The Modified Lapidus-Arthrodesis for Hallux Valgus Correction with a Plantar Locking Plate Additional Lag Screw Fixation between First and Second Metatarsal Significantly Improves Correction

Joern Dohle Antonio Marques Tobias Busch
Foot And Ankle Surgery, OGAM, Wuppertal

The modified Lapidus-Arthrodesis with a plantar locking plate allows early weight-bearing after the operation. However isolated cases with an early recurrence of the deformity can be observed. Additional fixation between the first and second ray is a solution to this problem.

66 Lapidus Arthrodesis performed for hallux valgus corrections from January 2011 to March 2013.

Clinical and radiological follow-up 6 weeks and 1 year post OP.Both cohorts did not differ regarding age, sex and amount of radiologic deformity. 6 weeks and 1 year post OP radiologic analysis show a significant better correction when the additional lag screw was used (p

Conclusion

Additional screw fixation between the base of the first and second metatarsal is a valuable adjuct to Lapidus-Arthrodesis with a plantar locking-plate.

Joern Dohle
Joern Dohle








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