{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T14:18:02Z","timestamp":1784557082056,"version":"3.55.0"},"reference-count":38,"publisher":"Bioscientifica","issue":"4","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["eor.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>The biomechanical characteristics of different techniques to perform the modified Lapidus procedure are controversial, discussing the issue of stability, rigidity, and compression forces from a biomechanical point of view. The aim of this systematic review was to investigate the available options to identify whether there is a procedure providing superior biomechanical results.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>A comprehensive literature search was performed by screening PubMed, Embase, and Cochrane databases until September 2021. There was a wide heterogeneity of the available data in the different studies. Load to failure, stiffness, and compression forces were summarized and evaluated.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>\n                          Seventeen biomechanical studies were retrieved \u2013 ten cadaveric and seven polyurethane foam (artificial bone) studies. Fixation methods ranged from the classic crossed screw approach (\n                          <jats:italic>n<\/jats:italic>\n                          \u2009=\u20095) to plates (dorsomedial and plantar) with or without compression screws (\n                          <jats:italic>n<\/jats:italic>\n                          \u2009=\u200911). Newer implants such as intramedullary stabilization screws (\n                          <jats:italic>n<\/jats:italic>\n                          \u2009=\u20091) and memory alloy staples (\n                          <jats:italic>n<\/jats:italic>\n                          \u2009=\u20092) were investigated.\n                        <\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>The two crossed screws construct is still a biomechanical option; however, according to this systematic review, there is strong evidence that a plate\u2013screw construct provides superior stability especially in combination with a compression screw. There is also evidence about plate position and low evidence about compression screw position. Plantar plates seem to be advantageous from a biomechanical point of view, whereas compression screws could be better when positioned outside the plate. Overall, this review suggests the biomechanical advantages of using a combination of locking plates with a compression screw.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>","DOI":"10.1530\/eor-22-0069","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T08:54:25Z","timestamp":1682412865000},"page":"162-174","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":12,"title":["The modified Lapidus fusion: a systematic review of biomechanical studies"],"prefix":"10.1530","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2637-2625","authenticated-orcid":true,"given":"Martin","family":"Riegger","sequence":"first","affiliation":[{"name":"Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland"},{"name":"Faculty of Biomedical Sciences, Universit\u00e0 della Svizzera Italiana, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nermine","family":"Habib","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hopital fribourgeois (HFR) \u2013 Freiburger Spital (HFR), Fribourg, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6153-0011","authenticated-orcid":true,"given":"Enrique Adrian","family":"Testa","sequence":"additional","affiliation":[{"name":"Faculty of Biomedical Sciences, Universit\u00e0 della Svizzera Italiana, Lugano, Switzerland"},{"name":"Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Bellinzona, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland"},{"name":"Faculty of Biomedical Sciences, Universit\u00e0 della Svizzera