Second Metatarsal Fracture During Lapidus Hallux Valgus Correction: A Case Report

Alexandra F. Flaherty, Jie Chen

Research output: Contribution to journalArticlepeer-review


Case:A 67-year-old woman with rheumatoid arthritis underwent Lapidus hallux valgus correction. Initial realignment was unsatisfactory, so the K-wire through the first and second metatarsals was removed. As the clamp was repositioned, the second metatarsal fractured through the K-wire hole. The Lapidus procedure was completed, and then, the fracture was fixed with a percutaneous K-wire. The tarsometatarsal fusion and second metatarsal fracture healed.Conclusion:Because second metatarsal structural integrity is imperative for use of the clamp, bone quality and K-wire holes from re-reduction should be considered. Although technically challenging, this case demonstrates percutaneous fracture reduction after Lapidus hallux valgus correction.

Original languageEnglish (US)
Article numbere22.00639
JournalJBJS case connector
Issue number1
StatePublished - Mar 22 2023


  • Lapidus procedure
  • bunion
  • fracture fixation
  • hallux valgus
  • intraoperative complications
  • tarsometatarsal joint fusion

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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