Skip to main content

The Lapidus

  • Chapter
  • First Online:
Complications in Foot and Ankle Surgery
  • 1690 Accesses

Abstract

The Lapidus has become a popular procedure in the past 20 years for both primary and revisional hallux valgus surgery. Its popularity in part is due to its versatility and relatively low complication rate. Those patients that have first ray hypermobility are good candidates for this type of procedure. Determination of hypermobility is a continuum of clinical signs and symptoms as well as radiographic assessment. Like any surgical procedure, specific complications do arise, and this chapter will discuss these complications in detail and highlight a number of technical pearls that will help to decrease the possibility of complications. In addition, there are several pitfalls that can lead to complications, and these will also be identified in this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Albrecht GH. The pathology and treatment of hallux valgus. Russ Vrach. 1911;10:14.

    Google Scholar 

  2. Lapidus PW. The operative correction of the metatarsus varus primus in hallux valgus. Surg Gynecol Obstet. 1934;58:183.

    Google Scholar 

  3. Clark MR, Veith RG, Hansen ST. Adolescent bunion treated by modified lapidus procedure. Bull Hosp Jt Dis. 1987;47:109.

    CAS  Google Scholar 

  4. Sangeorzan BJ, Hansen ST. Modified lapidus procedure for hallux valgus. Foot Ankle Inst. 1989;9:262.

    Article  CAS  Google Scholar 

  5. Catanzariti AR, Mendicino RW, Lee MS, Gallina MR. The modified lapidus arthrodesis: a retrospective analysis. J Foot Ankle Surg. 1999;38:322–32.

    Article  CAS  PubMed  Google Scholar 

  6. McInnes BD, Bouche RT. Critical evaluation of the modified lapidus procedure. J Foot Ankle Surg. 2001;40:71–90.

    Article  CAS  PubMed  Google Scholar 

  7. Patel S, Ford LA, Etcheverry J, Rush SM, Hamilton GA. Modified lapidus arthrodesis: rate of nonunion in 227 cases. J Foot Ankle Surg. 2004;431:37–42.

    Article  Google Scholar 

  8. Coetzee JC, Resig SG, Kuskowski M, Saleh KJ. The lapidus procedure as a salvage after failed surgical treatment of hallux valgus: a prospective cohort study. J Bone Joint Surg Am. 2003;85:60–5.

    Article  PubMed  Google Scholar 

  9. Faber FM, Mulder PH, Vehaar JN. Role of first ray hypermobility in the outcome of the hohmann and the lapidus procedure. A prospective, randomized trial involving one hundred and one feet. J Bone Joint Surg. 2004;86:486–95.

    Article  PubMed  Google Scholar 

  10. Sammarco GJ, Idusuyi OB. Complications after surgery of the hallux. Clin Orthop Rel Res. 2001;391:59–71.

    Article  Google Scholar 

  11. Kilmartin TE. Revision of failed foot surgery: a critical analysis. J Foot Ankle Surg. 2002;41:309–15.

    Article  CAS  PubMed  Google Scholar 

  12. Christensen JC, Jennings MM. Normal and abnormal function of the first ray. Clin Podiatr Med Surg. 2009;26(3):255–71.

    Article  Google Scholar 

  13. Khaw FM, Mak P, Johnson GR, et al. Distal ligamentous restraints of the first metatarsal. An in vitro biomechanical study. Clin Biomech (Bristo, Avon). 2005;20:653–8.

    Google Scholar 

  14. Sarrafian SK. Functional characteristics of the foot and plantar aponeurosis under tibiotalar loading. Foot Ankle. 1987;8:4–18.

    Article  CAS  PubMed  Google Scholar 

  15. Thordason DB, Schmotzer H, Chon J, et al. Dynamic support of the human longitudinal arch. A biomechanical evaluation. Clin Orthop. 1995;316:165–72.

    Google Scholar 

  16. Rush SM, Christensen JC, Johnson CH. Biomechanics of the first ray. Part II: metatarsus primus varus as a cause of hypermobility. A three-dimensional kinematic analysis in a cadaveric model. J Foot Ankle Surg. 2000;39:68077.

    Article  Google Scholar 

  17. Rolling BA, Christensen JC, Johnson CH. Biomechanics of the first ray. Part IV: the effect of selected medial column arthrodesis. A three-dimensional kinematic analysis in a cadaver model. J Foot Ankle Surg. 2002;41:278–85.

    Article  Google Scholar 

  18. Lungren P, Nester C, Liu A, et al. Invasive in vivo measurements of rear-mid-forefoot motion during walking. Gait Posture. 2008;28:93–100.

    Google Scholar 

  19. Johnson JT, Schuberth JM, Thornton SD, Christensen JC. Joint curettage arthrodesis technique in the foot. A histological analysis. J Foot Ankle Surg. 2009;48(5):558.

    Article  PubMed  Google Scholar 

  20. Donnenwerth MP, Borkosky SL, Abicht BP, Plovanich EJ, Roukis TS. Rate of nonunion after first metatarsal-cuneiform arthrodesis using joint curettage and two crossed compression screw fixation: a systematic review. J Foot Ankle Surg. 2011;50:707.

