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Recurrence of Hallux Valgus After Modified Lapidus Procedure With Successful Fusion of the Intermetatarsal and Intercuneiform Joints
Background The Lapidus procedure has become a popular procedure in correcting hallux valgus deformities and has undergone several modifications in an effort to improve the efficacy of the procedure. The senior author modifies this procedure with the addition of an intermetatarsal and intercuneiform...
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| Published in: | Curēus (Palo Alto, CA) CA), 2021-06, Vol.13 (6), p.e15418-e15418 |
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| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c291t-f71b9c8bf04cd3afb1ffd4898b87084b5c963e58cc6476fb6ed946e38d14d9ae3 |
| container_end_page | e15418 |
| container_issue | 6 |
| container_start_page | e15418 |
| container_title | Curēus (Palo Alto, CA) |
| container_volume | 13 |
| creator | Long, Joseph Lauf, Jason A Whitehead, Brent Cheney, Nick Law, Timothy D |
| description | Background
The Lapidus procedure has become a popular procedure in correcting hallux valgus deformities and has undergone several modifications in an effort to improve the efficacy of the procedure. The senior author modifies this procedure with the addition of an intermetatarsal and intercuneiform fusion. Our hypothesis is that this will improve the procedure outcomes and decrease deformity recurrence.
Methods
We reviewed patient charts who underwent the procedure between 2014 and 2017 performed by the senior author. This yielded 47 reviewable cases, with 34 meeting study criteria. The cases were analyzed for standard hallux valgus measurements (intermetatarsal angle [IMA], hallux valgus angle [HVA]) and fusion on X-ray.
Results
The results of the study showed partial intermetatarsal and intercuneiform fusion failure in seven (20%) cases, and one case where the great toe fell into varus. These cases were excluded. In the remaining cases, there was a statistically significant improvement in the HVA and IMA between the preoperative X-ray and first postoperative X-ray. Additionally, there was no significant difference between HVA and IMA between first and final postoperative radiographs. There was a significant increase in IMA for the fusion failure cases (p=0.001).
Conclusion
Clinically, our findings demonstrate that successful union is possible with low recurrence and complication rates when using this modification of the Lapidus procedure in patients with hallux valgus deformity. |
| doi_str_mv | 10.7759/cureus.15418 |
| format | article |
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The Lapidus procedure has become a popular procedure in correcting hallux valgus deformities and has undergone several modifications in an effort to improve the efficacy of the procedure. The senior author modifies this procedure with the addition of an intermetatarsal and intercuneiform fusion. Our hypothesis is that this will improve the procedure outcomes and decrease deformity recurrence.
Methods
We reviewed patient charts who underwent the procedure between 2014 and 2017 performed by the senior author. This yielded 47 reviewable cases, with 34 meeting study criteria. The cases were analyzed for standard hallux valgus measurements (intermetatarsal angle [IMA], hallux valgus angle [HVA]) and fusion on X-ray.
Results
The results of the study showed partial intermetatarsal and intercuneiform fusion failure in seven (20%) cases, and one case where the great toe fell into varus. These cases were excluded. In the remaining cases, there was a statistically significant improvement in the HVA and IMA between the preoperative X-ray and first postoperative X-ray. Additionally, there was no significant difference between HVA and IMA between first and final postoperative radiographs. There was a significant increase in IMA for the fusion failure cases (p=0.001).
Conclusion
Clinically, our findings demonstrate that successful union is possible with low recurrence and complication rates when using this modification of the Lapidus procedure in patients with hallux valgus deformity.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.15418</identifier><identifier>PMID: 34249565</identifier><language>eng</language><publisher>Palo Alto (CA): Cureus</publisher><subject>Orthopedics</subject><ispartof>Curēus (Palo Alto, CA), 2021-06, Vol.13 (6), p.e15418-e15418</ispartof><rights>Copyright © 2021, Long et al. 2021 Long et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c291t-f71b9c8bf04cd3afb1ffd4898b87084b5c963e58cc6476fb6ed946e38d14d9ae3</citedby><cites>FETCH-LOGICAL-c291t-f71b9c8bf04cd3afb1ffd4898b87084b5c963e58cc6476fb6ed946e38d14d9ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8254418/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8254418/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,733,786,790,891,27957,27958,53827,53829</link.rule.ids></links><search><creatorcontrib>Long, Joseph</creatorcontrib><creatorcontrib>Lauf, Jason A</creatorcontrib><creatorcontrib>Whitehead, Brent</creatorcontrib><creatorcontrib>Cheney, Nick</creatorcontrib><creatorcontrib>Law, Timothy D</creatorcontrib><title>Recurrence of Hallux Valgus After Modified Lapidus Procedure With Successful Fusion of the Intermetatarsal and Intercuneiform Joints</title><title>Curēus (Palo Alto, CA)</title><description>Background
The Lapidus procedure has become a popular procedure in correcting hallux valgus deformities and has undergone several modifications in an effort to improve the efficacy of the procedure. The senior author modifies this procedure with the addition of an intermetatarsal and intercuneiform fusion. Our hypothesis is that this will improve the procedure outcomes and decrease deformity recurrence.
