Intermediate Learning Pathway: Lapidus - Treatment Options and Complications

Learning Objectives of this Pathway:

• Understand the indications for Lapidus Arthrodesis
• Recognize and understand the possible complications of Lapidus Arthrodesis
• Understands various fixation methods for Lapidus Arthrodesis
• Understand the biomechanics related to Lapidus Arthrodesis

Download a PDF of this learning pathway

Day 1:

JFAS Articles:

• A Multicenter, Retrospective Study of Early Weightbearing for Modified Lapidus Arthrodesis
• Intraoperative Evaluation of Medial Intercuneiform Instability After Lapidus Arthrodesis: Intercuneiform Hook Test
• Enhanced Lapidus Arthrodesis: Crossed Screw Technique With Middle Cuneiform Fixation Further Reduces Sagittal Mobility
• Effects of the Lapidus Arthrodesis and Chevron Bunionectomy on Plantar Forefoot Pressures
  

Clinical Sessions (individual):

• Hallux Valgus: 1st Metatarsal Osteotomy vs. Lapidus - Bunion Correction
• Hallux Valgus: 1st Metatarsal Osteotomy vs. Lapidus - Lapidus for Hallux Valgus

Day 2: 

Clinical Sessions (full course):
Dissecting and Debating the Lapidus

Day 3:

JFAS Articles:

• Rate of Nonunion after First Metatarsal-Cuneiform Arthrodesis Using Joint Curettage and Two Crossed Compression Screw Fixation: A Systematic Review
• 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
• Structures at Risk From an Intermetatarsal Screw for Lapidus Bunionectomy: A Cadaveric Study
  

Podcasts:

• Lapidus Patient Decision Making
• Lapidus Techniques
  

Day 4:

JFAS Articles:

• Biomechanical Characteristics of Biplane Multiplanar Tension-Side Fixation for Lapidus Fusion
• Stability of Locking Plate and Compression Screws for Lapidus Arthrodesis: A Biomechanical Comparison of Plate Position
• Intraoperative Simulated Weightbearing Lateral Foot Imaging: The Clinical Utility and Ability to Predict Sagittal Plane Position of the First Ray in Lapidus Fusion
  

Podcasts:
Lapidus Controversies

Clinical Sessions (individual):
Getting Out of a Mess: When Lapidus Won't Reduce

Additional Outside Journal References

Evolution of Thinking of the Lapidus Procedure and Fixation.
Li S, Myerson MS.
Foot Ankle Clin. 2020 Mar;25(1):109-126. doi: 10.1016/j.fcl.2019.11.001. Epub 2019 Dec 16. Review.

Maintenance of Correction of the Modified Lapidus Procedure With a First Metatarsal to Intermediate Cuneiform Cross-Screw Technique.
Langan TM, Greschner JM, Brandão RA, Goss DA Jr, Smith CN, Hyer CF.
Foot Ankle Int. 2019 Dec 26:1071100719895268. doi: 10.1177/1071100719895268. [Epub ahead of print]

Outcome of the modified Lapidus procedure for hallux valgus deformity during the first year following surgery: A prospective clinical and gait analysis study.
Moerenhout K, Chopra S, Crevoisier X.
Clin Biomech (Bristol, Avon). 2019 Jan;61:205-210. doi: 10.1016/j.clinbiomech.2018.12.017. Epub 2018 Dec 20.

A cone beam CT based 3D-assessment of bony forefoot geometry after modified Lapidus arthrodesis.
Scheele CB, Christel ST, Fröhlich I, Mehlhorn A, Walther M, Hörterer H, Harrasser N, Kinast C.
Foot Ankle Surg. 2019 Dec 5. pii: S1268-7731(19)30204-8. doi: 10.1016/j.fas.2019.11.006. [Epub ahead of print]

Return to Sports and Physical Activities After the Modified Lapidus Procedure for Hallux Valgus in Young Patients.
MacMahon A, Karbassi J, Burket JC, Elliott AJ, Levine DS, Roberts MM, Deland JT, O'Malley MJ, Yu J, Mancuso CA, Ellis SJ.
Foot Ankle Int. 2016 Apr;37(4):378-85. doi: 10.1177/1071100715617750. Epub 2015 Nov 17.

The ACFAS learning pathways are a tool to be used by residency directors, fellowship directors and school faculty to aid with didactic learning during the COVID-19 crisis. They are not intended to replace a curriculum, but to supplement student and resident education during this time of need. The learning pathways are divided into basic, intermediate, and advanced categories. Pathways have been organized into specific topics that have a variety of educational materials from the ACFAS On Demand course content. They also include journal articles with links primarily from The Journal of Foot & Ankle Surgery (JFAS).