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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.