Italiana, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Guidi","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, Kantonsspital, Aarau, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Candrian","sequence":"additional","affiliation":[{"name":"Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland"},{"name":"Faculty of Biomedical Sciences, Universit\u00e0 della Svizzera Italiana, Lugano, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"bib1","series-title":"Bone and Joint Surgery","article-title":"Metatarsus primus VARUS or hallux valgus?","volume":"7","author":"Truslow","year":"1925","unstructured":"Truslow W. Metatarsus primus VARUS or hallux valgus?Bone and Joint Surgery19257. Available at: https:\/\/journals.lww.com\/jbjsjournal\/Fulltext\/1925\/07010\/METATARSUS_PRIMUS_VARUS_OR_HALLUX_VALGUS_.8.aspx."},{"key":"bib2","series-title":"American Journal of Surgery","first-page":"75","article-title":"The Operative cure of hallux valgus and bunions","volume":"15","author":"Kleinberg","year":"1932","unstructured":"Kleinberg S. The Operative cure of hallux valgus and bunions. American Journal of Surgery19321575\u201381. (https:\/\/doi.org\/10.1016\/S0002-9610(3291000-9)"},{"key":"bib3","series-title":"Surgery, Gynecology and Obstetrics","first-page":"183","article-title":"Operative correction of metatarsus primus Varus in hallux valgus","volume":"58","author":"Lapidus","year":"1934","unstructured":"Lapidus PW. Operative correction of metatarsus primus Varus in hallux valgus. Surgery, Gynecology and Obstetrics193458183\u2013191."},{"key":"bib4","series-title":"Bulletin of the Hospital for Joint Diseases","first-page":"404","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","unstructured":"Lapidus PW. A quarter of a century of experience with the operative correction of the metatarsus varus primus in hallux valgus. Bulletin of the Hospital for Joint Diseases195617404\u2013421."},{"key":"bib5","series-title":"Journal of Bone and Joint Surgery. British Volume","first-page":"350","article-title":"A modification of the Lapidus operation for hallux valgus","volume":"62","author":"Butson","year":"1980","unstructured":"Butson AR. A modification of the Lapidus operation for hallux valgus. Journal of Bone and Joint Surgery. British Volume198062350\u2013352. (https:\/\/doi.org\/10.1302\/0301-620X.62B3.6997319)"},{"key":"bib6","series-title":"Orthopedic Clinics of North America","first-page":"49","article-title":"The congenital rigid flatfoot. Its recognition and treatment in infants","volume":"4","author":"Giannestras","year":"1973","unstructured":"Giannestras NJ. The congenital rigid flatfoot. Its recognition and treatment in infants. Orthopedic Clinics of North America1973449\u201366. (https:\/\/doi.org\/10.1016\/S0030-5898(2030504-6)"},{"key":"bib7","series-title":"Journal of Foot and Ankle Surgery","first-page":"376","article-title":"Biomechanical analysis of the first metatarsocuneiform arthrodesis","volume":"37","author":"Ray","year":"1998","unstructured":"Ray RGChing RPChristensen JC & Hansen ST. Biomechanical analysis of the first metatarsocuneiform arthrodesis. Journal of Foot and Ankle Surgery199837376\u2013385. (https:\/\/doi.org\/10.1016\/s1067-2516(9880045-8)"},{"key":"bib8","series-title":"Journal of Foot and Ankle Surgery","first-page":"466","article-title":"Stability of locking plate and compression screws for Lapidus arthrodesis: a biomechanical comparison of plate position","volume":"57","author":"Drummond","year":"2018","unstructured":"Drummond DMotley TKosmopoulos V & Ernst J. Stability of locking plate and compression screws for Lapidus arthrodesis: a biomechanical comparison of plate position. Journal of Foot and Ankle Surgery201857466\u2013470. (https:\/\/doi.org\/10.1053\/j.jfas.2017.10.025)"},{"key":"bib9","series-title":"JAMA","article-title":"Preferred reporting items for a systematic review and meta-analysis of diagnostic test accuracy studies: the PRISMA-DTA statement","volume":"319","author":"McInnes","year":"2018","unstructured":"McInnes MDFMoher DThombs BDMcGrath TABossuyt PMand the PRISMA-DTA GroupClifford TCohen JFDeeks