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Lapidus Arthrodesis

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https://www.readbyqxmd.com/read/27837037/comparison-of-locking-plate-with-interfragmentary-screw-versus-plantarly-applied-anatomic-locking-plate-for-lapidus-arthrodesis-a-biomechanical-cadaveric-study
#1
James M Cottom, Joseph S Baker
: Arthrodesis of the first metatarsal cuneiform joint, or Lapidus procedure, is a widely accepted treatment for hallux valgus. Recent studies have focused on comparing various constructs for this procedure both in the laboratory and clinical settings. The current study compared in a cadaveric model the strength of 2 constructs. The first construct utilized a medially applied low-profile locking plate and an interfragmentary screw directed from plantar-distal to dorsal-proximal. The second construct consisted of a plantarly applied plate with a compression screw placed through the plate from plantar-distal to dorsal-proximal...
November 10, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27810025/cost-effectiveness-of-different-techniques-in-hallux-valgus-surgery
#2
Emilio Wagner, Cristian Ortiz, Karen Torres, Ivan Contesse, Omar Vela, Diego Zanolli
BACKGROUND: Different surgical techniques are available to correct each type of Hallux Valgus (HV) deformity, and all present similar good results. No information is available relative to the cost of each technique compared to their individual success. OBJECTIVE: To determine the cost-effectiveness-ratio (CER) of five different techniques for HV. METHODS: We included 245HV surgeries performed in 179 patients. The severity was defined according to radiological parameters...
December 2016: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27709024/revision-lapidus-arthrodesis-by-bone-endoscopy
#3
Tun Hing Lui
Revision arthrodesis is indicated in symptomatic nonunion of the first tarsometatarsal joint. Revision by first tarsometatarsal arthroscopy cannot deal with the dilated screw tract and associated bone cysts. Revision by bone endoscopy is indicated in symptomatic nonunion of the first tarsometatarsal joint, which is previously fixed by transarticular screw along with loosening of the screw and bone cyst formation. The screw tract makes up the portal tract, with the proximal and distal ends of the tract corresponding to the proximal and distal portals, respectively...
August 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/26872521/comparison-of-the-mechanical-characteristics-of-a-universal-small-biplane-plating-technique-without-compression-screw-and-single-anatomic-plate-with-compression-screw
#4
Paul Dayton, Joe Ferguson, Daniel Hatch, Robert Santrock, Sean Scanlan, Bret Smith
To better understand the mechanical characteristics of biplane locked plating in small bone fixation, the present study compared the stability under cyclic cantilever loading of a 2-plate locked biplane (BPP) construct without interfragmentary compression with that of a single-plate locked construct with an additional interfragmentary screw (SPS) using surrogate bone models simulating Lapidus arthrodesis. In static ultimate plantar bending, the BPP construct failed at significantly greater load than did the SPS construct (556...
May 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26763868/a-multicenter-retrospective-study-of-early-weightbearing-for-modified-lapidus-arthrodesis
#5
Mark A Prissel, Christopher F Hyer, Sean T Grambart, Bradly W Bussewitz, Stephen A Brigido, Lawrence A DiDomenico, Michael S Lee, Christopher L Reeves, Amber M Shane, Daniel J Tucker, Glenn M Weinraub
The modified Lapidus arthrodesis is a long-established surgical technique for management of hallux valgus that provides reproducible results and quality patient outcomes. The data from 367 consecutive patients undergoing unilateral modified Lapidus arthrodesis from January 1, 2007 to December 31, 2008 at participating centers were retrospectively evaluated. The included patients were categorized into early weightbearing (≤ 21 days) and delayed weightbearing (> 21 days) groups. A total of 24 nonunions (6...
March 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26635414/placement-of-plantar-plates-for-lapidus-arthrodesis-anatomical-considerations
#6
Christian Plaass, Leif Claassen, Kiriakos Daniilidis, Mariesol Fumy, Christina Stukenborg-Colsman, Andreas Schmiedl, Sarah Ettinger
BACKGROUND: The modified Lapidus procedure is an accepted treatment option for patients with moderate to severe hallux valgus. Placing a plate plantar on the tension side of the arthrodesis has been shown to be biomechanically superior and has provided good clinical results. There is some concern about interference of the plantar placed plates on the tendon insertions. The purpose of this study was to determine a "safe zone" for plantar plate placement without irritation of the tendons...
