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Lapidus procedure: (fixation using crossed screw technique) Surgical Technique

Overview

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An operation for correction of hallux valgus deformity with a  hypermobile MTC joint or in the patient with recurrence after previous hallux valgus surgery.

This is a midfoot operation and as such post-operative mobility is severely limited for the initial 6 weeks ,usually in a cast and non-weight-bearing. Overall return to normal function is  more protracted than for a standard osteotomy and soft tissue correction.

It is unforgiving if not positioned correctly and Hallux Valgus recurrence is still described after the operation.

 

Author: Mark Herron FRCS

Institution: The Wellington Hospital , London

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