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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Blitz NM. The versatility of the Lapidus arthrodesis. Clin Podiatr Med Surg. 2009;26:427-441.
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.
Avino A, Patel S, Hamilton GA, Ford LA. The effect of the Lapidus arthrodesis on the medial longitudinal arch: a Âradiographic review. J Foot Ankle Surg. 2008;47:510-514.
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.
Frankel JP, Larsen DC. The misuse of the Lapidus procedure: re-evaluation of the preoperative criteria. J Foot Ankle Surg. 1996;35:355-361.
Sangeorzan BJ, Hansen ST. Modified Lapidus procedure for hallux valgus. Foot Ankle. 1989;9:262-266.
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.
Catanzariti AR, Mendicino RW, Lee MS, Gallina MR. The modified Lapidus arthrodesis: a retrospective analysis. J Foot Ankle Surg. 1999;38:322-332.
Carl A, Ross S, Evanski P, Waugh T. Hypermobility in hallux valgus. Foot Ankle. 1988;8:264-270.
Fritz GR, Prieskorn D. First metatarsocuneiform motion: a radiographic and statistical analysis. Foot Ankle Int. 1995;16:153-157.
Bacardi B, Boysen T. Considerations for the Lapidus Âoperation. J Foot Surg. 1986;25:133-138.
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.
Myerson MS. The modified lapidus procedure. In: Myerson MS, ed. Reconstructive Foot and Ankle Surgery. 1st ed. Philadelphia: Elsevier Saunders; 2005:21-30.
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.
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.
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.
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.
Treadwell J. Rail external fixation for stabilization of closing base wedge osteotomies and Lapidus procedures: a Âretrospective analysis of sixteen cases. J Foot Ankle Surg. 2005;44:429-436.
Kazzaz S, Singh D. Postoperative cast necessity after a Lapidus arthrodesis. Foot Ankle Int. 2009;30:746-751.
Myerson M, Allon S, McGarvey W. Metatarsocuneiform arthrodesis for management of hallux valgus and metatarsus primus varus. Foot Ankle. 1992;13:107-115.
Coetzee JC, Wickum D. The Lapidus procedure: a prospective cohort outcome study. Foot Ankle Int. 2004;25:526-531.
Rick-Brüne O. Lapidus arthrodesis for management of hallux valgus – a retrospective review of 106 cases. J Foot Ankle Surg. 2004;43:290-295.
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.
Mauldin DM, Sanders M, Whitmer WW. Correction of hallux valgus with metatarsocuneiform stabilization. Foot Ankle. 1990;13:59-66.
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.
Myerson NS, Badekas A. Hypermobility of the first ray. Foot Ankle Clin. 2000;5:469-484.
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.
McInnes B, Bouché R. Critical evaluation of the modified Lapidus procedure. J Foot Ankle Surg. 2001;40(2):71-90.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag London Limited
About this chapter
Cite this chapter
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
Download citation
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
eBook Packages: MedicineMedicine (R0)