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• W4366992971 abstract "Purpose 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. Methods 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. Results Seventeen biomechanical studies were retrieved – ten cadaveric and seven polyurethane foam (artificial bone) studies. Fixation methods ranged from the classic crossed screw approach ( n = 5) to plates (dorsomedial and plantar) with or without compression screws ( n = 11). Newer implants such as intramedullary stabilization screws ( n = 1) and memory alloy staples ( n = 2) were investigated. Conclusion The two crossed screws construct is still a biomechanical option; however, according to this systematic review, there is strong evidence that a plate–screw 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." @default.
• W4366992971 created "2023-04-27" @default.
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• W4366992971 date "2023-04-01" @default.
• W4366992971 modified "2023-09-24" @default.
• W4366992971 title "The modified Lapidus fusion: a systematic review of biomechanical studies" @default.
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• W4366992971 doi "https://doi.org/10.1530/eor-22-0069" @default.
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