What is Lapiplasty
The Lapiplasty procedure is an improvement upon a procedure called a Lapidus bunionectomy, which was designed to reduce the complications with traditional surgery.
Most large bunions today are repaired with the Lapidus technique. The source of the deformity, the unstable 1st TMT joint, is reduced and fused together with a single metal plate or two screws. This two dimensional repair allows for more long-term results compared to just cutting the metatarsal, but it has several pitfall.
Lapiplasty improves upon the Lapidus procedure by reducing the abnormal 1st TMT joint and its associated metatarsal precisely, utilizing a specialized, patented reduction clamp. The rotation of the metatarsal is most importantly reduced to normal alignment, allowing the great toe joint normal comfortable motion. The misaligned joint tissue is then resected with a patented cutting guide before fixating the joint. This ensures perfect cuts and reduces surgeon air when cutting the bone.
Two small titanium plates and eight titanium screws are then used to fuse the joint in its natural position. The patented two-plate construction provides improved stability to the joint during the recovery process, eliminating the need for casting after surgery, instead allowing the patient to wear a walking boot. This two-plate construct is like holding a basketball with two hands versus one hand.
Lapiplasty has improved upon the traditional bunion osteotomy and Lapidus procedure in several significant ways
Recovery with Lapiplasty surgery
The surgery is performed in a hospital or surgery center under general anesthesia and can be completed by a Lapiplasty trained surgeon in approximately one hour. Patients go home the same day of surgery in a walking boot and mostly stay off of their foot for three days but are permitted heel touch weight-bearing to get around the house. They use a scooter or roll about, on which they kneel for three days and continue to use for long distances for up to 4 to 6 weeks after surgery as it makes movements much easier than traditional crutches.
At three days after surgery heel, touch weight-bearing is allowed in a walking boot for short distances.
Stitches are removed in 10 to 14 days after surgery, and patients can begin applying more pressure to the foot so that by four weeks post-op, they can walk in a boot without the assistance of a walker or crutches. By six weeks after surgery, patients transition to athletic shoes.
Aggressive activity, like running, can begin about three months post-op, but low-impact exercise is allowed once out of the walking boot and is comfortable in normal shoe gear.
Am I a surgical candidate?
Any patient who suffers from pain from a bunion, inability to wear shoes comfortably, or limitation to activity that affects their quality of life is a candidate. This procedure is also approved for children who suffer from bunion pain.
The choice is clear - don't settle for the procedure your grandmother had for her bunions, the future of bunion surgery is here, and it is called Lapiplasty 3D bunion correction!
NFFAS’s surgeons are proud to be part of a group of limited surgeons specially trained to offer this procedure to their patients. We hope to see you soon!
Bunions Q & A
What are bunions?
A bunion is a hard, bony bump that forms on the outer edge of your foot at the base of your big toe. It occurs when the bones at the front of your foot become misaligned, pushing the bone at the bottom of your big toe outward.
Bunions are a progressive disorder, meaning they develop slowly over an extended period. Anyone can experience a bunion, but they’re especially common in people who wear tight shoes that push the toes together.
What are the symptoms of bunions?
Symptoms of bunions include:
- Pain or stiffness
- Inflammation and redness
- A burning sensation
As the bunion gets bigger, you might also experience difficulty bending your toe or putting weight on your affected foot.
What causes bunions?
Most bunions occur due to an inherited structural abnormality. For example, if you’re born with flat feet, or you have an unusual gait, you’re more likely to experience a bunion.
The type of shoes you wear can also increase your risk of a bunion. If you wear shoes without an adequate toe box, it can affect the alignment of the bones in your feet.
How are bunions diagnosed?
To diagnose a bunion, North Florida Foot & Ankle Specialists review your medical history and ask about your symptoms, including their severity and if any activities like standing or wearing a specific pair of shoes make them worse.
Next, your provider carefully examines your foot, looking for signs of a visible bony bump. They might also order a series of X-rays to assess the severity and to determine the type of treatment that benefits you most.
How are bunions treated?
North Florida Foot & Ankle Specialists typically recommend non-surgical treatment to manage bunions. For example, you might benefit from:
- Wearing more comfortable shoes
- Bunion pads
- Activity modification
- Over-the-counter medication
- Custom orthotics
- Corticosteroid injections
If non-surgical treatments aren’t enough to ease your symptoms, or the pain from your bunion interferes with your ability to work or do other routine activities, surgery might be necessary.