Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Bellinzona, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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deformity of the fore- and midfoot. Various modifications have been described afterward by several authors, such as Butson or Giannestras ( 5 , 6 ), aiming at achieving stability of the first MTC joint. Today, the modified Lapidus procedure is considered
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laxity as well as recurrent hallux valgus are the main indications in the literature for a corrective fusion of the first TMT joint, the so-called modified Lapidus procedure ( Fig. 7 ). 36 Fig. 7 The modified Lapidus procedure: corrective TMT
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are four possible scenarios: Unrecognised and thus untreated instability of the TMTJ1; Unaddressed intercuneiform instability during a modified Lapidus procedure; Extension malunion of the first ray in a Lapidus procedure
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) and c) the congruent joint and the pathologic distal metatarsal articular angle. The correction has been performed by b) a de-rotating chevron osteotomy in the mild case and by d) a modified Lapidus procedure plus a de-rotating chevron osteotomy in the
