Review Article| Volume 53, ISSUE 4, P499-508, October 2022

Modified Lapidus Procedure and Hallux Valgus

A Systematic Review and Update on Triplanar Correction
Published:September 13, 2022DOI:


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        • Nix S.
        • Smith M.
        • Vicenzino B.
        Prevalence of hallux valgus in the general population: a systematic review and meta-analysis.
        J Foot Ankle Res. 2010; 3: 21
        • Easley M.E.
        • Trnka H.J.
        Current concepts review: hallux valgus part II: operative treatment.
        Foot Ankle Int. 2007; 28: 748-758
        • Smyth N.A.
        • Aiyer A.A.
        Introduction: why are there so many different surgeries for hallux valgus?.
        Foot Ankle Clin. 2018; 23: 171-182
        • Lapidus P.W.
        Operative correction of the metatarsus primus varus in hallux valgus.
        Surg Gynecol Obstet. 1934; 58: 183-191
        • Lapidus P.W.
        The author's bunion operation from 1931 to 1959.
        Clin Orthop. 1960; 16: 119-135
        • Lapidus P.W.
        A quarter of a century of experience with the operative correction of the metatarsus varus primus in hallux valgus.
        Bull Hosp Joint Dis. 1956; 17: 404-421
        • Mizuno S.S.Y.
        • Yamazaki K.
        Detorsion osteotomy of the first metatarsal bone in hallux valgus.
        J Jpn Orthop Assoc. 1956; 30: 813-819
        • Eustace S.
        • Byrne J.O.
        • Beausang O.
        • et al.
        Hallux valgus, first metatarsal pronation and collapse of the medial longitudinal arch--a radiological correlation.
        Skeletal Radiol. 1994; 23: 191-194
        • Okuda R.
        • Kinoshita M.
        • Yasuda T.
        • et al.
        The shape of the lateral edge of the first metatarsal head as a risk factor for recurrence of hallux valgus.
        J Bone Joint Surg Am. 2007; 89: 2163-2172
        • Bednarz P.A.
        • Manoli 2nd, A.
        Modified lapidus procedure for the treatment of hypermobile hallux valgus.
        Foot Ankle Int. 2000; 21: 816-821
        • Boffeli T.J.
        • Hyllengren S.B.
        Can we abandon saw wedge resection in lapidus fusion? A Comparative study of joint preparation techniques regarding correction of deformity, union rate, and preservation of first ray length.
        J Foot Ankle Surg. 2019; 58: 1118-1124
        • Catanzariti A.R.
        • Mendicino R.W.
        • Lee M.S.
        • et al.
        The modified Lapidus arthrodesis: a retrospective analysis.
        J Foot Ankle Surg. 1999; 38: 322-332
        • Chopra S.
        • Moerenhout K.
        • Crevoisier X.
        Subjective versus objective assessment in early clinical outcome of modified Lapidus procedure for hallux valgus deformity.
        Clin Biomech (Bristol, Avon). 2016; 32: 187-193
        • Coetzee J.C.
        • Resig S.G.
        • Kuskowski M.
        • et al.
        The Lapidus procedure as salvage after failed surgical treatment of hallux valgus. Surgical technique.
        J Bone Joint Surg Am. 2004; 86-A: 30-36
        • Coetzee J.C.
        • Wickum D.
        The Lapidus procedure: a prospective cohort outcome study.
        Foot Ankle Int. 2004; 25: 526-531
        • Conti M.S.
        • MacMahon A.
        • Ellis S.J.
        • et al.
        Effect of the modified lapidus procedure for hallux valgus on foot width.
        Foot Ankle Int. 2020; 41: 154-159
        • Conti M.S.
        • Patel T.J.
        • Zhu J.
        • et al.
        Association of first metatarsal pronation correction with patient-reported outcomes and recurrence rates in hallux valgus.
        Foot Ankle Int. 2022; 43: 309-320
        • Conti M.S.
        • Willett J.F.
        • Garfinkel J.H.
        • et al.
        Effect of the modified lapidus procedure on pronation of the first ray in hallux valgus.
        Foot Ankle Int. 2020; 41: 125-132
        • Cottom J.M.
