Tips, Quips, and Pearls| Volume 51, ISSUE 4, P517-522, July 2012

Fixation of the Lapidus Arthrodesis with a Plantar Interfragmentary Screw and Medial Low Profile Locking Plate

  • James M. Cottom
    Address correspondence to: James M. Cottom, DPM, FACFAS, Director, Foot and Ankle Fellowship, Sarasota Orthopedic Associates, 2750 Bahia Vista, Suite 100, Sarasota, FL 34242.
    Director, Foot and Ankle Fellowship, Sarasota Orthopedic Associates, Sarasota, FL
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      The Lapidus arthrodesis can be used to correct pathology within the forefoot or midfoot, and severe hallux valgus deformities as well as hypermobility of the medial column may be amenable to correction with this procedure. Many different skeletal fixation methods have been described for this procedure, and one form that appears to provide enough construct stability to allow patients to bear weight early in the postoperative period is described herein. This construct consists of an interfragmental compression screw oriented from the plantar aspect of the first metatarsal to the superior aspect of the medial cuneiform, with medial locking plate augmentation.


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