When your feet hurt the entire quality of your life is disrupted.
The average person takes approximately 10,000 steps per day, which can
add up to more than 3 million steps per year. Each step can place 2-3
times the force of your body weight on your feet. You rely on your feet
and ankles, so it's important to keep them healthy and pain-free. If you
have a foot or ankle problem, make an appointment with a foot and ankle
specialist at Excela Health
Orthopedics and Sports Medicine.
Our specialist focuses on treatment of acute and chronic conditions of
the foot and ankle such as:
Achilles Tendon
Ankle Sprains and Instability
Arthritic Foot and Ankle Care
Bunions
Calluses and Corns
Crush Injuries
Diabetic Foot
Flat Feet
Hammertoes
Heel Spurs
Infections
Plantar Fasciitis
Shin Splints
Sports Injuries
Senior Foot Care
Learn More About 3D Bunion Correction™
Is Bunion Pain Affecting the Quality of Your Life?
Are Bunions Limiting Your Activities and Lifestyle?
Bunions can be very painful. With each step, your entire body weight rests
on that bunion. Ouch! A common misconception about a bunion is that it
is an overgrowth of bone that can simply be "shaved off". In
reality, bunions are complex deformities caused by an unstable joint.
Lapiplasty® 3D Bunion Correction
Relief is here. Now, there's a new, patented treatment for bunion correction
– Lapiplasty® 3D Bunion Correction. Excela Health is offering
this exciting, new treatment option which does more than simply remove
"the bump"; it addresses your bunion in three dimensions to
correct the root of the problem. Advanced fixation technology is used
to secure the correction in place, allowing patients to walk within days
of surgery.
How It Works
See why Lapiplasty® 3D Bunion Correction™ differs from traditional
2D surgery.
Why Was Lapiplasty® 3D Bunion Correction Developed?
For 87% of people with bunions, traditional bunion correction surgery has
failed to get to the true source of the problem – a 3-dimensional
deformity caused by an unstable joint.2 This is why many people who have had traditional surgery have had their
bunions return.3 In fact, 1 in 3 patients have been left dissatisfied with their surgical
outcome in the past and up to 70% of those treated have had their bunion return.4
Traditional Approaches To Bunion Correction Have Been Ineffective
87% of bunions are misaligned in 3 dimensions2
12x likelihood of bunion coming back if 3D problem is not addressed3
1 in 3 patients are dissatisfied with traditional results4
Up to 70% of bunion patients have their bunions return over time4
Traditional Surgery Is A 2D Solution For A 3D Problem
Traditional bunion surgery has been limited to an incomplete, two-dimensional
(2D) approach to correction; cutting the bone in half and pushing the
top part over to reduce the appearance of the bump. This 2D "cut
and shift" approach primarily addresses the bunion's symptoms, not
the root cause – the unstable foundational joint – leaving
the bunion significantly more likely to come back to some degree.3
How Does Lapiplasty® 3D Bunion Correction™ Work?
Instead of cutting the bone in half and shifting the top part over, the
patented Lapiplasty® Procedure uses specially-designed instrumentation
to rotate the entire deviated bone back into its normal anatomical position,
naturally straightening your toe; removing the "bump" and associated
pain. Innovative titanium plating technology5,6 permanently secures the unstable foundation, the root of your bunion problem.
Most patients are able to walk within days of surgery.1 No cast is required; allowing patients to get back to the shoe wear of
their choice and activities quickly.1
What Does A Correction Look Like On X-Ray?
Normal Foot
Traditional 2D Surgery "Cut & Shift" approach leaves an unstable joint
Lapiplasty® 3D Bunion Correction™ Alignment is restored & unstable joint is permanently secured
Lapiplasty® Patented Titanium Plating Technology — Enabling Early
Weight Bearing
The Lapiplasty® Procedure utilizes two low-profile (petite), anatomically-shaped
titanium plates to permanently secure the unstable foundation of your
corrected bunion. This provides buttressing on multiple planes and allows
you to walk within days of surgery.1 Think of this in terms of how a basketball player might hold a basketball.
When a player tightly grips the ball with both hands, the ball is held
more securely than if only one hand is used.
Unlike other surgical approaches, the Lapiplasty® Procedure utilizes
two plates for this very reason – "Two plates are better than
one".7
What Should I Expect In Terms Of Recovery?
The patented titanium plating technology used with the Lapiplasty®
Procedure enables patients to bear weight on their foot early.1 The ability to do so can dramatically improve your recovery process, allowing
you to walk up to 6-8 weeks earlier than with the more traditional Lapidus
approach (which was previously the only option for addressing the unstable joint).
