Comparing traditional lapidus to new triplane methods for correction of hallux valgus
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Hallux valgus deformity, also known as a bunion, involves lateral deviation of the hallux, medial deviation of the first metatarsal, and subluxation of the first metatarsophalangeal joint. The deformity is progressive and is treated surgically when conservative management fails.The prevalence of hallux valgus is estimated to be 23 percent among US adults aged 18 to 65 years old.The Lapidus procedure corrects hallux valgus deformity through fusion of the first tarsometatarsal joint.Current studies estimate that Lapidus arthrodesis has a 10 percent nonunion rate along with a low recurrence rate.Patient satisfaction with the Lapidus procedure has been measured between 78 to 84 percent. Recent developments in the correction of hallux valgus have centered on triplane correction (TPC) utilizing proprietary systems.These systems are effective at obtaining and maintaining correction. However, they are expensive and there is a paucity of unbiased literature comparing it to traditional methods.
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