title: Correction of frontal plane rotation of sesamoid apparatus during the Lapidus procedure: a novel approach.
abstract: The Lapidus procedure affords correction of a multitude of first ray pathologic entities. When reconstructing the first ray using the Lapidus procedure, the relocation of the first metatarsal over the sesamoid bones with frontal plane rotation should be considered one of the key components. In the present technical report, we have described a bunion correction with emphasis on sesamoid reduction through indirect frontal plane manipulation. Our technique, borne from applied basic anatomy of the first metatarsophalangeal joint, uses intact soft tissues about the first metatarsophalangeal joint to reduce subluxed or dislocated sesamoids.
authors.affiliation: Private Practice, Ankle and Foot Care Centers, Boardman, OH; Section Chief, Department of Podiatry, and Surgeon, Department of Surgery, St. Elizabeth Hospital Medical Center, Youngstown, OH. Electronic address: ld5353@aol.com.
authors.forename: Lawrence A
authors.initials: LA
authors.lastname: DiDomenico
authors.affiliation: Private Practice, Naples, FL.
authors.forename: Ramy
authors.initials: R
authors.lastname: Fahim
authors.affiliation: Resident, Heritage Valley Health System, Beaver, PA.
authors.forename: Jobeth
authors.initials: J
authors.lastname: Rollandini
authors.affiliation: Resident, Heritage Valley Health System, Beaver, PA.
authors.forename: Zachary M
authors.initials: ZM
authors.lastname: Thomas
mesh_terms: D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011859:Radiography; D012716:Sesamoid Bones / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: bunion; first metatarsal; fluoroscopy; hallux abductovalgus; medial cuneiform; proximal phalanx; sesamoids