Lapidus bunionectomy (Lapiplasty) is a surgical procedure designed to correct the deformity known as hallux valgus, commonly referred to as a bunion. This innovative surgery addresses not only the symptoms but also the underlying structural issues contributing to the bunion, providing patients with long-term relief and improved foot function.
Definition
A bunion is a bony bump that forms at the base of the big toe, causing it to deviate inward toward the other toes. Lapidus bunionectomy is a surgical technique aimed at realigning the bones of the big toe joint to correct the deformity and restore proper alignment. This procedure is particularly effective for moderate to severe bunions and cases where conservative treatments have failed to provide relief.
General Considerations
Candidates for Lapidus bunionectomy typically experience pain, swelling, and limited mobility due to their bunion deformity. Before considering surgery, patients undergo a thorough evaluation by Dr. Kamel to assess the severity of their condition and determine the most appropriate treatment plan. Factors such as the patient's overall health, activity level, and lifestyle goals are taken into consideration when determining candidacy for surgery.
Surgical Technique
The Lapidus bunionectomy procedure involves making an incision along the top of the foot near the base of the first metatarsal. The surgeon then removes a small wedge of bone from the first metatarsal bone, realigning it with the second metatarsal bone to correct the angle of the big toe joint. Internal fixation devices such as screws or plates are used to stabilize the bones in their new position. Soft tissue structures around the joint may also be tightened or repositioned to provide additional stability.
Recovery
Following Lapidus bunionectomy surgery, patients typically undergo a period of immobilization to allow the bones to heal properly. Weight-bearing status and activity restrictions are determined by the surgeon based on the specific surgical approach and individual patient factors. Physical therapy may be prescribed to help restore strength, flexibility, and range of motion in the foot. Patients are advised to follow post-operative instructions carefully and attend follow-up appointments to monitor progress and address any concerns.
Risks and Complications
As with any surgical procedure, Lapidus bunionectomy carries potential risks and complications. These may include infection, delayed healing, nerve or blood vessel injury, and adverse reactions to anesthesia. Hardware irritation or failure, nonunion (failure of the bone to heal), malunion (improper alignment of the bones), and stiffness of the joint are also possible complications. Patients should discuss the potential risks and benefits of surgery with their surgeon and adhere to post-operative instructions to minimize complications.
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