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Alternative Fixation Technique for Lapidus Arthrodesis in High-risk Patients

Grambart, Sean T. DPM, FACFAS*; Reeves, Christopher L. DPM, FACFAS

Techniques in Foot & Ankle Surgery:
doi: 10.1097/BTF.0b013e3181fd950c

The Lapidus arthrodesis is an effective surgical procedure for treating patients with painful hallux valgus and other foot pathology. Majority of the patients have successful outcomes with this procedure, however, complications may occur. Nonunion is a complication that can occur with any arthrodesis procedure. Reported nonunion rates for Lapidus arthrodesis have been reported from 3% to 12%. There is a subset of patients who are considered “high risk” for osseous healing of an arthrodesis site such as patients who are nicotine users, have diabetics, and other comorbidities. This article describes a fixation technique that may reduce the risk of nonunion in this subset of patients.

Author Information

*Department of Surgery, Carle Physician Group, Center for Foot and Ankle Reconstruction, Champaign, IL

Department of Surgery, Orlando Foot and Ankle Clinic, Orlando, FL

No financial support was received by any author for this study.

Grambart and Reeves are consultants for Wright Medical.

Address correspondence and reprints requests to Sean T. Grambart, DPM, FACFAS, Carle Physician Group, Center for Foot and Ankle Reconstruction, Champaign, IL. e-mail:

© 2010 Lippincott Williams & Wilkins, Inc.