JJGatsonis C, Preferred reporting items for a systematic review and meta-analysis of diagnostic test accuracy studies: the PRISMA-DTA statement. JAMA2018319 388\u2013396. (https:\/\/doi.org\/10.1001\/jama.2017.19163)"},{"key":"bib10","series-title":"International Journal of Surgery","first-page":"336","article-title":"Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement","volume":"8","author":"Moher","year":"2010","unstructured":"Moher DLiberati ATetzlaff JAltman DG & PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement. International Journal of Surgery20108336\u2013341. (https:\/\/doi.org\/10.1016\/j.ijsu.2010.02.007)"},{"key":"bib11","series-title":"Clinical and Translational Imaging","first-page":"83","article-title":"Systematic reviews and meta-analyses of diagnostic studies: a practical guideline","volume":"5","author":"Sadeghi","year":"2017","unstructured":"Sadeghi R & Treglia G. Systematic reviews and meta-analyses of diagnostic studies: a practical guideline. Clinical and Translational Imaging2017583\u201387. (https:\/\/doi.org\/10.1007\/s40336-016-0219-2)"},{"key":"bib12","series-title":"Journal of Anatomy","first-page":"440","article-title":"Appraising the methodological quality of cadaveric studies: validation of the QUACS scale","volume":"226","author":"Wilke","year":"2015","unstructured":"Wilke JKrause FNiederer DEngeroff TN\u00fcrnberger FVogt L & Banzer W. Appraising the methodological quality of cadaveric studies: validation of the QUACS scale. Journal of Anatomy2015226440\u2013446. (https:\/\/doi.org\/10.1111\/joa.12292)"},{"key":"bib13","series-title":"Journal of Foot and Ankle Surgery","first-page":"333","article-title":"The Lapidus arthrodesis: examining the effect of the metatarsal base transfixion screw","volume":"60","author":"Ehredt","year":"2021","unstructured":"Ehredt DJKawalec JLigas CSeidel JBenson BReiner MM & Connors J. The Lapidus arthrodesis: examining the effect of the metatarsal base transfixion screw. Journal of Foot and Ankle Surgery202160333\u2013338. (https:\/\/doi.org\/10.1053\/j.jfas.2020.05.020)"},{"key":"bib14","series-title":"Foot and Ankle Clinics","first-page":"109","article-title":"Evolution of thinking of the Lapidus procedure and fixation","volume":"25","author":"Li","year":"2020","unstructured":"Li S & Myerson MS. Evolution of thinking of the Lapidus procedure and fixation. Foot and Ankle Clinics202025109\u2013126. (https:\/\/doi.org\/10.1016\/j.fcl.2019.11.001)"},{"key":"bib15","series-title":"Foot and Ankle International","first-page":"984","article-title":"Screw fixation compared to H-locking plate fixation for first metatarsocuneiform arthrodesis: A biomechanical study","volume":"26","author":"Cohen","year":"2005","unstructured":"Cohen DAParks BG & Schon LC. Screw fixation compared to H-locking plate fixation for first metatarsocuneiform arthrodesis: A biomechanical study. Foot and Ankle International200526984\u2013989. (https:\/\/doi.org\/10.1177\/107110070502601114)"},{"key":"bib16","series-title":"Foot and Ankle International","first-page":"927","article-title":"Crossed Screws versus dorsomedial Locking Plate with Compression Screw for First Metatarsocuneiform Arthrodesis: a Cadaver Study","volume":"29","author":"Gruber","year":"2008","unstructured":"Gruber FSinkov VSBae SYParks BG & Schon LC. Crossed Screws versus dorsomedial Locking Plate with Compression Screw for First Metatarsocuneiform Arthrodesis: a Cadaver Study. Foot and Ankle International200829927\u2013930. (https:\/\/doi.org\/10.3113\/FAI.2008.0927)"},{"key":"bib17","series-title":"Foot and Ankle International","first-page":"341","article-title":"Arthrodesis of the first metatarsocuneiform joint: a comparative study of fixation methods","volume":"30","author":"Scranton","year":"2009","unstructured":"Scranton PECoetzee JC & Carreira D. Arthrodesis of the first metatarsocuneiform joint: a comparative study of fixation methods. Foot and Ankle International200930341\u2013345. (https:\/\/doi.org\/10.3113\/FAI.2009.0341)"},{"key":"bib18","series-title":"Foot