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However, postoperative complications can occur in up to 12% of cases. The aim of this study was to describe intraoperative technical tips in the management of the tarsometatarsal joint during multiplanar correction of severe hallux valgus deformity using the modified Lapidus procedure. It is not the authors\u2019 intention to describe a new technique, but to draw attention to intraoperative details in order to prevent complications as nonunion, extension of the first metatarsal and undercorrection of the deformity. Rotational correction of the first metatarsal with adequate bone coaptation of the first metatarsal and the medial cuneiform are the cornerstone for a satisfactory result.<\/jats:p>\n                  <jats:p>Levels of Evidence: Level V, expert opinion<\/jats:p>","DOI":"10.1177\/1938640020986686","type":"journal-article","created":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T04:39:35Z","timestamp":1611031175000},"page":"528-533","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Management of the Tarsometatarsal Joint in the Rotational Correction of Hallux Valgus by the Modified Lapidus Procedure: Intraoperative Technical Tips to Prevent Complications"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0227-2440","authenticated-orcid":false,"given":"Danilo Ryuko C\u00e2ndido","family":"Nishikawa","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Foot and Ankle Surgery, Hospital of the Municipal Public Servant of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1211-9258","authenticated-orcid":false,"given":"Guilherme Honda","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto Abussamra Moreira","family":"Mendes","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelo Pires","family":"Prado","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,1,19]]},"reference":[{"key":"bibr1-1938640020986686","first-page":"183","volume":"58","author":"Lapidus PW.","year":"1934","journal-title":"Surg Gynecol Obstet"},{"key":"bibr2-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1016\/0268-0033(96)00012-5"},{"key":"bibr3-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718793391"},{"key":"bibr4-1938640020986686","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00542"},{"key":"bibr5-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2018.02.001"},{"key":"bibr6-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2019.02.001"},{"key":"bibr7-1938640020986686","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01455"},{"key":"bibr8-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-9-70"},{"key":"bibr9-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-011-0136-1"},{"key":"bibr10-1938640020986686","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00796"},{"key":"bibr11-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2018.01.006"},{"key":"bibr12-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2019.10.009"},{"key":"bibr13-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1097\/BTF.0000000000000142"},{"key":"bibr14-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2019.05.011"},{"key":"bibr15-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2018.01.008"},{"key":"bibr16-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2017.08.002"},{"key":"bibr17-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2018.01.009"},{"key":"bibr18-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715576994"},{"key":"bibr19-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715604000"},{"key":"bibr20-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2013.09.007"},{"key":"bibr21-1938640020986686","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal-D-20-00091"},{"key":"bibr22-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719883325"},{"key":"bibr23-1938640020986686","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.1108"},{"key":"bibr24-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2020.10.004"},{"key":"bibr25-1938640020986686","doi-asserted-by":"publisher","DOI":"10.1177\/1938640014560167"}],"container-title":["Foot &amp; 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