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Lapidus Hallux Valgus Correction

The Lapidus procedure is an arthrodesis of the first metatarsocuneiform joint. It is performed most commonly as a method to reduce the intermetatarsal angle (IMA) in the setting of hypermobility or arthritis of the first metatarsocuneiform joint. Even without these findings, this powerful proximal procedure is indicated to address a large intermetatarsal angle (IMA) especially in rigid deformities. Early descriptions of the procedure involved decorticating the joint and using two crossing screws for fixation. However, because of proven superior mechanical stability, application of plate fixation has become the standard. 

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