The Effect of the Lapidus Arthrodesis on the Medial Longitudinal Arch: A Radiographic Review

Attilio Avino; Sandeep Patel; Graham A. Hamilton; Lawrence A. Ford

doi:10.1053/j.jfas.2008.06.008

The Effect of the Lapidus Arthrodesis on the Medial Longitudinal Arch: A Radiographic Review

Attilio Avino, Sandeep Patel, Graham A. Hamilton, Lawrence A. Ford

Research output: Contribution to journal › Article › peer-review

29 Scopus citations

Abstract

We reviewed the medical records and radiographs of 35 patients (3 males, 32 females; mean age 40.8 years) who underwent isolated, modified Lapidus arthrodesis for forefoot pathology in 39 feet. The purpose of the review was to evaluate the structural radiographic changes of the medial longitudinal arch (MLA) following isolated arthrodesis of the first tarsometatarsal joint. Pre- and postoperative standardized measurements of sagittal plane views of the foot were assessed to examine change in the MLA construct. The talo-first metatarsal angle and medial cuneiform height both had statistically significant changes, 2.97 degrees (range, 0-11.5 degrees) and 3.44 mm (range, 0-13 mm) (P < .0001) respectively. Our findings suggest that the Lapidus arthrodesis may influence the medial longitudinal arch. Level of Clinical Evidence: 2.

Original language	English (US)
Pages (from-to)	510-514
Number of pages	5
Journal	Journal of Foot and Ankle Surgery
Volume	47
Issue number	6
DOIs	https://doi.org/10.1053/j.jfas.2008.06.008
State	Published - Nov 2008
Externally published	Yes

Keywords

Lapidus arthrodesis
medial longitudinal arch
metatarsocuneiform joint
talo-first metatarsal angle

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.1053/j.jfas.2008.06.008

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title = "The Effect of the Lapidus Arthrodesis on the Medial Longitudinal Arch: A Radiographic Review",

abstract = "We reviewed the medical records and radiographs of 35 patients (3 males, 32 females; mean age 40.8 years) who underwent isolated, modified Lapidus arthrodesis for forefoot pathology in 39 feet. The purpose of the review was to evaluate the structural radiographic changes of the medial longitudinal arch (MLA) following isolated arthrodesis of the first tarsometatarsal joint. Pre- and postoperative standardized measurements of sagittal plane views of the foot were assessed to examine change in the MLA construct. The talo-first metatarsal angle and medial cuneiform height both had statistically significant changes, 2.97 degrees (range, 0-11.5 degrees) and 3.44 mm (range, 0-13 mm) (P < .0001) respectively. Our findings suggest that the Lapidus arthrodesis may influence the medial longitudinal arch. Level of Clinical Evidence: 2.",

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AU - Ford, Lawrence A.

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The Effect of the Lapidus Arthrodesis on the Medial Longitudinal Arch: A Radiographic Review

Abstract

Keywords

ASJC Scopus subject areas

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