result, 11 good and 2 fair.

    CONCLUSIONS:
    Lapidus operation combined with bone-setting manipulation of traditional Chinese medicine on the treatment of hallux valgus foot in elderly patients has satisfactory clinical effects, shortens the time of osteotomy and fixation, protects the soft tissue around the osteotomy end and promotes the bone fusion on the most satisfactory position.​
     
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    Anatomical Study of Lapidus Arthrodesis using two different Plantar Plate Systems
    SebastianSchildeaLauraKetelhutbHeikeKielsteincKarl-StefanDelankaNataliaGuttecka
    Foot and Ankle Surgery; 21 August 2019
     
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    Can We Abandon Saw Wedge Resection in Lapidus Fusion? A Comparative Study of Joint Preparation Techniques Regarding Correction of Deformity, Union Rate, and Preservation of First Ray Length
    Troy J. Boffeli et al
    JFAS; Article in Press
     
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    Effect of the Modified Lapidus Procedure on Pronation of the First Ray in Hallux Valgus.
    Conti MS et al
    Foot Ankle Int. 2019 Oct 16
     
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