        • Vora A.M.
        Fixation of lapidus arthrodesis with a plantar interfragmentary screw and medial locking plate: a report of 88 cases.
        J Foot Ankle Surg. 2013; 52: 465-469
        • Dayton P.
        • Feilmeier M.
        Comparison of tibial sesamoid position on anteroposterior and axial radiographs before and after triplane tarsal metatarsal joint arthrodesis.
        J Foot Ankle Surg. 2017; 56: 1041-1046
        • Faber F.W.
        • Mulder P.G.
        • Verhaar J.A.
        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 Am. 2004; 86: 486-495
        • Faber F.W.
        • van Kampen P.M.
        • Bloembergen M.W.
        Long-term results of the Hohmann and Lapidus procedure for the correction of hallux valgus: a prospective, randomised trial with eight- to 11-year follow-up involving 101 feet.
        Bone Joint J. 2013; 95-b: 1222-1226
        • Ferreyra M.
        • Viladot Pericé R.
        • Nuñez-Samper M.
        • et al.
        Can we correct first metatarsal rotation and sesamoid position with the 3D Lapidus procedure?.
        Foot Ankle Surg. 2021;
        • Fleming J.J.
        • Kwaadu K.Y.
        • Brinkley J.C.
        • et al.
        Intraoperative evaluation of medial intercuneiform instability after Lapidus arthrodesis: intercuneiform hook test.
        J Foot Ankle Surg. 2015; 54: 464-472
        • Foran I.M.
        • Mehraban N.
        • Jacobsen S.K.
        • et al.
        Radiographic impact of lapidus, proximal lateral closing wedge osteotomy, and suture button procedures on first ray length and dorsiflexion for hallux valgus.
        Foot Ankle Int. 2020; 41: 964-971
        • Grace D.
        • Delmonte R.
        • Catanzariti A.R.
        • et al.
        Modified lapidus arthrodesis for adolescent hallux abducto valgus.
        J Foot Ankle Surg. 1999; 38: 8-13
        • Greeff W.
        • Strydom A.
        • Saragas N.P.
        • et al.
        Radiographic assessment of relative first metatarsal length following modified lapidus procedure.
        Foot Ankle Int. 2020; 41: 972-977
        • Gutteck N.
        • Wohlrab D.
        • Zeh A.
        • et al.
        Comparative study of Lapidus bunionectomy using different osteosynthesis methods.
        Foot Ankle Surg. 2013; 19: 218-221
        • Haas Z.
        • Hamilton G.
        • Sundstrom D.
        • et al.
        Maintenance of correction of first metatarsal closing base wedge osteotomies versus modified Lapidus arthrodesis for moderate to severe hallux valgus deformity.
        J Foot Ankle Surg. 2007; 46: 358-365
        • Jagadale V.S.
        • Thomas R.L.
        A clinicoradiological and functional evaluation of lapidus surgery for moderate to severe bunion deformity shows excellent stable correction and high long-term patient satisfaction.
        Foot Ankle Spec. 2020; 13: 488-493
        • King C.M.
        • Richey J.
        • Patel S.
        • et al.
        Modified lapidus arthrodesis with crossed screw fixation: early weightbearing in 136 patients.
        J Foot Ankle Surg. 2015; 54: 69-75
        • King C.M.
        • Hamilton G.A.
        • Ford L.A.
        Effects of the lapidus arthrodesis and chevron bunionectomy on plantar forefoot pressures.
        J Foot Ankle Surg. 2014; 53: 415-419
        • Klos K.
        • Wilde C.H.
        • Lange A.
        • et al.
        Modified Lapidus arthrodesis with plantar plate and compression screw for treatment of hallux valgus with hypermobility of the first ray: a preliminary report.
        Foot Ankle Surg. 2013; 19: 239-244
        • Klouda J.
        • Hromádka R.
        • Šoffová S.
        • et al.
        The change of first metatarsal head articular surface position after Lapidus arthrodesis.
        BMC Musculoskelet Disord. 2018; 19: 347
        • Kopp F.J.
        • Patel M.M.
        • Levine D.S.
        • et al.