and Ankle International","first-page":"158","article-title":"Stability of medial locking plate and compression screw versus two crossed screws for Lapidus arthrodesis","volume":"31","author":"Klos","year":"2010","unstructured":"Klos KGueorguiev BM\u00fcckley TFr\u00f6ber RHofmann GOSchwieger K & Windolf M. Stability of medial locking plate and compression screw versus two crossed screws for Lapidus arthrodesis. Foot and Ankle International201031158\u2013163. (https:\/\/doi.org\/10.3113\/FAI.2010.0158)"},{"key":"bib19","series-title":"Foot and Ankle International","first-page":"1081","article-title":"Plantar versus dorsomedial Locked Plating for Lapidus Arthrodesis: a Biomechanical Comparison","volume":"32","author":"Klos","year":"2011","unstructured":"Klos KSimons PHajduk ASHoffmeier KLGras FFr\u00f6ber RHofmann GO & M\u00fcckley T. Plantar versus dorsomedial Locked Plating for Lapidus Arthrodesis: a Biomechanical Comparison. Foot and Ankle International2011321081\u20131085. (https:\/\/doi.org\/10.3113\/FAI.2011.1081)"},{"key":"bib20","series-title":"Journal of Foot and Ankle Surgery","first-page":"339","article-title":"Biomechanical comparison of a locking plate with intraplate compression screw versus locking plate with plantar interfragmentary screw for Lapidus arthrodesis: a cadaveric study","volume":"52","author":"Cottom","year":"2013","unstructured":"Cottom JM & Rigby RB. Biomechanical comparison of a locking plate with intraplate compression screw versus locking plate with plantar interfragmentary screw for Lapidus arthrodesis: a cadaveric study. Journal of Foot and Ankle Surgery201352339\u2013342. (https:\/\/doi.org\/10.1053\/j.jfas.2013.02.012)"},{"key":"bib21","series-title":"Foot and Ankle International","first-page":"1209","article-title":"Intraosseous fixation compared to plantar plate fixation for first metatarsocuneiform arthrodesis: a cadaveric biomechanical analysis","volume":"35","author":"Roth","year":"2014","unstructured":"Roth KEPeters JSchmidtmann IMaus UStephan D & Augat P. Intraosseous fixation compared to plantar plate fixation for first metatarsocuneiform arthrodesis: a cadaveric biomechanical analysis. Foot and Ankle International2014351209\u20131216. (https:\/\/doi.org\/10.1177\/1071100714547082)"},{"key":"bib22","series-title":"Foot and Ankle Specialist","first-page":"95","article-title":"Crossed-screws provide greater tarsometatarsal fusion stability compared to compression plates","volume":"8","author":"Baxter","year":"2015","unstructured":"Baxter JRMani SBChan JYVulcano E & Ellis SJ. Crossed-screws provide greater tarsometatarsal fusion stability compared to compression plates. Foot and Ankle Specialist2015895\u2013100. (https:\/\/doi.org\/10.1177\/1938640014543358)"},{"key":"bib23","series-title":"Foot and Ankle Specialist","first-page":"232","article-title":"The impact of nitinol staples on the compressive forces, contact area, and mechanical properties in comparison to a claw plate and crossed screws for the first tarsometatarsal arthrodesis","volume":"9","author":"Aiyer","year":"2016","unstructured":"Aiyer ARussell NAPelletier MHMyerson M & Walsh WR. The impact of nitinol staples on the compressive forces, contact area, and mechanical properties in comparison to a claw plate and crossed screws for the first tarsometatarsal arthrodesis. Foot and Ankle Specialist20169232\u2013240. (https:\/\/doi.org\/10.1177\/1938640015620655)"},{"key":"bib24","series-title":"Frontiers in Surgery","first-page":"65","article-title":"Evaluation of nitinol staples for the Lapidus arthrodesis in a reproducible biomechanical model","volume":"2","author":"Russell","year":"2015","unstructured":"Russell NARegazzola GAiyer ANomura TPelletier MHMyerson M & Walsh WR. Evaluation of nitinol staples for the Lapidus arthrodesis in a reproducible biomechanical model. Frontiers in Surgery2015265. (https:\/\/doi.org\/10.3389\/fsurg.2015.00065)"},{"key":"bib25","series-title":"Journal of Foot and Ankle Surgery","first-page":"444","article-title":"Inherent