{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:42:06Z","timestamp":1790674926892,"version":"4.1.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,11,17]],"date-time":"2015-11-17T00:00:00Z","timestamp":1447718400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The modified Lapidus procedure has successfully relieved pain and corrected deformity in patients with hallux valgus, but its effect on participation in specific sports and physical activities remains unclear. Our goals were to assess sports and physical activities in young patients following the modified Lapidus procedure and to compare these with clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Fifty-eight eligible patients were identified from a retrospective registry review. Of these, 48 (83%) were reached for follow-up at a mean of 2.8 (range, 1.0 to 6.1) years and had a mean age at surgery of 37.3 (range, 14.1 to 49.3) years. Physical activity participation was evaluated with a new sports-specific, patient-administered questionnaire. Clinical outcomes were evaluated with the Foot and Ankle Outcome Score (FAOS) and compared to sports outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Patients participated in 26 different physical activities, consisting of 212 total physical activities preoperatively and 209 total postoperatively. The most common were walking, running, bicycling, and swimming. Compared to preoperatively, patients rated 29% of activities as less difficult, 52% as the same, and 19% as more difficult and rated participation levels as improved in 40%, the same in 41%, and impaired in 19%. Eighty-one percent of patients were satisfied with their operative outcome in regard to return to physical activity. Changes in the FAOS Pain subscore were significantly associated with improvements in physical activity difficulty (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05), and changes in the Pain, Sports, and QOL subscores were significantly associated with changes in physical activity participation levels (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Four in 5 patients were able to participate in previous sports and physical activities, including high-impact activities, at their preoperative participation level or better after the modified Lapidus procedure, and were satisfied with surgery in regard to return to previous activity. However, several patients had increased difficulty and impaired participation in physical activity postoperatively. Altogether, this suggests that the procedure is a viable treatment option for hallux valgus in young, active patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100715617750","type":"journal-article","created":{"date-parts":[[2015,11,17]],"date-time":"2015-11-17T22:19:33Z","timestamp":1447798773000},"page":"378-385","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Return to Sports and Physical Activities After the Modified Lapidus Procedure for Hallux Valgus in Young Patients"],"prefix":"10.1177","volume":"37","author":[{"given":"Aoife","family":"MacMahon","sequence":"first","affiliation":[{"name":"Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Karbassi","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayme C.","family":"Burket","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Hospital for Special Surgery, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Elliott","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David S.","family":"Levine","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew M.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan T.","family":"Deland","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin J.","family":"O\u2019Malley","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanne","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol A.","family":"Mancuso","sequence":"additional","affiliation":[{"name":"Department of Medicine, Hospital for Special Surgery, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott J.","family":"Ellis","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,11,17]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002101004."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.62B3.6997319"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(99)80003-9."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.1145."},{"key":"e_1_3_2_6_2","first-page":"109","article-title":"Adolescent bunions treated by the modified Lapidus procedure","volume":"47","author":"Clark HR","year":"1987","unstructured":"Clark HR, Veith RG, Hansen ST. Adolescent bunions treated by the modified Lapidus procedure. Bull Hosp Joint Dis Orthop Inst. 1987;47:109-122.","journal-title":"Bull Hosp Joint Dis Orthop Inst"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2004.08.009."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402500803."},{"key":"e_1_3_2_9_2","first-page":"261","volume-title":"Mann\u2019s Surgery of the Foot and Ankle","author":"Coughlin MJ","unstructured":"Coughlin MJ, Anderson RB. Hallux valgus. In: Mann\u2019s Surgery of the Foot and Ankle. 9th ed. Philadelphia, PA: Elsevier Saunders; 2014:261.","edition":"9"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20080301-14."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199811000-00015"},{"key":"e_1_3_2_13_2","unstructured":"high-impact sport. In: McGraw-Hill Concise Dictionary of Modern Medicine. Available at: http:\/\/medical-dictionary.thefreedictionary.com\/high-impact+sport. Published 2002. 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