Recurrent hallux valgus (HV) can be a difficult complication for both the patient and the surgeon. There are many options to correct the recurring deformity including osteotomies and proximal or distal arthrodesis. More recently the Lapidus procedure or its modifications has been shown to be an effective method of treating various complications of HV. In this manuscript we present the considerations for treatment of recurrent HV with the Lapidus procedure. We note that the Lapidus procedure and its modifications can reliably correct recurrent HV deformity with or without instability of the first tarsometatarsal joint with no increased risk of complication compared with a primary Lapidus procedure.
Level of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of levels of evidence.