Immediate weight bearing following modified lapidus arthrodesis

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Philip BasileJeremy J Cook

Abstract

First metatarsocuneiform arthrodesis (Lapidus procedure) can provide powerful correction of mild to moderate hypermobile or severe hallux valgus, although a period of non-weight bearing may be necessary. The purpose of this retrospective investigation was to compare patients who underwent a modified Lapidus arthrodesis with 2 screws plus an additional "neutralization" Kirschner-wire with immediate partial weight-bearing in a removable boot, with a control group without the Kirschner-wire who were non-weight bearing for 6 weeks in a short leg cast. A total of 41 consecutive patients from January 2004 to January 2007 were included in this comparative cohort study. There were no significant radiographic changes between immediate and final 6-month postoperative radiographs in regard to first intermetatarsal angle (degree) and first ray elevation measurements (first to second metatarsal head elevation [mm] and Seiberg index [mm]) within groups (P = .49, .47, and .54, and 95% confidence intervals of [-2.1, 1.2], [-0.32, 2.03], and [-0.82, 0.44], respectively) or between groups (P = .259, .67, and .083, and 95% confidence intervals of [-4.2, 1.2], [-1.39, 0.91], and [-1.77, 0.12], respectively), as computed with paired 2-sample t test...Continue Reading

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Citations

Jun 2, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Bradley M Lamm, Jacob Wynes
Feb 18, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Michael E GrahamVijay K Goel
Jun 1, 2014·Foot and Ankle Clinics·Timo Schmid, Fabian Krause
Apr 2, 2014·Clinics in Podiatric Medicine and Surgery·Rotem Ben-Ad
Jul 6, 2013·Clinics in Podiatric Medicine and Surgery·Nathan J Young, Charles M Zelen
May 29, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·James M Cottom
Jun 26, 2012·Clinics in Podiatric Medicine and Surgery·Neal M Blitz
Sep 29, 2011·Clinics in Podiatric Medicine and Surgery·Andrew J Kluesner, Jason B Morris
Sep 13, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Michael P DonnenwerthThomas S Roukis
Jan 15, 2016·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Mark A PrisselGlenn M Weinraub
Sep 15, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Marek E ZelentPaul H Peterson
Aug 4, 2015·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·N GutteckS Lebek
Jun 29, 2015·Clinics in Podiatric Medicine and Surgery·Matthew D SorensenJames M Cottom
Nov 29, 2014·International Orthopaedics·Madeleine WilleggerReinhard Schuh
Dec 3, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Christy M KingDavid R Collman
Jul 24, 2014·Foot & Ankle Specialist·Josh R BaxterScott J Ellis
Apr 17, 2012·New Directions for Youth Development·Maria M Ttofi, David P Farrington
Sep 25, 2019·Journal of the American Podiatric Medical Association·James H WhelanVassilios Vardaxis
Dec 23, 2020·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Duane J EhredtJames Connors

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