The modified Lapidus fusion

Timo Schmid; Fabian Krause

doi:10.1016/j.fcl.2014.02.005

The modified Lapidus fusion

Foot Ankle Clin. 2014 Jun;19(2):223-33. doi: 10.1016/j.fcl.2014.02.005. Epub 2014 Mar 21.

Authors

Timo Schmid¹, Fabian Krause²

Affiliations

¹ Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, Bern 3010, Switzerland.
² Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, Bern 3010, Switzerland. Electronic address: fabian.krause@insel.ch.

PMID: 24878411
DOI: 10.1016/j.fcl.2014.02.005

Abstract

Due to its proximal correction site and long lever arm, the Lapidus fusion, modified or not, is a powerful technique to correct hallux valgus deformities. The disadvantages are a high complication rate and a long postoperative rehabilitation period. It is only performed in 5% to 10% of all hallux valgus deformity corrections but remains, however, an important procedure, especially in moderate to severe deformities with intermetatarsal angles more than 14°, hypermobility of the first ray, arthritis of the first tarsometatarsal joint, and recurrent deformities. This article provides an overview of the procedure with special focus on the surgical technique.

Keywords: Hallux valgus; Metatarsocuneiform fusion; Modified Lapidus procedure; Technique.

Publication types

Review

MeSH terms

Arthritis / surgery*
Arthrodesis* / methods
Foot Joints / surgery
Hallux Valgus / surgery*
Humans
Osteotomy* / methods