Lapidus Fixation in 2026: Plates, Screws, and Early Weight-Bearing
Triplanar correction systems and stronger constructs have changed postoperative protocols for first TMT arthrodesis.
Podiatrify Clinical Editorial Team, Editorial Staff
Podiatric Medicine & Research
- Published
- Published Sep 5, 2026
- Last reviewed
- Last reviewed Sep 5, 2026
- Reading time
- 3 min read
- Audience
- Clinicians
- Evidence level
- Limited Evidence
Clinical summary
Modern first tarsometatarsal arthrodesis emphasizes frontal-plane rotation and biplanar plating. Several groups report protected early weight-bearing. Comparative trials against traditional protocols remain limited.
Patient view: plain-language reading.
Why frontal-plane rotation matters
Hallux valgus is a three-plane deformity. Metatarsal pronation affects sesamoid position and may relate to recurrence. Contemporary Lapidus techniques aim to correct all three planes at the TMT joint.
Construct design
Industry has moved toward low-profile biplanar plates and compression screws designed to resist dorsal gapping. Faster protocols depend on stable fixation and good bone quality.
References
- 1.Ray JJ, et al. Multicenter early radiographic outcomes of triplanar tarsometatarsal arthrodesis with early weightbearing. Foot Ankle Int. 2019;40(8):955-960.
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