strength of the osteo-WEDGETM bone plate locking system for arthrodesis of the first metatarsocuneiform joint: a biomechanical study","volume":"55","author":"Graham","year":"2016","unstructured":"Graham MEChikka A & Goel VK. Inherent strength of the osteo-WEDGETM bone plate locking system for arthrodesis of the first metatarsocuneiform joint: a biomechanical study. Journal of Foot and Ankle Surgery201655444\u2013449. (https:\/\/doi.org\/10.1053\/j.jfas.2015.12.015)"},{"key":"bib26","series-title":"Foot and Ankle Specialist","first-page":"322","article-title":"Biomechanical comparison of fixation devices for first metatarsocuneiform joint arthrodesis","volume":"10","author":"Knutsen","year":"2017","unstructured":"Knutsen ARFleming JFEbramzadeh EHo NCWarganich THarris TG & Sangiorgio SN. Biomechanical comparison of fixation devices for first metatarsocuneiform joint arthrodesis. Foot and Ankle Specialist201710322\u2013328. (https:\/\/doi.org\/10.1177\/1938640016679698)"},{"key":"bib27","series-title":"Foot and Ankle Specialist","first-page":"227","article-title":"Comparison of locking plate with interfragmentary screw versus plantarly applied anatomic locking plate for Lapidus arthrodesis: a biomechanical cadaveric study","volume":"10","author":"Cottom","year":"2017","unstructured":"Cottom JM & Baker JS. Comparison of locking plate with interfragmentary screw versus plantarly applied anatomic locking plate for Lapidus arthrodesis: a biomechanical cadaveric study. Foot and Ankle Specialist201710227\u2013231. (https:\/\/doi.org\/10.1177\/1938640016676341)"},{"key":"bib28","series-title":"Journal of Orthopaedic Surgery and Research","article-title":"Biomechanics of common fixation devices for first tarsometatarsal joint fusion\u2014a comparative study with synthetic bones","volume":"13","author":"Burchard","year":"2018","unstructured":"Burchard RMassa RSoost CRichter WDietrich GOhrndorf AChrist HJFritzen CPGraw JA & Schmitt J. Biomechanics of common fixation devices for first tarsometatarsal joint fusion\u2014a comparative study with synthetic bones. Journal of Orthopaedic Surgery and Research201813 176. (https:\/\/doi.org\/10.1186\/s13018-018-0876-0)"},{"key":"bib29","series-title":"Journal of Foot and Ankle Surgery","first-page":"766","article-title":"Biomechanical characteristics of biplane multiplanar tension-side fixation for Lapidus fusion","volume":"57","author":"Dayton","year":"2018","unstructured":"Dayton PHatch DJSantrock RD & Smith B. Biomechanical characteristics of biplane multiplanar tension-side fixation for Lapidus fusion. Journal of Foot and Ankle Surgery201857766\u2013770. (https:\/\/doi.org\/10.1053\/j.jfas.2018.02.012)"},{"key":"bib30","series-title":"Journal of Experimental Orthopaedics","article-title":"Biomechanical evaluation of shape-memory alloy staples for internal fixation\u2014an in vitro study","volume":"3","author":"Hoon","year":"2016","unstructured":"Hoon QJPelletier MHChristou CJohnson KA & Walsh WR. Biomechanical evaluation of shape-memory alloy staples for internal fixation\u2014an in vitro study. Journal of Experimental Orthopaedics20163 19. (https:\/\/doi.org\/10.1186\/s40634-016-0055-3)"},{"key":"bib31","series-title":"Journal of Biomechanics","first-page":"279","article-title":"Mechanical validation of whole bone composite tibia models","volume":"33","author":"Cristofolini","year":"2000","unstructured":"Cristofolini L & Viceconti M. Mechanical validation of whole bone composite tibia models. Journal of Biomechanics200033279\u2013288. (https:\/\/doi.org\/10.1016\/s0021-9290(9900186-4)"},{"key":"bib32","series-title":"Journal of Biomechanics","first-page":"773","article-title":"Structural properties of a new design of composite replicate femurs and tibias","volume":"34","author":"Heiner","year":"2001","unstructured":"Heiner AD & Brown TD. Structural properties of a new design of composite replicate femurs and tibias. Journal of Biomechanics200134773\u2013781. (https:\/\/doi.org\/10.1016\/s0021-9290(0100015-x)"},{"key":"bib33","series-title":"BMC