Modified lapidus arthrodesis for adolescent hallux abducto valgus

The Lapidus arthrodesis was originally described for the surgical correction of hallux valgus associated with metatasus primus adductus. It was popularized on the adult patient with moderate to severe hallux valgus deformity. However, the authors present a retrospective review of 23 adolescents betw...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 1999, Vol.38 (1), p.8-13
Main Authors: Grace, David, Delmonte, Rick, Catanzariti, Alan R., Hofbauer, Mark
Format: Article
Language:English
Subjects:
Adolescent
Adult
arthrodesis
Arthrodesis - methods
Biological and medical sciences
Cartilage, Articular - surgery
Female
Foot Bones - physiopathology
hallux valgus
Hallux Valgus - physiopathology
Hallux Valgus - surgery
Humans
hypermobility
lapidus
Male
Medical sciences
Orthopedic surgery
Postoperative Care
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tarsal Joints - physiopathology
Tarsal Joints - surgery
Treatment Outcome
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Summary:The Lapidus arthrodesis was originally described for the surgical correction of hallux valgus associated with metatasus primus adductus. It was popularized on the adult patient with moderate to severe hallux valgus deformity. However, the authors present a retrospective review of 23 adolescents between the ages of 13 and 20 who underwent the procedures. Characteristics of adolescent hallux valgus include a smaller dorsal medial eminence, less valgus rotation of the hallux, and certain mechanical influences. These influences may include a generalized increase in motion at the first metatarsocuneiform joint. The modified Lapidus arthrodesis eliminates motion at the first metatarsocuneiform joint and therefore directly addresses an etiology of the deformity. Both preoperative and postoperative radiographs were evaluated for reduction in the 1–2 intermetatarsal angle. Patients were evaluated through either chart review or telephone interview for present activity level, comfortable footgear, and overall satisfaction of the procedure. Twenty-seven out of 30 feet (90%) had either a good or excellent result with only three complications and two recurrences over a mean follow-up of 61 months.
ISSN:1067-2516
1542-2224
DOI:10.1016/S1067-2516(99)80082-9