Lapidus:
Fusion of first metatarsal-cuneiform joint if first ray is unstable of hypermobile (decrease stiffness)
Used for high intermetatarsal angle (<15°) and/or pain/osteoarthritis at first metatarsal-cuneiform joint.
Shortens first metatarsal unless used with bone graft
Fixation and immobilisation for 10-12 weeks
5 cm incision over tarsometatarsal joint medial to EHL- careful of medial dorsocutaneous nerve
Expose joint resect
K-wire fixation
Other Bunion Surgery Procedures:
| Capsule/Tendon Balance Procedures | Hallux Procedures | Distal Metatarsal Procedures (DMO) | Neck Procedures | Shaft Procedures |
| Silver | Akin | Austin | Peabody | Scarf |
| McBride | Keller | Chevron | Mitchell | Mau |
| Mayo | Youngswick | Hohmann | Kalish | |
| McKeever | Reverdin | Wilson | Lambrinudi | |
| Watermann | DRATO | Vogler | ||
| Derotational abductory transpositional osteotomy (DRATO) | Ludloff | |||
| Stone | Simmonds-Menelaus | |||
| Volgar/Off-set V osteotomy | ||||
| Base Procedures | Capsulotomies | |||
| Lapidus | Washington monument | |||
| Proximal Austin | Lenticular | |||
| Oblique base wedge osteotomy (Juvara) | Inverted L | |||
| Cresentric: |
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