title: The modified Lapidus fusion.
abstract: 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. This article provides an overview of the procedure with special focus on the surgical technique.
authors.affiliation: Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, Bern 3010, Switzerland.
authors.forename: Timo
authors.initials: T
authors.lastname: Schmid
authors.affiliation: Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, Bern 3010, Switzerland. Electronic address: fabian.krause@insel.ch.
authors.forename: Fabian
authors.initials: F
authors.lastname: Krause
mesh_terms: D001168:Arthritis / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods; D033023:Foot Joints / Q000601:surgery; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D010027:Osteotomy / Q000379:methods
keywords: Hallux valgus; Metatarsocuneiform fusion; Modified Lapidus procedure; Technique