Lapidus Bunionectomy

Advanced 3D Correction

The Lapidus Bunionectomy, or first tarsometatarsal (TMT) joint arthrodesis, is recognized as a gold-standard procedure for correcting severe bunion deformities, especially those caused by a hypermobile (unstable) midfoot joint. At The Bunion Boss Clinic, this procedure is performed with advanced precision and planning, ensuring a complete three-dimensional correction of the foot structure, leading to an extremely low rate of recurrence and lasting stability.

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Our Advanced Surgical Approach: The Lapidus Technique

This approach focuses on stabilizing the unstable joint (the root of the problem) rather than just removing the bump.

1. 3D Planning & Assessment

  • Comprehensive Imaging: Utilizing weight-bearing X-rays and 3D CT scans to precisely measure the angle and rotation of the deformity, and assess the degree of midfoot instability.
  • Personalized Surgical Blueprint: A detailed plan is created to determine the exact amount of wedge removal necessary at the TMT joint for perfect anatomical realignment.

2. Midfoot Joint Stabilization (Fusion)

  • Targeted Intervention: A precise incision is made over the TMT joint (at the base of the first metatarsal) in the midfoot.
  • Joint Preparation: The joint cartilage is removed, and the bone ends are precisely cut to allow the first metatarsal to be shifted back into its anatomically correct position.
  • Fusion: The corrected bones are rigidly held in place using modern internal fixation (screws and plates) to fuse the joint, creating a solid, stable foundation for the entire foot.

3. Realignment & Soft Tissue Balancing

  • Deformity Correction: The successful fusion instantly corrects the large angle of the bunion at its source.
  • Soft Tissue Balancing: If needed, surrounding tendons and ligaments are tightened or released to ensure the big toe remains straight and properly aligned post-fusion.

Patient Benefits and Recovery

The stability provided by the Lapidus Bunionectomy offers long-term advantages, particularly for patients with severe bunions.

Benefits of Lapidus Surgery

  • Permanent Correction: By eliminating the midfoot instability, the Lapidus procedure offers the lowest recurrence rate of any bunion surgery.
  • Superior 3D Correction: Effectively addresses the rotational and angular components of the deformity, resulting in a more functional and natural-looking foot.
  • Excellent for Severe Cases: Highly effective for large bunions, hypermobile joints, and cases where other procedures might be less durable.
  • Improved Foot Mechanics: Restores the correct alignment necessary for proper weight distribution and gait, reducing stress on other joints.

The Recovery Journey

  • Initial Phase: The foot is placed in a cast or protective boot. Patients are typically non-weight bearing or limited weight-bearing (using crutches or a knee scooter) for the first 4-6 weeks to allow the crucial fusion to heal.
  • Mid-Recovery: Once X-rays confirm fusion (bone healing), patients transition to a walking boot and begin physical therapy to regain strength and range of motion.
  • Long-Term: Full return to normal activities, exercise, and comfortable footwear generally occurs between 3 to 6 months, depending on individual healing.

Our Surgical Approach

3D Planning

Meticulous Pre-operative Assessment: Utilizes advanced 3D imaging to precisely map the bone and joint corrections required.

Midfoot Fusion

Addressing the Root Cause: Stabilizing the hypermobile midfoot joint using plates and screws.

Stabilization

Corrective Realignment: Gently shifts and secures the bones into their proper, three-dimensional position.

Recovery & Rehab

Structured Healing: Includes protective boot wear and a staged return to weight-bearing activities.

Advanced Techniques for Optimal Outcomes

Our focus on precision minimizes trauma and speeds recovery, even in complex stabilizing procedures.

Expert Team

Minimally Invasive

Lasting Relief

Personalized Care

Take the First Step Today

Ready to take the first step toward pain-free feet?

Don’t let bunion pain control your life any longer. Our expert team is ready to guide you through a successful recovery with compassionate, specialized care.

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Call Us: 833 783 6561

Patient Reviews

Delighted patients share their stories

My experience was one of the best as i followed Dr Cedeno instructions and his treatment my plantar fasciitis issue has been resolved. Both locations are easy to find and the staff are very friendly knowledgeable and kind. If you have any type of discomfort or feet pain this is definitely the doctor for you! I am extremely pleased and grateful for Dr. Cedeno help!
Veronica
Veronica
This was my first appointment, but I found everybody including the doctor to be very friendly and caring. They ended up giving me a Steroid injection with ultrasound in my elbow. I liked them very much and will definitely go back and see them again. Dr Buzas Seems to be a very skilled physician who really cares.
Susan Gebeloff
Susan Gebeloff
Dr Cendeno was very knowledgeable, he took the time to explain my diagnosis in detail and answered all my questions. Office staff was welcoming and kind.
Nikki McCartin
Nikki McCartin
Dr Cedeno and his team are simply the best. You can tell through their practices that they truly care for patients which is hard to find these days! I highly recommend them for services.
Nikki McCartin
Nikki McCartin