April 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26567168/radiographic-recurrence-of-deformity-after-hallux-valgus-surgery-in-patients-with-metatarsus-adductus
#7
Amiethab Aiyer, Jeffery Shub, Raheel Shariff, Li Ying, Mark Myerson
BACKGROUND: Metatarsus adductus (MA) is a congenital condition that may lead to the development of hallux valgus (HV). The associated anatomic deformities may lead to recurrence of the HV in patients with MA. The goals of the study were to identify radiographic rates of recurrence of HV following surgery for HV in patients with MA. METHODS: Between 2002 and 2013, 587 patients who underwent HV surgery were retrospectively identified. The radiographic parameters recorded included the hallux valgus angle (HVA), the intermetatarsal angle (IMA), and the metatarsus adductus angle (MAA) obtained from initial radiographs and at final follow-up...
February 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26364702/endosseous-fixation-device-for-lapidus-arthrodesis-technique-early-experience-and-comparison-with-crossed-screw-fixation
#8
COMPARATIVE STUDY
Marek E Zelent, David J Neese, Paul H Peterson
First metatarsal cuneiform joint arthrodesis has been commonly used since the early 1900s for definitive treatment of a variety of conditions involving the medial column of the foot. Early applications of this procedure resulted in a relatively high rate of complications, including malunion and nonunion. We retrospectively examined a novel method of fixation involving an endosseous implant with a nonporous, rough exterior surface and compared it with the traditional crossed screw fixation, considered the standard of care for the procedure...
November 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25681280/intraoperative-evaluation-of-medial-intercuneiform-instability-after-lapidus-arthrodesis-intercuneiform-hook-test
#9
Justin J Fleming, Kwasi Yiadom Kwaadu, Jeanine C Brinkley, Yvonne Ozuzu
The presence of intercuneiform instability is not routinely inspected within the overall surgical management of hallux valgus and has therefore been underreported as a potential cause of recurrence. We sought to demonstrate the incidence of this unique type of proximal instability to state its potential importance in the correction and definitive management of hallux valgus in patients with moderate to severe intermetatarsal angles with superimposed hypermobility. A total of 34 patients underwent 38 tarsometatarsal arthrodeses for hallux valgus correction and were retrospectively reviewed for 36 months from May 2007 to May 2010...
May 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25481723/arthrodiastasis-of-the-lateral-column-with-medial-fusion-a-retrospective-examination-of-medial-double-and-lapidus-arthrodeses
#10
Melissa M Galli, Nicole M Protzman, Stephen A Brigido
Arthrodiastasis of the calcaneocuboid joint after medial double arthrodesis has been described, but the extent remains unreported. We present our comparative findings after medial double and Lapidus fusion on the effects of the calcaneocuboid joint. Adults undergoing medial column fusion with internal fixation and a minimal clinical and radiographic follow-up period of 3 months were included. Subjects were excluded for Charcot deformity, previous arthrodesis surgery, and history of calcaneocuboid joint trauma or surgery...
May 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25456344/enhanced-lapidus-arthrodesis-crossed-screw-technique-with-middle-cuneiform-fixation-further-reduces-sagittal-mobility
#11
Melissa M Galli, Jeffrey E McAlister, Gregory C Berlet, Christopher F Hyer
Persistent medial column sagittal mobility can be encountered despite successful first tarsometatarsal stabilization if fixation has been limited to the first tarsometatarsal joint. The purpose of the present cadaveric research was to quantify the effect of a third point of fixation from the base of the first metatarsal to the middle cuneiform compared with the traditional isolated first tarsometatarsal fixation. Ten matched pairs of below-the-knee specimens, with a known cause of death, sex, ethnicity, and age, height, weight, and body mass index at death, were used for our examination...
May 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25451208/modified-lapidus-arthrodesis-with-crossed-screw-fixation-early-weightbearing-in-136-patients
#12
Christy M King, Johanna Richey, Sandeep Patel, David R Collman
Modified Lapidus arthrodesis is a versatile and powerful procedure for correcting the hallux valgus deformity typically associated with significant metatarsus primus varus or increased first ray mobility. Traditionally, patients have remained non-weightbearing until the arthrodesis has consolidated. More recently, numerous studies have evaluated the outcomes of early postoperative weightbearing using a variety of fixation constructs. The present retrospective cohort study evaluated 136 consecutive patients who had undergone modified Lapidus arthrodesis for hallux valgus deformity with conventional, crossed, solid core, screw fixation, were enrolled in an early weightbearing protocol, and were followed for 12 months...
