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. 2022 May 21;11(6):e1065–e1069. doi: 10.1016/j.eats.2022.02.012

Table 2.

Pearls and pitfalls of Arthroscopic Lapidus Arthrodesis

Pearls Pitfalls
  • 1.

    Stripping of the cartilage should be at the interface between the cartilage and the subchondral bone.

  • 2.

    The osteotome between the articular surfaces can be turned 90° to “distract” the joint space, so that the remaining cartilage of the joint can be located.

  • 1.

    Excessive plantar flexion of the first metatarsal may cause painful callosity under the first metatarsal head.

  • 2.

    Inadequate plantarflexion of the first metatarsal may cause transfer metatarsalgia.