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New Techniques and Alternative Fixation for the Lapidus Arthrodesis

Authors
Journal
Clinics in Podiatric Medicine and Surgery
0891-8422
Publisher
Elsevier
Volume
30
Issue
3
Identifiers
DOI: 10.1016/j.cpm.2013.04.007
Keywords
  • Lapidus Procedure
  • First Metatarsocuneiform Arthrodesis
  • Polyaxial And Monoaxial Locking Plates
  • Mini Tightrope
  • External Fixation
  • Arthroscopy

Abstract

Arthrodesis of the first metatarsocuneiform joint is a powerful and durable procedure to help correct moderate to severe hallux valgus and/or first ray hypermobility. However, painful nonunion remains a notoriously high potential outcome. Research regarding locking plates seems promising, and data show lower rates of nonunion. Innovative fixation techniques are new and should be considered in the future as further literature is available on their long-term use. Regardless of the fixation, proper joint preparation and good compression is fundamentally the most important. A case of Lapidus fusion with locking plates after a failed arthrodesis with screws alone is presented.

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