Early Weight-bearing Following Modified Lapidus Arthrodesis
Research type
Research Study
Full title
Early Weight-bearing Following Modified Lapidus Arthrodesis: A Retrospective Review & Postoperative Protocol
IRAS ID
312266
Contact name
Akram Uddin
Contact email
Sponsor organisation
Essex Partnership University NHS Foundation Trust
Duration of Study in the UK
0 years, 11 months, 31 days
Research summary
Objective: To retrospectively determine postoperative 1st tarso-metatarsal radiographic confirmed arthrodesis for adult patients undergoing modified Lapidus arthrodesis by single technique and weight-bearing protocol for symptomatic hallux valgus or first ray dysfunction. Study design: Single centre retrospective case series. Study method: To retrospectively review the pre and postoperative clinical notes and radiographic images for adult patients who had undergone modified Lapidus arthrodesis by single technique and weight-bearing protocol within one centre from November 2019 to January 2022. The open surgical technique involves arthrodesis of the 1st tarso-metatarsal joint using one compression screw and a medial locking plate. The mean age and the follow up period will be identified. Electronic notes and pre and postoperative radiographs will be retrospectively reviewed to extract the relevant objective data. Results: Of the total number of patients identified, all radiographs will be examined to confirm osseous consolidation stage to the arthrodesis site. The findings will also include when patients returned to partial weight bearing postoperatively and achieved full weight bearing. The preoperative and postoperative 6-month stage patient reported outcome measures and quality of life measures will be identified and compared (MOXFQ and PSQ10 scores). Pre and postoperative hallux valgus angle, IM angle and HAV angle will also be measured to identify level of deformity reduction. The complications will also be identified. Conclusion: The results of this study will demonstrate the postoperative radiographic outcomes, full return to full weight bearing and the safety profile when performing this single surgical technique following a postoperative mobilisation protocol.
REC name
N/A
REC reference
N/A