January 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25431215/correction-power-and-complications-of-first-tarsometatarsal-joint-arthrodesis-for-hallux-valgus-deformity
#13
Madeleine Willegger, Johannes Holinka, Robin Ristl, Axel Hugo Wanivenhaus, Reinhard Windhager, Reinhard Schuh
PURPOSE: First tarsometatarsal joint (TMTJ) arthrodesis is known as a powerful operative procedure to correct moderate to severe hallux valgus deformity. However, there is little evidence about actual complication rates and angular correctional power. The aims of the present study were to evaluate the (1) angular correction power and (2) complication rates of pooled data for this procedure and to perform subgroup analysis of different methods of fixation. METHODS: A systematic search for the MeSH terms "(hallux OR bunion) AND (lapidus OR TMT OR tarsometatarsal OR metatarsocuneiform) AND (fusion OR arthrodesis)" with use of the online databases MEDLINE, Embase, CINAHL, Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews was conducted...
March 2015: International Orthopaedics
https://www.readbyqxmd.com/read/24958073/effects-of-the-lapidus-arthrodesis-and-chevron-bunionectomy-on-plantar-forefoot-pressures
#14
Christy M King, Graham A Hamilton, Lawrence A Ford
Hallux valgus with or without first ray insufficiency has been strongly implicated as a contributing factor in lesser metatarsal overload. The principle goals of a bunionectomy are to relieve the pain, correct the deformity, and restore first metatarsophalangeal joint congruity. Until now, little evidence has been available to assess the effects of bunionectomy procedures on forefoot pressure. The primary aim of the present prospective study was to evaluate the preoperative and postoperative plantar pressures after 2 specific bunionectomies: the chevron bunionectomy and Lapidus arthrodesis...
July 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/24880862/immediate-weightbearing-after-lapidus-arthrodesis-with-external-fixation
#15
Bradley M Lamm, Jacob Wynes
A common surgical treatment of severe hallux abductovalgus deformity with coincident first ray hypermobility is metatarsal-cuneiform fusion or Lapidus procedure. The aim of the present study was to illustrate a reliable and novel method of fixation for Lapidus fusion using an external fixation device through a retrospective cohort investigation of consecutive patients. Twenty Lapidus fusions were performed in 19 patients, including 17 females (89.47%) and 2 males (10.53%). The mean age at surgery was 41 (range 20 to 64) years...
September 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/24878411/the-modified-lapidus-fusion
#16
REVIEW
Timo Schmid, Fabian Krause
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...
June 2014: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/24751210/the-incidence-of-nonunion-after-lapidus-arthrodesis-using-staple-fixation
#17
Jason P Mallette, Courtney L Glenn, Douglas J Glod
Today's foot and ankle surgeon has multiple options when choosing a fixation device for Lapidus arthrodesis, many of which have well-documented nonunion rates. The present study aimed to fill a void in the current foot and ankle literature by establishing a nonunion rate for staple fixation for the Lapidus procedure. The present retrospective analysis of the medical record focused on nickel-titanium staples that were inserted in a delta configuration to yield a stable construct for first metatarsal-cuneiform fusion...
May 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/24706028/-full-weight-bearing-after-lapidus-arthrodesis-in-hallux-valgus-deformity-using-the-ivp-plate-fixation-v-tek-%C3%A2-system
#18
M N Magin
OBJECTIVE: Correction of hallux valgus deformities without loss of toe length. Achievement of full weight-bearing. INDICATIONS: Hallux valgus with intermetatarsal angle of more than 20°. Hypermobility of the first metatarsal bone combined with instability. Recurrence of hallux valgus deformity. Hallux limitus combined with metatarsus primus elevatus. Painful arthrosis of the metatarsal-cuneiform-medial joint (TMT 1). CONTRAINDICATIONS: Arterial occlusive disease...
April 2014: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/24685195/contemporary-approaches-and-advancements-to-the-lapidus-procedure
#19
REVIEW
Bob Baravarian, Rotem Ben-Ad
The Lapidus procedure as evolved over the last 50 years. What originally was a difficult procedure with poor outcomes has changed to a procedure that allows for ideal realignment of the deformity at its source, improved foot alignment, and minimal to no need for further surgery. The authors now use a weight bearing plate which has improved overall patient care, with a minimized risk of nonunions, and more rapid return to early weight bearing and range of motion. This method has opened up the procedure to more patients, decreased the recovery time, and allowed for early physical therapy, resulting in outstanding patient outcomes...
April 2014: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/24379451/lapidus-arthrodesis-plus-osteochondral-autograft-transplantation-in-the-management-of-hallux-rigidus-with-an-elevated-first-ray
#20
Kajetan Klos, Paul Simons
The range of joint-sparing treatments for advanced hallux rigidus is still very limited. The authors describe an osteochondral autograft transplantation technique combined with Lapidus arthrodesis as a novel method of obtaining a relatively symptom-free first metatarsophalangeal joint function in patients with hallux rigidus and first-ray elevation.
April 2014: Foot & Ankle Specialist
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