A Multicenter, Retrospective Study of Early Weightbearing for Modified Lapidus Arthrodesis.

@article{Prissel2016AMR,
  title={A Multicenter, Retrospective Study of Early Weightbearing for Modified Lapidus Arthrodesis.},
  author={Mark A Prissel and Christopher F. Hyer and Sean T. Grambart and Bradly W. Bussewitz and Stephen A. Brigido and Lawrence A Didomenico and Michael S. Lee and Christopher L. Reeves and Amber M. Shane and D J Tucker and Glenn M. Weinraub},
  journal={The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons},
  year={2016},
  volume={55 2},
  pages={
          226-9
        }
}
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… 
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Early Weightbearing After Arthrodesis of the First Metatarsal‐Medial Cuneiform Joint: A Systematic Review of the Incidence of Nonunion
  • A. Crowell, J. Van, Andrew J. Meyr
  • Medicine
    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
  • 2018
TLDR
A systematic review of the incidence of nonunion after early weightbearing in patients who underwent arthrodesis of the first metatarsal‐medial cuneiform articulation for correction of a hallux abducto valgus deformity indicated that the Lapidus procedure does not always require an extended period of postoperative non‐weightbearing immobilization.
Multicenter Early Radiographic Outcomes of Triplanar Tarsometatarsal Arthrodesis With Early Weightbearing
TLDR
Early radiographic outcomes of triplanar first TMT arthrodesis with early weightbearing were promising with low recurrence rates and maintenance of correction.
Complications of first tarsometatarsal joint arthrodesis
TLDR
First TMTJ arthrodesis requires greater care in choosing the surgical technique for the treatment of hallux valgus, and some points should be considered to minimize complications as much as possible.
Maintenance of Correction of the Modified Lapidus Procedure With a First Metatarsal to Intermediate Cuneiform Cross-Screw Technique
TLDR
This study showed that the cross-screw intermediate cuneiform construct for first tarsometatarsal joint arthrodesis had a good union rate, a low complication rate, and maintained radiographic correction.
Minimally invasive technique with intramedullary nail for treatment of severe hallux valgus: clinical results and surgical technique
TLDR
Intramedullary nail for Lapidus arthrodesis with minimally invasive technique showed satisfactory radiographic correction and minimal complications, but further follow up is needed to analyze clinical-radiographic results.
Short Term Radiographic and Patient Outcomes of a Biplanar Plating System for Triplanar Hallux Valgus Correction.
  • Kshitij Manchanda, A. Chang, +8 authors T. Lalli
  • Medicine
    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
  • 2020
TLDR
AOFAS Hallux Metatarsophalangeal-Interphalangeal scores significantly improved from the preoperative to the postoperative state, and a nonunion rate of 5.2%, which is comparable to prior studies.
Effect on Foot Width With Triplanar Tarsometatarsal Arthrodesis for Hallux Valgus
TLDR
Evaluation of changes in bony and soft tissue width in patients undergoing triplanar first TMT arthrodesis for hallux valgus found both osseous andsoft tissue foot width reduced, providing a desirable cosmetic and functional outcome for patients with halluxvalgus.
Comparison of Locking Plate with Interfragmentary Screw Versus Plantarly Applied Anatomic Locking Plate for Lapidus Arthrodesis: A Biomechanical Cadaveric Study
TLDR
The medially applied plate with plantar interfragmentary screw appears to be stronger than the plantar Lapidus plate tested for first metatarsal cuneiform arthrodesis, though this difference did not reach statistical significance.
Arthrodesis of the first tarsometatarsal joint for correction of hallux abductovalgus: Technique guide and tips✰,✰✰,★
Can We Abandon Saw Wedge Resection in Lapidus Fusion? A Comparative Study of Joint Preparation Techniques Regarding Correction of Deformity, Union Rate, and Preservation of First Ray Length.
  • T. Boffeli, Shelby B. Hyllengren
  • Medicine
    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
  • 2019
TLDR
It is suggested that first ray length can be preserved using a more conservative joint preparation technique regardless of preoperative deformity, without compromising correction of deformity or union rate.
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References

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TLDR
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TLDR
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TLDR
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    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
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TLDR
The results highlight that immediate weightbearing after Lapidus fusion with external fixation is a viable treatment option for the correction of severe hallux abductovalgus with associated hypermobility.
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TLDR
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TLDR
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    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
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TLDR
It is demonstrated that plantar lag screw fixation with medial locking plate augmentation for Lapidus arthrodesis allows for early weightbearing with satisfactory outcomes, improved clinical and radiographic alignment, and improved American Orthopaedic Foot and Ankle Society scores.
Postoperative Cast Necessity after a Lapidus Arthrodesis
TLDR
This work allows adult patients undergoing a Lapidus type procedure to be managed in a postoperative wedge shoe by allowing them to bear weight in a wedge shoe instead of a cast.
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