I am so excited to announce that I am a Lapiplasty® 3D Bunion Correction™ Doctor!
That's right - I am performing this very new type of bunion surgery right here in Elmhurst and I love the results I am able to achieve for my patients! Check out the Treace Website, where I am listed as a provider of this surgery. In the images below you can see a bunion and the unstable joint at the mid-foot. In the middle image, you can see how a traditional bunion would remove part of the bone but leaves the joint at the mid-foot still unstable. The image on the right shows how the bones are stabilized using the Lapiplasty 3D Correction method.
Her is a video full of information about Lapiplasty 3D Bunion Correction:
If you have other questions about bunions in general, take a look at this page full of information and more links to articles, blogs, videos FAQs. Speaking specifically of Lapiplasty, here are my answers to some frequestly asked questions:
What is Lapiplasty?
It is a bunion correction procedure that addresses your bunion in 3 dimension rather than 1 or 2 as more traditional techniques allow. It addresses the bunion at the root of the deformity and offers lower likelihood of recurrence and a more anatomical correction.
What is better about Lapiplasty?
Correcting a bunion at its source, in 3 planes helps to optimize function of the foot and big toe joint to reduce transfer of weight to other areas in the forefoot. It is a more recently developed variant of a procedure called the Lapidus bunionectomy which would require 6-8 weeks in a splint or cast and doesn't allow you to walk for that period of time. With Lapiplasty, the surgery offers a much more stable construct of the site which allows and encourages you to walk sooner. This helps make recovery easier and safer.
How painful is Lapiplasty?
In my experience, the pain after Lapiplasty can vary as with any other foot surgery. I do find, however, that patients are more comfortable walking and doing their regular activities sooner than with traditional Lapidus. The average amount of time my patients use narcotic pain medication is 3-4 days after surgery, though through continued research I am always finding new ways to reduce this time!
So am I back to regular activity right after surgery if I am able to walk?
I recommend walking for only required activities in the first week after Lapiplasty. This means you can walk on your surgical foot while wearing a protective walking boot to go to the bathroom and to eat, but in the first 1-2 weeks it is best to keep the foot elevated and ice as much as possible to reduce swelling.
When can I get back into a regular shoe?
Many patients are comfortable enough that they want to return to a gym shoe after 4 weeks, but the recommendation is to be in a walking boot for 6-8 weeks. Regular/dress/casual shoes are dependent on swelling, but this is usually sooner than after even a more traditional bunion surgery where the bone is cut and shifted.
Is Lapiplasty covered by insurance?
Yes! Because this is a newer technology to perform a procedure that has existed for a long time, there are billable insurance codes for Lapiplasty. At our office, once surgery is scheduled, our staff calls to ensure benefits and find out if precertification or prior authorization is needed. We are also able to provide you with an estimate of out of pocket cost by getting estimated benefits on deductibles and coverage from your insurance to minimize financial surprises.
Can I drive after Lapiplasty?
That depends. If you are having your right bunion corrected with Lapiplasty, it is best to avoid driving for approximately 6 weeks (while you are in a walking boot). If you are having your left bunion corrected and drive an automatic car, you can drive again as soon as you are off of narcotic pain medication - though we advise against longer trips in the car in the immediate post-operative period.
What do you like about Lapiplasty?
I love that my patients can walk sooner and that after their surgery, the x-rays often look almost as though the bunion were never there (plus some hardware added). A bunion is a three dimensional deformity and the procedures done more commonly in the past do not address it this way which is the reason that some residual drifting of the toe or prominence may exist. I also love that it is the most definitive way to correct a bunion. Nobody wants to have bunion surgery more than once if they can avoid it and with this procedure we find it to be a rarity.
How is it that a Lapiplasty procedure is more likely permanent?
In many bunion deformities, there is instability in a joint that is in the arch of the foot. This instability is addressed with Lapiplasty as the joint is fused in proper position after the deformity is corrected in surgery.
I heard that Lapiplasty fuses a joint in the foot, how does that impact my mobility?
The joint that is fused in the Lapiplasty procedure is one which naturally should not have much motion. After Lapiplasty, patients can return to any and all desired activities. Yoga, running and sports will not be affected by having Lapiplasty.
I will be continuing to add information to this page in the coming weeks, but I wanted to make sure to get the announcement up and let you know that you can call anytime to get started with this amazing procedure! Click the button at the bottom of the page to get started or call us at 630-834-3668 today!