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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