Lapidus Procedure for Adolescent Hallux Valgus Surgical/Technical Tips

Main Article Content

Anthony M. Padgett
Michael D. Johnson
Michael J. Conklin


Surgical correction of adolescent hallux valgus (AHV) is accompanied by high rates of recurrence, so surgery in the adolescent age group should only be undertaken in insistent patients with pain refractory to nonoperative measures. A subset of patients with AHV may manifest hypermobility of the 1st tarsometatarsal joint (TMTJ) which may lead to recurrence. The Lapidus or modified Lapidus procedure involves TMTJ fusion and when done properly is a powerful and durable procedure for correcting metatarsus primus varus (MPV) and thus hallux valgus. Furthermore, it can reliably correct pronation of the 1st metatarsal which is likely a contributor to recurrence.  However, many pediatric orthopedists may be unfamiliar with this operation. The current paper discusses the patient evaluation and preferred technique for performance of the Lapidus procedure.

Article Details

How to Cite
Padgett, A. M., Johnson, M. D., & Conklin, M. J. (2023). Lapidus Procedure for Adolescent Hallux Valgus: Surgical/Technical Tips. Journal of the Pediatric Orthopaedic Society of North America, 5(4).
Foot & Ankle