What is Lapiplasty®
The Lapiplasty 3D bunion surgery is a recently developed type of surgery for the most severe of all bunion deformities. When we address bunion deformities, we must look at the x-rays to determine the severity of the deformity by the alignment, in this case, the malalignment of the first and second metatarsal bone.
The alignment is important to determine because the apex of the deformity is where the correction needs to occur. When the bunion deformity is severe there may be also a problem behind the first metatarsal bone where it connects to the cuneiform bones, many times there is excessive motion at the cuneiform bones this may have to be addressed also at the time of the Lapiplasty procedure.
The Lapiplasty® Procedure
The Lapiplasty procedure allows for early weight-bearing in a cam walker. Even though this is an advancement over other bunion corrections for severe type a patient must still follow instructions to have an excellent result.
The process that occurs is the patient is seen in the office we take an x-ray and evaluate the patient we then determine the appropriate surgical procedure explaining to them how it is performed. We use digital x-rays to produce a paper copy and draw the procedure on the X-ray and review with a video the Lapiplasty procedure. Review the sedation and outpatient postoperative requirements and instructions for the patient to follow. I review with the patient that I will call them that evening to review any questions or concerns. Follow-up for suture removal is within 2 weeks. The incision is closed with subcuticular closure with steri-strips minimizing any scar formation. It’s important to understand the need for an early range of motion to return to full normal activities. Custom-made Orthotics are sometimes necessary post-surgical to assist the patient.
Lapiplasty is an excellent procedure when indicated for a severe bunion with a flexible foot and hypermobility. Hypermobility is the reason post-surgically Orthotics are sometimes necessary. Sometimes other concurrent problems occur like hammertoes or Tailor’s bunions which can be addressed at the same time for correction.
If severe bunion problems are causing pain, we can help our offices are Overland Park or Barry Road location.
Nail fungus has been difficult to successfully treat. Until recently the only options were topical or oral medication, each with limited benefit and potential side effects, such as liver damage.
When pain is located in the center of the heel into the arch when you first get up in the morning or after sitting for a period of time you likely have heel pain with associated plantar fasciitis.
Plantar fasciitis is one of the most common problem’s we see, successful conservative treatment occur’s in over 98% of the cases.
Custom-made orthotic devices are used to treat heel pain, plantar fasciitis, ball of foot pain, ankle type pain and lower leg and knee pain by controlling abnormal foot function.
A bunion is an enlargement of bone at the base of the big toe. It can occur on one or both feet. The big toe becomes deviated towards the second toe—this is called “Hallux Valgus.”
Lapiplasty 3D bunion surgery is a recently developed type of surgery for the most severe of all bunion deformities.
Ingrown toenails are very common. They are generally heredity and can also be caused by incorrect cutting of the nail itself.
Plantar warts which are also called Verruca occur on the sole of the foot.
Hammer toe deformities are commonly caused by bunions, flatfeet, heredity factors along with improper fitting shoes.
Morton’s Neuroma is an enlarged nerve that usually occurs between the third and fourth toes, but a neuroma can also occur between the second and third toes.
Corns & Calluses
Corns and calluses are thick, hardened layers of skin that develop when your skin tries to protect itself against friction and pressure. The pain you have is normally causes by a bone enlargement under the skin which is really causing the pain.
A Tailor’s Bunion is a painful enlargement of the bone on the outside edge of the foot, behind the small toe.