        The modified Lapidus procedure for hallux valgus: a clinical and radiographic analysis.
        Foot Ankle Int. 2005; 26: 913-917
        • Lamm B.M.
        • Wynes J.
        Immediate weightbearing after Lapidus arthrodesis with external fixation.
        J Foot Ankle Surg. 2014; 53: 577-583
        • Langan T.M.
        • Greschner J.M.
        • Brandão R.A.
        • et al.
        Maintenance of correction of the modified lapidus procedure with a first metatarsal to intermediate cuneiform cross-screw technique.
        Foot Ankle Int. 2020; 41: 428-436
        • Long J.
        • Lauf J.A.
        • Whitehead B.
        • et al.
        Recurrence of hallux valgus after modified lapidus procedure with successful fusion of the intermetatarsal and intercuneiform joints.
        Cureus. 2021; 13: e15418
        • Manchanda K.
        • Chang A.
        • Wallace B.
        • et al.
        Short term radiographic and patient outcomes of a biplanar plating system for triplanar hallux valgus correction.
        J Foot Ankle Surg. 2021; 60: 461-465
        • McAlister J.E.
        • Peterson K.S.
        • Hyer C.F.
        Corrective realignment arthrodesis of the first tarsometatarsal joint without wedge resection.
        Foot Ankle Spec. 2015; 8: 284-288
        • McCabe F.J.
        • McQuail P.M.
        • Turley L.
        • et al.
        Anatomical reconstruction of first ray instability hallux valgus with a medial anatomical TMTJ1 plate.
        Foot Ankle Surg. 2021; 27: 869-873
        • McInnes B.D.
        • Bouché R.T.
        Critical evaluation of the modified Lapidus procedure.
        J Foot Ankle Surg. 2001; 40: 71-90
        • Michels F.
        • Guillo S.
        • de Lavigne C.
        • et al.
        The arthroscopic Lapidus procedure.
        Foot Ankle Surg. 2011; 17: 25-28
        • Nishikawa D.R.C.
        • Duarte F.A.
        • Saito G.H.
        • et al.
        Correlation of first metatarsal sagittal alignment with clinical and functional outcomes following the Lapidus procedure.
        Foot Ankle Surg. 2021;
        • Nishikawa D.R.C.
        • Duarte F.A.
        • Saito G.H.
        • et al.
        Is first metatarsal shortening correlated with clinical and functional outcomes following the Lapidus procedure?.
        Int Orthop. 2021; 45: 2927-2931
        • Ravenell R.A.
        • Camasta C.A.
        • Powell D.R.
        The unreliability of the intermetatarsal angle in choosing a hallux abducto valgus surgical procedure.
        J Foot Ankle Surg. 2011; 50: 287-292
        • Ray J.J.
        • Koay J.
        • Dayton P.D.
        • et al.
        Multicenter early radiographic outcomes of triplanar tarsometatarsal arthrodesis with early weightbearing.
        Foot Ankle Int. 2019; 40: 955-960
        • Reilly M.E.
        • Conti M.S.
        • Day J.
        • et al.
        Modified lapidus vs scarf osteotomy outcomes for treatment of hallux valgus deformity.
        Foot Ankle Int. 2021; 42: 1454-1462
        • Rink-Brüne O.
        Lapidus arthrodesis for management of hallux valgus--a retrospective review of 106 cases.
        J Foot Ankle Surg. 2004; 43: 290-295
        • Rippstein P.F.
        • Park Y.U.
        • Naal F.D.
        Combination of first metatarsophalangeal joint arthrodesis and proximal correction for severe hallux valgus deformity.
        Foot Ankle Int. 2012; 33: 400-405
        • Saxena A.
        • Nguyen A.
        • Nelsen E.
        Lapidus bunionectomy: early evaluation of crossed lag screws versus locking plate with plantar lag screw.
        J Foot Ankle Surg. 2009; 48: 170-179
        • Unangst A.M.
        • Ryan P.M.
        Return to run rates following hallux valgus correction: a retrospective comparison of metatarsal shaft osteotomies versus the modified lapidus procedure.
        Foot Ankle Surg. 2021; 27: 892-896