Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 5 , ISSUE 2 ( December, 2018 ) > List of Articles

ORIGINAL ARTICLE

Review of Surgical Outcomes between Plate and Screw Fixations in Lapidus Procedure for Asians’ with Hallux Valgus

Huang Y Lun, Bryan Loh, Lee K Hwee, Koo Kevin, Inderjeet R Singh

Keywords : Hallux valgus, Lapidus arthrodesis first metatarsophalangeal joint, Screw fixation, X-plate fixation

Citation Information : Lun HY, Loh B, Hwee LK, Kevin K, Singh IR. Review of Surgical Outcomes between Plate and Screw Fixations in Lapidus Procedure for Asians’ with Hallux Valgus. J Foot Ankle Surg Asia-Pacific 2018; 5 (2):64-67.

DOI: 10.5005/jp-journals-10040-1092

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Background: This study aims to evaluate the clinical outcomes of the Lapidus procedure utilizing either plate osteosynthesis or screw fixation in a significantly sized patient group with a minimum of 2 years follow-up. Materials and methods: This is a retrospective analysis of prospectively collected data of 68 consecutive hallux valgus in 56 patients who underwent the Lapidus procedure with a plate (Synthes X plate 38 feet) or screw fixation (29 feet) by a single surgeon in a single institution from 2007 to 2011. Patients were followed up at 6 months and 2 years and evaluation included clinical assessment, weight-bearing radiographs, and patient-reported outcome measures, namely pain visual analog score (VAS), American Orthopedic Foot and Ankle Society (AOFAS) hallux score. Results: In the plate osteosynthesis group, the VAS score improved significantly from 5.09 to 0.94 (p < 0.001) 2 years postoperatively. Similarly, the AOFAS hallux score improved significantly from 53.5 to 83.7 (p < 0.001) 2 years postoperatively. In the screw fixation group, the VAS score improved significantly from 4.68 preoperatively to 1.74 (p = 0.03) 2 years postoperatively. Similarly, the AOFAS hallux score improved significantly from 53.5 preoperatively to 76.6 (p < 0.001) 2 years postoperatively. Comparing the two groups, there was no difference in the improvement of VAS and AOFAS hallux scores. Similarly, at 2 years, there was no difference between the groups regarding patient\'s satisfaction and expectations. Conclusion: The Lapidus procedure utilizing either plate osteosynthesis or screw fixation is a reliable and safe option for hallux valgus, with good clinical outcomes and low complication rates. Level of evidence: Level II


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