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Abstract

In 1934, Dr. Paul Lapidus described a procedure for correcting hallux valgus. It was first described as a fusion of the base of the first and second metatarsal and the medial cuneiform combined with distal soft tissue alignment.1 As with surgical procedures, it has been modified over the years, particularly with the advent of internal fixation. There are numerous benefits to performing the Lapidus procedure. The Lapidus procedure addresses hallux valgus at the apex of the deformity, increases the efficacy of the peroneal longus tendon, and stabilizes the medial longitudinal arch.

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References

  1. Blitz NM. The versatility of the Lapidus arthrodesis. Clin Podiatr Med Surg. 2009;26:427-441.

    Article  PubMed  Google Scholar 

  2. Bierman RA, Christensen JC, Johnson CH. Biomechanics of the first ray. Part III. Consequences of Lapidus arthrodesis on peroneus longus function: a three-dimensional kinematic analysis in a cadaver review. J Foot Ankle Surg. 2001;37:125-131.

    Article  Google Scholar 

  3. Avino A, Patel S, Hamilton GA, Ford LA. The effect of the Lapidus arthrodesis on the medial longitudinal arch: a ­radiographic review. J Foot Ankle Surg. 2008;47:510-514.

    Article  PubMed  Google Scholar 

  4. Mann RA, Coughlin MJ. Hallux valgus. In: Coughlin MJ, Mann RA, Saltzman CL, eds. Surgery of the Foot and Ankle. 8th ed. Philadelphia: Mosby Elsevier; 2007:298-300.

    Google Scholar 

  5. Frankel JP, Larsen DC. The misuse of the Lapidus procedure: re-evaluation of the preoperative criteria. J Foot Ankle Surg. 1996;35:355-361.

    Article  PubMed  CAS  Google Scholar 

  6. Sangeorzan BJ, Hansen ST. Modified Lapidus procedure for hallux valgus. Foot Ankle. 1989;9:262-266.

    PubMed  CAS  Google Scholar 

  7. Lagaay PM, Hamilton GA, Ford LA, Williams ME, Rush SM, Schuberth JM. Rates of revision surgery using chevron-Austin osteotomy, Lapidus arthrodesis, and closing base wedge osteotomy for correction of hallux valgus deformity. J Foot Ankle Surg. 2008;47:267-272.

    Article  PubMed  Google Scholar 

  8. Catanzariti AR, Mendicino RW, Lee MS, Gallina MR. The modified Lapidus arthrodesis: a retrospective analysis. J Foot Ankle Surg. 1999;38:322-332.

    Article  PubMed  CAS  Google Scholar 

  9. Carl A, Ross S, Evanski P, Waugh T. Hypermobility in hallux valgus. Foot Ankle. 1988;8:264-270.

    PubMed  CAS  Google Scholar 

  10. Fritz GR, Prieskorn D. First metatarsocuneiform motion: a radiographic and statistical analysis. Foot Ankle Int. 1995;16:153-157.

    Google Scholar 

  11. Bacardi B, Boysen T. Considerations for the Lapidus ­operation. J Foot Surg. 1986;25:133-138.

    PubMed  CAS  Google Scholar 

  12. Mote GA, Yarmel D, Treaster A. First metatarsal-cuneiform arthrodesis for the treatment of first ray pathology: a technical guide. J Foot Ankle Surg. 2009;48:593-601.

    Article  PubMed  Google Scholar 

  13. Myerson MS. The modified lapidus procedure. In: Myerson MS, ed. Reconstructive Foot and Ankle Surgery. 1st ed. Philadelphia: Elsevier Saunders; 2005:21-30.

    Google Scholar 

  14. Haas Z, Hamilton G, Sundstrom D, Ford L. Maintenance of correction of first metatarsal closing base wedge osteotomies versus modified Lapidus arthrodesis for moderate to severe hallux valgus deformity. J Foot Ankle Surg. 2007;46:358-365.

    Article  PubMed  Google Scholar 

  15. Scranton PE, Coetzee JC, Carreira D. Arthrodesis of the first metatarsocuneiform joint: a comparative study of fixation methods. Foot Ankle Int. 2009;30:341-345.

    Article  PubMed  Google Scholar 

  16. Saxena A, Nguyen A, Nelsen E. Lapidus bunionectomy: early evaluation of crossed lag screws versus locking plate with plantar lag screw. J Foot Ankle Surg. 2009;48:170-179.

    Article  PubMed  Google Scholar 

  17. Webb B, Nute M, Wilson S, Thomas J, Van Gompel J, Thompson K. Arthrodesis of the first metatarsocuneiform joint: a comparative cadaveric study of external and internal fixation. J Foot Ankle Surg. 2009;48:15-21.

    Article  PubMed  Google Scholar 

  18. Treadwell J. Rail external fixation for stabilization of closing base wedge osteotomies and Lapidus procedures: a ­retrospective analysis of sixteen cases. J Foot Ankle Surg. 2005;44:429-436.

    Article  PubMed  Google Scholar 

  19. Kazzaz S, Singh D. Postoperative cast necessity after a Lapidus arthrodesis. Foot Ankle Int. 2009;30:746-751.

    Article  PubMed  Google Scholar 

  20. Myerson M, Allon S, McGarvey W. Metatarsocuneiform arthrodesis for management of hallux valgus and metatarsus primus varus. Foot Ankle. 1992;13:107-115.

    PubMed  CAS  Google Scholar 

  21. Coetzee JC, Wickum D. The Lapidus procedure: a prospective cohort outcome study. Foot Ankle Int. 2004;25:526-531.

    PubMed  Google Scholar 

  22. Rick-Brüne O. Lapidus arthrodesis for management of hallux valgus – a retrospective review of 106 cases. J Foot Ankle Surg. 2004;43:290-295.

    Article  Google Scholar 

  23. Kopp FJ, Patel MM, Levine DS, Deland JT. The modified Lapidus procedure for hallux valgus; a clinical and radiographic analysis. Foot Ankle Int. 2005;26:913-917.

    PubMed  Google Scholar 

  24. Mauldin DM, Sanders M, Whitmer WW. Correction of hallux valgus with metatarsocuneiform stabilization. Foot Ankle. 1990;13:59-66.

    Google Scholar 

  25. Hamilton GA, Mullins S, Schuberth JM, Rush SM, Ford L. Revision Lapidus arthrodesis: rate of union in 17 cases. J Foot Ankle Surg. 2007;46:447-450.

    Article  PubMed  Google Scholar 

  26. Myerson NS, Badekas A. Hypermobility of the first ray. Foot Ankle Clin. 2000;5:469-484.

    PubMed  CAS  Google Scholar 

  27. Patel S, Ford FA, Etcheverry J, Rush SM, Hamilton GA. Modified Lapidus arthrodesis: rate of nonunion in 227 cases. J Foot Ankle Surg. 2004;43:37-42.

    Article  PubMed  Google Scholar 

  28. McInnes B, Bouché R. Critical evaluation of the modified Lapidus procedure. J Foot Ankle Surg. 2001;40(2):71-90.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Eliza Addis-Thomas D.P.M. .

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Addis-Thomas, E., Caminear, D.S., Saxena, A. (2012). The Lapidus Procedure. In: Saxena, A. (eds) International Advances in Foot and Ankle Surgery. Springer, London. https://doi.org/10.1007/978-0-85729-609-2_3

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  • DOI: https://doi.org/10.1007/978-0-85729-609-2_3

  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-608-5

  • Online ISBN: 978-0-85729-609-2

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