Methods
We reviewed patient charts who underwent the procedure between 2014 and 2017 performed by the senior author. This yielded 47 reviewable cases, with 34 meeting study criteria. The cases were analyzed for standard hallux valgus measurements (intermetatarsal angle [IMA], hallux valgus angle [HVA]) and fusion on X-ray.
Results
The results of the study showed partial intermetatarsal and intercuneiform fusion failure in seven (20%) cases, and one case where the great toe fell into varus. These cases were excluded. In the remaining cases, there was a statistically significant improvement in the HVA and IMA between the preoperative X-ray and first postoperative X-ray. Additionally, there was no significant difference between HVA and IMA between first and final postoperative radiographs. There was a significant increase in IMA for the fusion failure cases (p=0.001).
Conclusion
Clinically, our findings demonstrate that successful union is possible with low recurrence and complication rates when using this modification of the Lapidus procedure in patients with hallux valgus deformity.</description><subject>Orthopedics</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpVkctOHDEQRa0oKCBglw_wMgsG7G67271BQii8NAhEXkvLbZcZI7c98QMlez48DYMQWVWp6ta5Ul2EPlNy2Pd8ONI1Qc2HlDMqPqCdhnZiIahgH9_122g_5wdCCCV9Q3ryCW23rGED7_gOerqDmZEgaMDR4gvlff2Dfyp_XzM-sQUSvo7GWQcGL9XamXl8m6IGMzvjX66s8LeqNeRsq8dnNbsYnkFlBfgyzOcTFFVUyspjFcxmpmsAZ2Oa8FV0oeQ9tGWVz7D_WnfRj7Ov308vFsub88vTk-VCNwMtC9vTcdBitIRp0yo7UmsNE4MYRU8EG7keuha40LpjfWfHDszAOmiFocwMCtpddLzhrus4gdEQSlJerpObVPoro3Ly_01wK3kfH6VoOJs_PAO-vAJS_F0hFzm5rMF7FSDWLBvOSdeytuGz9GAj1SnmnMC-2VAin7OTm-zkS3btP72KkMY</recordid><startdate>20210603</startdate><enddate>20210603</enddate><creator>Long, Joseph</creator><creator>Lauf, Jason A</creator><creator>Whitehead, Brent</creator><creator>Cheney, Nick</creator><creator>Law, Timothy D</creator><general>Cureus</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210603</creationdate><title>Recurrence of Hallux Valgus After Modified Lapidus Procedure With Successful Fusion of the Intermetatarsal and Intercuneiform Joints</title><author>Long, Joseph ; Lauf, Jason A ; Whitehead, Brent ; Cheney, Nick ; Law, Timothy D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c291t-f71b9c8bf04cd3afb1ffd4898b87084b5c963e58cc6476fb6ed946e38d14d9ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Long, Joseph</creatorcontrib><creatorcontrib>Lauf, Jason A</creatorcontrib><creatorcontrib>Whitehead, Brent</creatorcontrib><creatorcontrib>Cheney, Nick</creatorcontrib><creatorcontrib>Law, Timothy D</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Long, Joseph</au><au>Lauf, Jason A</au><au>Whitehead, Brent</au><au>Cheney, Nick</au><au>Law, Timothy D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrence of Hallux Valgus After Modified Lapidus Procedure With Successful Fusion of the Intermetatarsal and Intercuneiform Joints</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><date>2021-06-03</date><risdate>2021</risdate><volume>13</volume><issue>6</issue><spage>e15418</spage><epage>e15418</epage><pages>e15418-e15418</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Background
The Lapidus procedure has become a popular procedure in correcting hallux valgus deformities and has undergone several modifications in an effort to improve the efficacy of the procedure. The senior author modifies this procedure with the addition of an intermetatarsal and intercuneiform fusion. Our hypothesis is that this will improve the procedure outcomes and decrease deformity recurrence.
Methods
We reviewed patient charts who underwent the procedure between 2014 and 2017 performed by the senior author. This yielded 47 reviewable cases, with 34 meeting study criteria. The cases were analyzed for standard hallux valgus measurements (intermetatarsal angle [IMA], hallux valgus angle [HVA]) and fusion on X-ray.
Results
The results of the study showed partial intermetatarsal and intercuneiform fusion failure in seven (20%) cases, and one case where the great toe fell into varus. These cases were excluded. In the remaining cases, there was a statistically significant improvement in the HVA and IMA between the preoperative X-ray and first postoperative X-ray. Additionally, there was no significant difference between HVA and IMA between first and final postoperative radiographs. There was a significant increase in IMA for the fusion failure cases (p=0.001).
Conclusion
Clinically, our findings demonstrate that successful union is possible with low recurrence and complication rates when using this modification of the Lapidus procedure in patients with hallux valgus deformity.</abstract><cop>Palo Alto (CA)</cop><pub>Cureus</pub><pmid>34249565</pmid><doi>10.7759/cureus.15418</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Curēus (Palo Alto, CA), 2021-06, Vol.13 (6), p.e15418-e15418 |
| issn | 2168-8184 2168-8184 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8254418 |
| source | PubMed Central |
| subjects | Orthopedics |
| title | Recurrence of Hallux Valgus After Modified Lapidus Procedure With Successful Fusion of the Intermetatarsal and Intercuneiform Joints |
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