{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:48:44Z","timestamp":1772639324892,"version":"3.50.1"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Hallux valgus is a common foot deformity often associated with first tarsometatarsal (TMT) joint instability. The Lapidus procedure, involving first TMT joint arthrodesis, is a well-established surgical procedure for severe cases, but the issue lies in the method of fixation. The InCore\u00ae Lapidus System is a novel intramedullary fixation system for modified Lapidus procedure. We here report the clinical experience of this system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We retrospectively reviewed four cases who underwent a modified Lapidus procedure using the InCore\u00ae Lapidus System and followed up at least 6 months. Surgical outcomes were evaluated by the hallux valgus (HV) and intermetatarsal (M1M2) angles on radiographs, bone union status on computed tomography (CT), postoperative pain levels, and the occurrence of complications. The HV angle improved in all four cases, ranging from 51\u00b0 to 59\u00b0 preoperatively and decreasing to 4\u00b0 to 25\u00b0 at the final follow-up. Similarly, the M1M2 angle improved in all four cases, with values decreasing from a preoperative range of 23\u00b0 to 26\u00b0 to a final range of 4\u00b0 to 13\u00b0. All patients achieved bone union within three months, and postoperative pain was minimal (Numerical Rating Scale: 0\u20131) at six weeks postoperatively. No complications were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Theoretical advantages of the InCore\u00ae Lapidus System include the ability to achieve joint compression using the device and the intramedullary fixation design, which may provide robust stability and a high rate of bone union. The system's design potentially reduces the risk of skin irritation, a common issue with plate fixation. Our clinical experiences supported these theoretical advantages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The modified Lapidus procedure using the InCore\u00ae Lapidus System provided favorable short-term outcomes for hallux valgus without complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111442","type":"journal-article","created":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:41:35Z","timestamp":1747190495000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Short-term outcomes of modified Lapidus procedure using the InCore\u00ae Lapidus System for hallux valgus: Case series of four cases"],"prefix":"10.1097","volume":"131","author":[{"given":"Jun","family":"Abe","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junya","family":"Higuchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daiki","family":"Wakayama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuji","family":"Miki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukari","family":"Matsuzaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuro","family":"Yasui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"6","key":"R1-115-20260304","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1177\/107110078900900602","article-title":"Modified lapidus procedure for hallux valgus","volume":"9","author":"Sangeorzan","year":"1989","journal-title":"Foot Ankle"},{"key":"R2-115-20260304","article-title":"A quarter of a century of experience with the operative correction of the metatarsus varus primus in hallux valgus","volume":"17","author":"Lapidus","year":"1956","journal-title":"Bull. Hosp. Jt. Dis"},{"key":"R3-115-20260304","doi-asserted-by":"crossref","DOI":"10.1016\/S0002-9610(32)91000-9","article-title":"The operative cure of hallux valgus and bunions","volume":"15","author":"Kleinberg","year":"1932","journal-title":"Am. J. Surg"},{"key":"R4-115-20260304","doi-asserted-by":"crossref","DOI":"10.3113\/FAI.2011.0674","article-title":"The use of the lapidus procedure for recurrent hallux valgus","volume":"32","author":"Ellington","year":"2011","journal-title":"Foot Ankle Int"},{"key":"R5-115-20260304","doi-asserted-by":"crossref","DOI":"10.1177\/107110079201300301","article-title":"Metatarsocuneiform arthrodesis for management of hallux valgus and metatarsus primus varus","volume":"13","author":"Myerson","year":"1992","journal-title":"Foot Ankle"},{"key":"R6-115-20260304","doi-asserted-by":"crossref","DOI":"10.1016\/S1067-2516(99)80003-9","article-title":"The modified lapidus arthrodesis: a retrospective analysis","volume":"38","author":"Catanzariti","year":"1999","journal-title":"J. Foot Ankle Surg"},{"key":"R7-115-20260304","article-title":"Lapidus arthrodesis for correction of hallux valgus deformity: a systematic review and meta-analysis","author":"Waehner","year":"2024","journal-title":"Foot Ankle Spec"},{"issue":"5","key":"R8-115-20260304","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int J Surg Lond Engl"},{"key":"R9-115-20260304","doi-asserted-by":"crossref","DOI":"10.1097\/JS9.0000000000000940","article-title":"Preferred reporting of case series in surgery (PROCESS) 2023 guidelines","author":"Mathew","year":"2023","journal-title":"Int. J. Surg"},{"key":"R10-115-20260304","first-page":"119","article-title":"A new arthrodesis fixation device for modified Lapidus procedure","volume":"44","author":"Nakagawa","year":"2023","journal-title":"J. Jpn. Soc. Surg. Foot"},{"key":"R11-115-20260304","first-page":"46","article-title":"Short term result of hallux valgus correction using the InCore Lapidus system","volume":"44","author":"Kanazawa","year":"2023","journal-title":"J Jpn. Soc. Surg. Foot"},{"key":"R12-115-20260304","doi-asserted-by":"crossref","DOI":"10.1177\/107110070402500803","article-title":"The Lapidus procedure: a prospective cohort outcome study","volume":"25","author":"Coetzee","year":"2004","journal-title":"Foot Ankle Int"},{"key":"R13-115-20260304","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.fas.2020.04.007","article-title":"The relationship of the Phantom\u00ae Lapidus Intramedullary Nail System to neurologic and tendinous structures in the foot: an anatomic study","volume":"27","author":"Shofoluwe","year":"2021","journal-title":"Foot Ankle Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225006285?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225006285?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T10:07:17Z","timestamp":1772618837000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.111442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":13,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111442","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2025-02-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}