Specialty Day 2020 - Paper Presentations-Radiographic Outcomes And Recurrence Following 126 Primary Lapidus Surgeries For Hallux Valgus

Radiographic Outcomes And Recurrence Following 126 Primary Lapidus Surgeries For Hallux Valgus

Video Transcription

Video Summary

In this video presentation, Sarah Gally discusses the radiographic outcomes and recurrence rates following 146 primary Lapidus surgeries for hallux valgus. The modified Lapidus procedure is commonly used for correcting this deformity. The study found that recurrence rates may be higher than previously reported, with 45% of patients experiencing radiographic recurrence and only 10% requiring reoperation. Preoperative deformity severity, specifically the hallux valgus angle (HVA), was associated with recurrence. Undercorrection of the HVA was identified as a risk factor for recurrence, highlighting the importance of addressing both HVA and intermetatarsal angle (IMA) during surgery. The study acknowledges the need for further research on patient-reported outcomes and surgical variables associated with correction maintenance and recurrence.

Asset Subtitle

Sara H. Galli, MD; Nicholas Johnson, MD; W. Hodges Davis, MD; Robert B. Anderson, MD; Carroll P. Jones, MD; Bruce E. Cohen, MD

Keywords

radiographic outcomes

recurrence rates

primary Lapidus surgeries

hallux valgus

modified Lapidus procedure