Procedure Explorer
Forefoot / Midfoot
Lapidus Bunion Correction
- Problem being treated
- Hallux valgus, often with first-ray instability.
- Relevant anatomy
- First tarsometatarsal (TMT) joint, first metatarsal, sesamoid complex.
- Surgical concept
- Fuse the first TMT joint in a corrected position, addressing all three planes of the deformity at its base.
- Indications
- Moderate to severe hallux valgus
- First-ray hypermobility
- Recurrent bunion
- Common alternatives
- Distal osteotomy
- Minimally invasive osteotomy
- Footwear accommodation
- Recovery concept
- Protected weight-bearing in a boot for several weeks, then transition to shoes. Protocols vary with fixation.
- Risks
- Nonunion
- Recurrence
- Hardware irritation
- Transfer metatarsalgia
- Evidence
- Limited Evidence
Cohort and case series data support reliable correction. Comparative trials are limited.
- Technology involved
- Biplanar platingRotational cut guidesIntraoperative fluoroscopy
Podiatrify provides educational information and risk guidance and does not provide a medical diagnosis. Symptoms involving severe pain, rapidly spreading infection, black or blue tissue, major trauma, loss of circulation, or systemic illness may require urgent medical evaluation.