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One of the latest procedures for the correction of bunion deformities. Compared to other surgical procedures, the Lapiplasty is a much more stable procedure, thus yielding better results
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the lapoplasty beninectomy is a modern
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surgical technique for the treatment of
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bunions or hallux vulgus deformity this
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approach improves upon traditional
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beninectomy procedures by addressing not
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just the Bony bump on the big toe but
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also the realignment of the first
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metatarsal bone historically procedures
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done on the first metatarsal bone in an
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effort to reduce their protrusion have
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had a reasonably High failure rate due
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to lack of stabilization of the
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osteotomy which is the surgical breaking
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and realignment of the bone the
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lapoplasty results in a more precise
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correction of the problem in both
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reducing the metatarsal angle and
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rotation of the first metatarsal as well
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as a reduced risk of recurrence in this
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discussion we will discuss the
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pre-operative evaluation surgical
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technique and post-operative care of
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lapoplastybinonectomy
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the pre-operative evaluation is
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essential to accurately identify the
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severity of the bunion deformity and
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plan the appropriate surgical approach
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the patient's medical history current
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medications and allergies are reviewed
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along with a thorough physical
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examination and imaging studies x-rays
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are critical for measuring the degree of
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angulation between the first and second
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metatarsal bone the greater the angle
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between both Bones the greater the
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correction needs to be to reduce the
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angle the lapoplasty beninectomy
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surgical technique begins with the
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patient receiving anesthesia in most
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cases this is local anesthesia along
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with light sedation the patient is awake
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but relaxed and does not feel any pain
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during the procedure an incision is made
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over the base of the first metatarsal
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bone in the cuneiform bone which is the
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bone just behind the first metatarsal
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using a power saw a wedge of bone is
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removed from both bones in an effort to
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reduce the angle of the first metatarsal
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relative to the second metatarsal
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Additionally the first metatarsal is
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derotated to create better alignment
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between the first metatarsal bone in the
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big toe plates and screws are then used
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to hold the correction in place and
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allow for permanent healing
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postoperatively the patient is put in a
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walking boot with instructions on
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limited ambulation the boot will usually
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stay on for six weeks barring any
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complications
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Physical Therapy will be introduced at
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some point to speed along the healing
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process
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once the surgeon determines the
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osteotomy site is completely healed the
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patient may return to normal activities
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in conclusion the lapoplasty beninectomy
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is a modern approach to bunion surgery
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that addresses the fundamental cause of
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the bunion managing the underlying
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deformity to provide better results and
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less chance of recurrence
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this technique accentuates the
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effectiveness of the traditional
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surgical techniques in revealing the
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foot's normal alignment and can correct
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the underlying deformity in just a few
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minutes providing long-lasting results
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with a speedy recovery knowing what the
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procedure entails is an essential part
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of the recovery process and patients
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should take the time to review their
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options with their surgeon lastly a
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second opinion is never a bad idea
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before making a decision to undergo
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surgery
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