Musculoskeletal Disorders","article-title":"Compressive properties of commercially available polyurethane foams as mechanical models for osteoporotic human cancellous bone","volume":"9","author":"Patel","year":"2008","unstructured":"Patel PSShepherd DE & Hukins DW. Compressive properties of commercially available polyurethane foams as mechanical models for osteoporotic human cancellous bone. BMC Musculoskeletal Disorders20089 137. (https:\/\/doi.org\/10.1186\/1471-2474-9-137)"},{"key":"bib34","series-title":"Journal of the American Academy of Orthopaedic Surgeons","first-page":"111","article-title":"Composite bone models in orthopaedic surgery research and education","volume":"22","author":"Elfar","year":"2014","unstructured":"Elfar JMenorca RMGReed JD & Stanbury S. Composite bone models in orthopaedic surgery research and education. Journal of the American Academy of Orthopaedic Surgeons201422111\u2013120. (https:\/\/doi.org\/10.5435\/JAAOS-22-02-111)"},{"key":"bib35","series-title":"Annals of Biomedical Engineering","first-page":"613","article-title":"Mechanical evaluation of large-size fourth-generation composite femur and tibia models","volume":"38","author":"Gardner","year":"2010","unstructured":"Gardner MPChong ACMPollock AG & Wooley PH. Mechanical evaluation of large-size fourth-generation composite femur and tibia models. Annals of Biomedical Engineering201038613\u2013620. (https:\/\/doi.org\/10.1007\/s10439-009-9887-7)"},{"key":"bib36","series-title":"Foot and Ankle International","first-page":"427","article-title":"Placement of plantar plates for Lapidus arthrodesis: anatomical considerations","volume":"37","author":"Plaass","year":"2016","unstructured":"Plaass CClaassen LDaniilidis KFumy MStukenborg-Colsman CSchmiedl A & Ettinger S. Placement of plantar plates for Lapidus arthrodesis: anatomical considerations. Foot and Ankle International201637427\u2013432. (https:\/\/doi.org\/10.1177\/1071100715619607)"},{"key":"bib37","series-title":"Journal of Foot and Ankle Surgery","first-page":"465","article-title":"Fixation of Lapidus arthrodesis with a plantar interfragmentary screw and medial locking plate: a report of 88 cases","volume":"52","author":"Cottom","year":"2013","unstructured":"Cottom JM & Vora AM. Fixation of Lapidus arthrodesis with a plantar interfragmentary screw and medial locking plate: a report of 88 cases. Journal of Foot and Ankle Surgery201352465\u2013469. (https:\/\/doi.org\/10.1053\/j.jfas.2013.02.013)"},{"key":"bib38","series-title":"Foot and Ankle Surgery","first-page":"239","article-title":"Modified Lapidus arthrodesis with plantar plate and compression screw for treatment of hallux valgus with hypermobility of the first ray: a preliminary report","volume":"19","author":"Klos","year":"2013","unstructured":"Klos KWilde CHLange AWagner AGras FSkulev HKM\u00fcckley T & Simons P. Modified Lapidus arthrodesis with plantar plate and compression screw for treatment of hallux valgus with hypermobility of the first ray: a preliminary report. Foot and Ankle Surgery201319239\u2013244. (https:\/\/doi.org\/10.1016\/j.fas.2013.06.003)"}],"container-title":["EFORT Open Reviews"],"original-title":[],"link":[{"URL":"https:\/\/eor.bioscientifica.com\/view\/journals\/eor\/8\/4\/EOR-22-0069.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/eor.bioscientifica.com\/downloadpdf\/journals\/eor\/8\/4\/EOR-22-0069.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/eor.bioscientifica.com\/downloadpdf\/journals\/eor\/8\/4\/EOR-22-0069.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:50:49Z","timestamp":1784555449000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.bioscientifica.com\/eor\/article\/8\/4\/162-174\/2542"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,1]]},"references-count":38,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.1530\/eor-22-0069","relation":{},"ISSN":["2058-5241"],"issn-type":[{"value":"2058-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,1]]}}}