Trnka H-J, Hofstätter S
Fusszentrum Wien, Osterreich.
Orthopade. 2005 Aug;34(8):735-41. doi: 10.1007/s00132-005-0832-7.
For the correction of hallux valgus, as one of the most common deformities of the lower limbs, a modified Lapidus arthrodesis is applied at the base of the hallux. After using a lateral tissue technique with medial capsular reefing, a general arthrodesis of the tarsometatarsal 1 joint is carried out. An unstable hallux is the indication for a classic Lapidus arthrodesis. Before determination of the indication, an exact clinical x-ray examination should be made in the dorsoplanar position as well as laterally standing. Complications associated with the Lapidus arthrodesis are postoperative metatarsalgia and pseudoarthrosis. Advantages of this technique are, for example, a high correction potential and better healing, although the surgical technique and post-operative care are more time consuming than for other methods.
对于拇外翻的矫正，拇外翻是下肢最常见的畸形之一，在拇趾基部采用改良的拉皮德斯关节固定术。采用外侧组织技术并进行内侧关节囊折叠后，对第1跖跗关节进行一般的关节固定术。不稳定拇趾是经典拉皮德斯关节固定术的指征。在确定指征之前，应在背平面位置以及侧立位进行精确的临床X线检查。与拉皮德斯关节固定术相关的并发症是术后跖痛症和假关节形成。该技术的优点包括，例如，矫正潜力高且愈合较好，尽管手术技术和术后护理比其他方法更耗时。
