how do you fixate your lapidus? - amazon s3...one foot from each pair was selected for the lapidus...
TRANSCRIPT
Jon R. Goldsmith, DPM
Omaha, Nebraska
KPMA 2019 Scientific Meeting
HOW DO YOU FIXATE YOUR LAPIDUS?
THE LAPIDUS PROCEDUREFIXATION OPTIONS
TECHNIQUEFURTHER REFINEMENT
CODING
WHAT WE ARE GOING FOCUS ON
BIG BUNIONHYPERMOBILITY
GENERAL INDICATIONS
IMPORTANT FACTORS
HYPERMOBILITY……OR IS IT INSTABILITY?
FIRST RAY……OR IS IT FIRST ANDSECOND RAY?
HISTORICALLY
THE LAPIDUSBUNIONECTOMYIS NOT NEW
RESURGENCE IN POPULARITY: TRIPLANE CONCEPT
RECENT HISTORY
FIXATION
SCREWSEX-FIX
PLATESSTAPLES
ANY RESEARCH?
MY OWN JOURNEY…
SCREWS
IS THE TRANS MET SCREW NEW?
WHY THE TRANSMET SCREW?
THE LATERAL BASE?
APPROACH
EQUIPMENT
FAILURE TO WITHSTAND THE DEFORMING FORCES:
FURTHER REFINEMENT
FIXATION
PLANTARFLEXION OR DISPLACEMENT?
WHY CHANGE?
PLATES
APPROACH
THE REDUCTION
HARDWARE
COMPLICATIONS?
NON UNION
COMPLICATIONS?
VARUS
WHAT HAPPENS WHEN THE SCREW IS OUT?
THE TRANSMET SCREW
VERY POWERFUL PROCEDURE
TECHNICALLY DEMANDING
DOES THE FIXATION MATTER?
CONCLUSION
THANK YOU