Lapiplasty: A Cutting-Edge Treatment for Bunions

Bunions are a common foot deformity affecting millions of people worldwide. Characterized by a bony bump that forms at the base of the big toe, bunions can cause pain, swelling, and discomfort while walking or wearing certain shoes. This condition often occurs due to genetics, improper footwear, or certain foot types, such as flat feet or excessively pronating feet. While bunions might seem like a mere annoyance, they can significantly impact one’s quality of life, potentially leading to further complications if left untreated.

At The Foot & Ankle Clinic, we aim to provide the best possible care for our patients suffering from foot and ankle issues. To achieve this, we offer the latest advancements in podiatric treatment, including a revolutionary procedure for bunions known as Lapiplasty. This state-of-the-art approach was designed to address the underlying cause of bunions and provide an effective, long-term solution to traditional bunion surgery. In this article, we will explore the concept behind Lapiplasty, its benefits, and what to expect during the treatment process.

Lapiplasty is a 3D corrective surgical procedure that targets the root cause of bunions by realigning the bones in three planes, thus restoring the normal alignment and function of the foot. Unlike traditional bunion surgeries, which only address the cosmetic bump without providing a lasting solution, Lapiplasty focuses on correcting the metatarsal bone alignment that leads to bunion formation. Realigning the first metatarsal bone stabilizes the big toe joint, and the chances of bunion recurrence are significantly reduced.

Understanding the Root Cause of Bunions

To comprehend the advantages of Lapiplasty, it is essential to understand the underlying cause of bunions. Contrary to popular belief, bunions are not just a cosmetic issue; an abnormal alignment of the first metatarsal bone causes them. When this bone shifts out of proper alignment, it can cause the big toe to deviate towards the other toes, forming a bony prominence at the base of the toe.

Traditional Bunion Surgery vs. Lapiplasty

Conventional bunion surgeries often consisted of shaving off the bony bump and partially cutting or realigning the first metatarsal bone—a procedure known as an osteotomy. However, this approach primarily addresses the symptom rather than the root cause, resulting in a high rate of bunion recurrence.

On the other hand, Lapiplasty targets the underlying issue by realigning and stabilizing the metatarsal bone, reducing the likelihood of bunion recurrence. This innovative treatment focuses on correcting the metatarsal bone’s three-dimensional alignment, providing a more comprehensive and lasting solution to the problem.

The Lapiplasty Procedure and Recovery Process

Lapiplasty is a relatively quick procedure, usually taking around an hour to complete. The surgery is performed under general or regional anesthesia, ensuring the patient is comfortable throughout the process.

1. Surgical Access and Metatarsal Realignment

During Lapiplasty, the surgeon first makes an incision on the side of the foot to access the misaligned metatarsal bone. Next, they realign the bone in all three planes: side-to-side, up-and-down, and rotationally. This comprehensive realignment of the bone provides a more stable structure for the foot and corrects the bunion at its source.

2. Bone Fusion and Compression

To stabilize the newly realigned metatarsal bone, the surgeon fuses the adjacent bone, the medial cuneiform. This fusion uses state-of-the-art, low-profile titanium plates that provide strong fixation while ensuring minimal discomfort. Compression is applied to the fusion site to encourage proper bone healing and a secure connection.

3. Wound Closure and Postoperative Care

Following the fusion, the surgical incisions are closed with sutures, and a sterile dressing is applied to the foot. The patient may be placed in a surgical boot or cast, depending on their individual needs. Most patients can begin weight-bearing shortly after surgery, usually within a few days, wearing a protective walking boot.

The recovery period for Lapiplasty can vary among patients; however, most can begin wearing regular footwear within six to eight weeks after surgery. Following your podiatrist’s postoperative care instructions is crucial to ensure proper healing and obtain the best results.

The Benefits of Lapiplasty

1. Reduced Bunion Recurrence

Lapiplasty directly addresses the root cause of bunions by realigning and stabilizing the metatarsal bone. This comprehensive approach results in a lower recurrence rate compared to traditional bunion surgery.

2. Swift Recovery

With Lapiplasty, most patients can return to weight-bearing within a shorter time frame, typically within a few days after surgery, making it a more convenient and manageable treatment option.

3. Long-term Pain Relief and Improved Function

Studies have shown that most patients who undergo Lapiplasty experience improved mobility, significant pain reduction, and an increased quality of life.


Lapiplasty is a cutting-edge and comprehensive treatment option for bunions. If you suffer from painful bunions and have been seeking a long-term solution, Lapiplasty may be the answer you’ve been searching for. At The Foot & Ankle Clinic, our skilled professionals prioritize the highest standard of care and will help you determine if this innovative procedure is right for you.

Don’t let bunions stand in the way of your comfort. Schedule a consultation with our experienced podiatrists to learn more about Lapiplasty today!


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