Postoperative cast necessity after a lapidus arthrodesis.

Abstract:

BACKGROUND:The incidence of non union following a first tarsometatarsal arthrodesis (Lapidus procedure) has decreased significantly with modern techniques of minimal bone resection, meticulous bone surface preparation and rigid internal fixation. We evaluated whether a postoperative wedge shoe would increase our non-union rate. MATERIALS AND METHODS:Nineteen adult female patients (27 feet; eight bilateral, five simultaneous) undergoing a first tarsometatarsal arthrodesis for hallux valgus associated with a hypermobile first ray or for recurrent hallux valgus were managed postoperatively by allowing them to bear weight in a wedge shoe instead of a cast. Radiographs were evaluated for signs of fusion. RESULTS:All 27 feet went on to successful union after 6 to 24 weeks. There was one superficial wound infection and one case of recurrence of the hallux valgus. CONCLUSION:Based on our results, we allow adult patients undergoing a Lapidus type procedure to be managed in a postoperative wedge shoe.

journal_name

Foot Ankle Int

authors

Kazzaz S,Singh D

doi

10.3113/FAI.2009.0746

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

746-51

issue

8

eissn

1071-1007

issn

1944-7876

pii

50028215

journal_volume

30

pub_type

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