    Article  PubMed  Google Scholar 

  21. Dayton P, Feilmeier M, Kauwe M, Hirschi J. Relationship of frontal plane rotation of first metatarsal to proximal articular set angle and hallux alignment in patients undergoing tarsal metatarsal arthrodesis for hallux abducto valgus: a case series and critical review of the literature. J Foot Ankle Surg. 2013;52:348–54.

    Article  PubMed  Google Scholar 

  22. Dayton P, Feilmeier M, Hirchi J, Kauwe M, Kauwe JS. Observed changes in radiographic measurements of the first ray after frontal plane rotation of the first metatarsal in a cadaveric foot model. J Foot Ankle Surg. 2014;53:274–8.

    Article  PubMed  Google Scholar 

  23. Gruber F, Sinkov VS, Bae SY, Parks BG, Schon LC. Crossed screws versus dorsomedial locking plate with compression screw for first metatarsocuneiform arthrodesis: a cadaver study. Foot Ankle Int. 2008;29(9):927–30.

    Article  PubMed  Google Scholar 

  24. Klos K, Gueorguiev B, Muckley T, Frober R, Hofmann GO, Schwieger K, Windolf M. Stability of medial locking plate and compression screw versus two crossed screws for lapidus arthrodesis. Foot Ankle Int. 2010;31(2):158–63.

    Article  PubMed  Google Scholar 

  25. Blitz NM, Lee T, Williams K, Barkan H, DiDimenico LA. Early weight bearing after modified lapidus arthrodesis: a multicenter review of 80 cases. J Foot Ankle Surg. 2010;49(4):357–62.

    Article  PubMed  Google Scholar 

  26. Nwokolo IO Podiatry Institute Chapter 4

    Google Scholar 

  27. Thompson IM, Bohay DR, Anderson JG. Fusion rate of first tarsometatarsal arthrodesis in the modified lapidus procedure and flatfoot reconstruction. Foot Ankle Int. 2005;26(9):698–703.

    Article  PubMed  Google Scholar 

  28. Bhattacharyya T, Bouchard KA, Phadke A, Meigs JB, Kassarjian A, Salamipour H. The accuracy of computed tomography for diagnosis of tibial nonunion. JBJS A. 2006;88(4):672–97.

    Google Scholar 

  29. Schnarkowski P, Ridei J, Peterfly CG, et al. Tibial shaft fractures: Assessment of fracture healing with computed tomography. J Comp Assisted Tomogr. 1995;19(5):777–81.

    Article  CAS  Google Scholar 

  30. Ianni M, Kaicker J, Choudur H. Efficacy of high resolution CT for detection of early healing of scaphoid fractures. Open J Clin Diagn. 2012;2:51–5.

    Article  Google Scholar 

  31. Singleton TJ, Schuberth JM. Bone graft from the distal medial tibia in foot and ankle surgery. Foot Ankle Spec. 2012;5(3):168–74.

    Article  PubMed  Google Scholar 

  32. Fitzgibbons TC, Hawks MA, McMullen ST, Inda DJ. Bone grafting in surgery about the foot and ankle: indications and techniques. J Am Acad Orthop Surg. 2011;19(2):112–20.

    Article  PubMed  Google Scholar 

  33. Soohoo NF, Cracchiolo A. The results of utilizing proximal tibial bone graft in reconstructive procedures of the foot and ankle. Foot Ankle Surg. 2008;14(2):62–6.

    Article  PubMed  Google Scholar 

  34. Luk PC, Johnson JE, McCormick JJ, Klein SE. First metatarsal joint arthrodesis technique with interpositional allograft bone block. Foot Ankle Int. 2015;36:936.

    Article  PubMed  Google Scholar 

  35. Ronga M, Ferraro S, Fagetti A, Cherubino M, Valdatta L, Cherubino P. Masquelet technique for the treatment of a severe acute tibial bone loss. Injury. 2014;45(suppl 6):S111–5.

    Article  PubMed  Google Scholar 

  36. Makridis KG, Theocharakis S, Fragkakis EM, Giannoudis PV. Reconstruction of an extensive soft tissue and bone defect of the first metatarsal with the Masquelet technique: a case report. Foot Ankle Surg. 2014;20(2):19–22.

    Article  Google Scholar 

  37. Gross CE, Hsu AR, Lin J, Holmes GB, Lee S. Revision MTP arthrodesis for failed MTP arthroplasty. Foot Ankle Spec. 2013;6(6):471–8.

    Article  PubMed  Google Scholar 

  38. Coughlin MJ, Mann RA. Arthrodesis of the first metatarsophalangeal joint as salvage for the failed Keller procedure. J Bone Joint Surg Am. 1987;69(1):68–75.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Byron Hutchinson .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Hutchinson, B. (2017). The Lapidus. In: Lee, M., Grossman, J. (eds) Complications in Foot and Ankle Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-53686-6_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-53686-6_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-53684-2

  • Online ISBN: 978-3-319-53686-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics