Lapidus HAV Correction

  • W. Bret Smith
  • B. Collier Watson
  • Christopher W. Reb


When Paul Lapidus described his technique for arthrodesis of the 1st TMT (tarsometatarsal) joint in 1934, he was building on the work of others (most notably Albrecht and Truslow. Lapidus felt that the basis of the hallux abducto valgus deformity was centered at the TMT joint and was related to hypermobility. The recommendations by Dr. Lapidus at the time were to take down and prepare the 1st TMT joint as well as the interspace between the 1st and 2nd MT (metatarsal). Correction was to address the transverse and sagittal deformities and fixate the joint in the new position.


Hallux valgus Bunion Arthrodesis Tarsometatarsal Pronation Triplane 


  1. 1.
    Albrecht GH. The pathology and treatment of hallux valgus (in Russian). Russk Vrach. 1991;10:14–9.Google Scholar
  2. 2.
    Truslow W. Metatarsus primus varus or hallux valgus? J Bone Joint Surg. 1925;7:98.Google Scholar
  3. 3.
    Lapidus P. Operative correction of the metatarsus varus primus in hallux valgus. Surg Gynecol Obstet. 1934;58:183–91.Google Scholar
  4. 4.
    Lapidus PW. A quarter of a century of experience with the operative correction of the metatarsus varus primus in hallux valgus. Bull Hosp Joint Dis. 1956;17:404–21.PubMedGoogle Scholar
  5. 5.
    Lapidus PW. The author’s bunion operation from 1931 to 1959. Clin Orthop Relat Res. 1960;16:119–35.Google Scholar
  6. 6.
    Sangeorzan BJ, Hansen ST. Modified Lapidus procedure for hallux valgus. Foot Ankle. 1989;9:262–6.CrossRefGoogle Scholar
  7. 7.
    Myerson M, Allon S, McGarvey W. Metatarsocuneiform arthrodesis for management of hallux valgus and metatarsus primus varus. Foot Ankle. 1992;13(3):107–15.Google Scholar
  8. 8.
    Cottom JM, Vora AM. Fixation of Lapidus arthrodesis with a plantar interfragmentary screw and medial locking plate: a report of 88 cases. J Foot Ankle Surg. 2013;52:465–9.CrossRefGoogle Scholar
  9. 9.
    Klos K, Gueorguiev B, Mückley T. Stability of medial locking plate and compression screw versus two crossed screws for Lapidus arthrodesis. Foot Ankle Int. 2010;31(2):158–63.CrossRefGoogle Scholar
  10. 10.
    Klos K, Simons P, Hajduk A, Hoffmeier KL. Plantar versus dorsomedial locked plating for Lapidus arthrodesis: a biomechanical comparison. Foot Ankle Int. 2011;32(11):1081–5.CrossRefGoogle Scholar
  11. 11.
    Scranton PE, Coetzee JC, Carreira D. Arthrodesis of the first metatarsocuneiform joint: a comparative study of fixation methods. Foot Ankle Int. 2009;30(4):341–5.CrossRefGoogle Scholar
  12. 12.
    Dayton P, Feilmeier M, Kauwe M, Hirschi J. Relationship of frontal plane rotation of first metatarsal to proximal articular set angle and hallux alignment in patients undergoing tarsometatarsal arthrodesis for hallux abducto valgus: a case series and critical review of the literature. J Foot Ankle Surg. 2013;52(3):348–54.Google Scholar
  13. 13.
    Okuda R, Kinoshita M, Yasuda T, Jotoku T, Kitano N, Shima H. Postoperative incomplete reduction of the sesamoids as a risk factor for recurrence of hallux valgus. JBJS-Am. 2009;91(7):637–1645.CrossRefGoogle Scholar
  14. 14.
    Mortier J-P, Bernard J-L, Maestro M. Axial rotation of the first metatarsal head in a normal population and hallux valgus patients. Orthop Traumatol Surg Res. 2012;98(6):677–83.CrossRefGoogle Scholar
  15. 15.
    DiDomenico LA, Fahim R, Riollandini J, Thomas ZM. Correction of Frontal Plane Rotation of Sesamoid Apparatus During the Lapidus Procedure: a novel approach. J Foot Ankle Surg. 2014;53(2):248-51.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • W. Bret Smith
    • 1
  • B. Collier Watson
    • 2
  • Christopher W. Reb
    • 3
  1. 1.Foot and Ankle Division Palmetto Health-USC Orthopedic Center, Palmetto Health, Department of Orthopedic SurgeryLexingtonUSA
  2. 2.The Hughston ClinicColumbusUSA
  3. 3.University of Florida, Department of Orthopedics, Division of Foot and Ankle SurgeryGainesvillesUSA

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