Being able to walk in a surgical boot, as opposed to being completely non-weight
bearing (in a cast with scooter or crutches) for 6-8 weeks, means that
you will be getting back to a better quality of life faster; may return
to most occupations more quickly; and will be less inconvenienced by bunion surgery.8
Recovery Comparison: Expectations
Lapiplasty® 3D Bunion Correction™
No Casting
Weight-bearing within days*;
6 weeks walking in surgical boot
At weeks 6-8: back in tennis shoes
Walking 6-8 weeks ahead of traditional surgery
*Smith B, et al. 2017 AOFAS Annual Meeting, Seattle, WA.
Traditional Lapidus Surgery
Casting, crutches, scooter
Non-weight bearing**;
6 weeks completely off foot
At weeks 6-8: walking in surgical boot
At weeks 12-16: Back in tennis shoes
6-8 weeks behind Lapiplasty® correction
**Catanzariti AR, et al. J Foot Ankle Surgery, 38:325-32.
Hear What Patients Are Saying About Lapiplasty® 3D Bunion Correction
Below are quotes from actual Lapiplasty® patients. As with any medical
treatment, individual results may vary.
These results are specific to these individuals only.
Tiffany from West Virginia
"I have had two surgeries. This time was so much easier than the first
time. I had very little pain and I could walk almost right away!"
Amanda from Illinois
"My sister and I both had bunion surgery at the same time, but she
can't understand why I can wear my heels with no problem and how I recovered
so fast."
Carrie from Colorado
"My husband and I both felt my foot looked so much better after my
Lapiplasty® surgery. Much better than expected."
Frequently Asked Questions
Below are some questions patients commonly ask and their respective answers:
How long does it take to recover from a Lapiplasty® Procedure?
Patients are typically walking within days of surgery. Patients can return
to most occupations within days to a couple of weeks, wearing a surgical
boot. Within six weeks, you can expect to be walking in comfortable shoes
such as tennis shoes, however you should not plan on any high-impact activities
for 3-4 months. Short shopping trips and leisurely strolls are examples
of the types of activities that should be fine at this point. Around the
4-month mark post-op, you should be able to return to most activities
and most shoe wear.9
Can I wear fashionable shoes again?
The Lapiplasty® Procedure allows most patients to return to their desired
shoes. Of course, some fashionable shoes can be painful (even with a normal
foot!), so results can vary from person to person and shoe to shoe.
Can I play sports after the Lapiplasty® Procedure?
Yes, there are no permanent activity limitations after the Lapiplasty®
Procedure. Most patients are able to return to most activities after the
bones have completely healed at approximately 4 months.9
Can the Lapiplasty® Procedure be performed on someone who has previously
had traditional surgery?
Yes, the Lapiplasty® Procedure is an option that can be utilized by
your doctor when a revision is required. Even if previously treated, patients
can experience the same benefits from Lapiplasty®– with a permanently
secured foundational joint this time around.
I’ve heard the term "reproducible" used when describing
the Lapiplasty® Procedure. What does that mean?
"Reproducible" means that a procedure is easily repeatable with
expected results. The Lapiplasty® Procedure utilizes precision, patented
instrumentation designed to take the guesswork and "eyeballing"
out of bunion surgery; helping ensure your surgeon can get reliable results
over and over.
Can the Lapiplasty® Procedure be performed as an outpatient procedure
& how long does it last?
Yes, Lapiplasty®surgeries are performed as outpatient procedures. Typically,
the surgery will last just under an hour. If your doctor is performing
any additional procedures at the same time, the surgery may take longer.
References
Smith B, Santrock R, Dayton P, Hatch D. Immediate Weight Bearing after
Biplanar Plantar Fixation of Lapidus: A Multi-Centered Study. 2017 AOFAS
Annual Meeting, Seattle, WA.
Kim Y, Kim JS, Young KW, et al. Foot Ankle Int. 2015. 36:944-52.
Okuda R, Kinoshita M, Yasuda T, et al. JBJS. 2007. 89:2163-72.
Jeuken RM, et al. Foot Ankle Int. 2016. 37:687-95.
Dayton P, Ferguson J, Hatch D, Santrock R, Scanlan S, Smith B. 2016. Comparison
of the Mechanical Characteristics of a Universal Small Biplane Plating
Technique Without Compression Screw and Single Anatomic Plate With Compression
Screw. J Foot Ankle Surg. 55:567-71.
Dayton P, Ferguson J, Hatch D, Santrock R, Scanlan S, Smith B. Biplanar
Plating with an Anatomic Tension-Side Plate for Lapidus Fusion: Improved
Biomechanical Properties. Accepted for presentation at 2017 AOFAS Annual
Meeting, Seattle, WA. Submitted for publication.
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