How To Address High Intermetatarsal Angles In Bunion Surgery

Start Page: 34
Jeffrey E. McAlister, DPM, AACFAS and Christopher F. Hyer, DPM, MS, FACFAS

1. Bussewitz BW, Levar T, Hyer CF. Modern techniques in hallux abducto valgus surgery. Clin Podiatr Med Surg. 2011; 28(2):287-303.
2. Lapidus PW. The author’s bunion operation from 1931 to 1959. Clin Orthop. 1960; 12:119-135.
3. Coetzee JC, Wickum D. The Lapidus procedure: a prospective cohort outcome. Foot Ankle Int. 2004; 25(8):526-531.
4. Lee KM, Ahn S, Chung CY, et al. Reliability and relationship of radiographic measurements in hallux valgus. Clin Orthop Relat Res. 2012; 470(9):2613-21.
5. Sanhudo JV, Gomes JE, Rabello MC, Delucca G. Interobeserver and intraobserver reproducibility of hallux valgus angular measurements and the study of a linear measurement. Foot Ankle Spec. 2012 Sep 10. [Epub ahead of print]
6. Ravenell RA, Camasta CA, Powell DR. The unreliability of the intermetatarsal angle in choosing a hallux abducto valgus surgical procedure. J Foot Ankle Surg. 2011; 50(3):287-92.
7. Hyer CF, Philbin TM, Berlet GC, Lee TH. The incidence of the intermetatarsal facet of the first metatarsal and its relationship to metatarsus primus varus: a cadaveric study. J Foot Ankle Surg. 2005; 44(3):200-2.
8. DeVries JG, Granata JD, Hyer CF. Fixation of first tarsometatarsal arthrodesis: a retrospective comparative cohort of two techniques. Foot Ankle Int. 2011; 32(2):158-62.
9. Cottom JM. Fixation of the Lapidus arthrodesis with a plantar interfragmentary screw and medial low profile locking plate. J Foot Ankle Surg. 2012; 51(4):517-22.
10. Menke CR, McGlamry MC, Camasta CA. Lapidus arthrodesis with a single lag screw and a locking H-plate. J Foot Ankle Surg. 2011; 50(4):377-82.
11. Klos K, Gueorguiev B, Mückley T, et al. Stability of medial locking plate and compression screw versus two crossed screws for lapidus arthrodesis. Foot Ankle Int. 2011; 31(2):158-63.
12. Scranton PE, Coetzee JC, Carreira D. Arthrodesis of the first metatarsocuneiform joint: a comparative study of fixation methods. Foot Ankle Int. 2009; 30(4):341-5.
13. Saxena A, Nguyen A, Nelsen E. Lapidus bunionectomy: Early evaluation of crossed lag screws versus locking plate with plantar lag screw. J Foot Ankle Surg. 2009; 48(2):170-9.
14. Blitz NM, Lee T, Williams K, et al. Early weight bearing after modified lapidus arthodesis: a multicenter review of 80 cases. J Foot Ankle Surg. 2010; 49(4):357-62.

   For further reading, see the online exclusive “Key Pearls For Performing Bunion Surgery” at .

image description image description

Dr. Manoj Lalsays: December 31, 2012 at 12:42 am

Great work Dr. McAlister! Hope you're doing well.

Reply to this comment »

Post new comment

  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.

More information about formatting options

Enter the characters shown in the image.