{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:23:41Z","timestamp":1783488221828,"version":"3.55.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Orthopaedics"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The modified Lapidus (ML) is a powerful procedure for correction of hallux valgus (HV) with emerging techniques. Studies considering patient-reported outcomes, radiographic measures, complications, and implant costs are currently limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective cohort with prospectively collected Patient Reported Outcome Information System Physical Function (PROMIS-PF) Computerized Adaptive Test (CAT) scores, radiographic parameters (intermetatarsal angle, IMA; hallux valgus angle, HVA; and tibial sesamoid position, TSP), complications, and total operative time and implant costs were reviewed from 2014 to 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seventy-three feet (68 patients) underwent bunion correction by ML with lag-screw fixation. Median age was 55.8 years (IQR 45.6, 53.9), 4 of 73 (5.5%) were male, 11 of 73 (15.1%) were smokers, and 15 of 73 (20.6%) were diabetic (median HbA1c 6.4% [IQR 6.0, 7.4], none insulin dependent, 5 of 15 with neuropathy). Complications included 6 of 73 (8.2%) wound issues resolved with topical or oral treatment, 9 of 73 (12.3%) painful or broken hardware requiring hardware removal. Two of 73 (2.7%) had persistent pain despite union. One of 73 (1.4%) was overcorrected and required first MTP arthrodesis. Of 3 nonunions (2.7%), 1 resolved with corrected hypothyroidism, 1 was asymptomatic and required no treatment, 1 had a hallux valgus recurrence and sought revision surgery elsewhere. Preoperative radiographic angles were HVA 35 degrees, IMA 14 degrees which improved at final postoperative follow up to HVA 10 degrees, IMA 6 degrees. Tibial sesamoid position improved from 6.05 \u00b1 1.00 to 2.22 \u00b1 1.38. Thirty-two patients had preoperative and 42 had 1-year postoperative outcomes. PROMIS-PF (51% collection rate) was 43 (IQR 37,52) preoperatively, 37 (31, 39) at 6 weeks, 46 (42, 51) at 3 months, and 49 (41, 53) at &gt;360 days postoperatively. The drop in PROMIS-PF between preoperative and 6 weeks and the rise from 6 weeks to 3 months were statistically significant. Pre- and postoperative PROMIS-PF scores were not significantly different. Implant cost averaged US$146.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion\/Conclusion:<\/jats:title>\n                    <jats:p>We report low complication rates and costs with high patient postoperative functional and radiographic outcomes. PROMIS-PF decreased acutely postoperatively but recovered and maintained high levels by 3 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114231200482","type":"journal-article","created":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T01:30:51Z","timestamp":1695951051000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Radiographic and Patient-Reported Outcomes of a Low-Cost Modified Lapidus Bunion Correction Technique"],"prefix":"10.1177","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6552-2975","authenticated-orcid":false,"given":"Chinmay Shivaram","family":"Paranjape","sequence":"first","affiliation":[{"name":"University of North Carolina System, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingru","family":"Zhang","sequence":"additional","affiliation":[{"name":"University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trapper","family":"Lalli","sequence":"additional","affiliation":[{"name":"University of North Carolina System, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng-Chang","family":"Lin","sequence":"additional","affiliation":[{"name":"University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6916-368X","authenticated-orcid":false,"given":"Joshua N.","family":"Tennant","sequence":"additional","affiliation":[{"name":"University of North Carolina System, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,9,28]]},"reference":[{"key":"bibr1-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2014.01.001"},{"key":"bibr2-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2010.06.003"},{"key":"bibr3-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002101004"},{"key":"bibr4-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2010.04.014"},{"key":"bibr5-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(99)80003-9"},{"key":"bibr6-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402500803"},{"key":"bibr7-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720952079"},{"key":"bibr8-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2013.02.012"},{"key":"bibr9-24730114231200482","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0158"},{"key":"bibr10-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2007.08.016"},{"key":"bibr11-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2014.09.034"},{"key":"bibr12-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(32)91000-9"},{"key":"bibr13-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719895268"},{"key":"bibr14-24730114231200482","first-page":"119","volume":"16","author":"Lapidus PW.","year":"1960","journal-title":"Clin Orthop"},{"key":"bibr15-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2368-6"},{"key":"bibr16-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2011.05.007"},{"key":"bibr17-24730114231200482","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2018.01.001"},{"issue":"1","key":"bibr18-24730114231200482","first-page":"98","volume":"7","author":"Truslow W.","year":"1925","journal-title":"J Bone Joint Surg"},{"key":"bibr19-24730114231200482","doi-asserted-by":"publisher","DOI":"10.2307\/3001913"}],"container-title":["Foot &amp; 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