The Lapidus Bunionectomy Revolution Current Concepts and Considerations

The HV deformity has plagued the human foot for centuries, and despite over a hun-dred different bunionectomy procedures described and multiple fixation options, there is no perfect procedure. It is essential to appreciate and address each patient's defor-mity in all three planes. There is no clear superior fixation technique, so it is necessary for each surgeon to feel comfortable with their selected technique to provide success-ful reduction and stabilization of the deformity while reducing chance of complica-tions. Using an early weight-bearing protocol is supported in the literature, and the decision to use the protocol is also up each surgeon's comfort and patient characteristics.

Automated summary

For centuries, the HV deformity has been a problem for the human foot. Despite numerous bunionectomy procedures and fixation options, there is no perfect solution. Surgeons should address each patient's deformity in all three planes and choose a technique they are comfortable with to ensure successful reduction and stabilization with minimal complications. Early weight-bearing protocols are supported in the literature but can be personalized based on surgeon preference and patient characteristics.