Displaying items by tag: lapiplasty

austin bunionectomy

Bunions are painful deformities that are common and can cause pain and discomfort daily.  Surgery for bunions has been around for over 100 years but recent advancements have made bunion surgery easier than ever.  Today we will discuss the Lapiplasty bunion procedure, its advantages and how it has changed the way we correct bunions. 

What is a bunion?

A bunion is an inherited foot issue that involves the deviation of a bone in your foot.  Specifically the 1st metatarsal begins to drift in the wrong direction making it difficult to fit shoes and can be quite painful.  Genetics play a big role in the development of a bunion and things like shoe gear can contribute to the bunion. 

Lapiplasty procedure

Convention bunion surgery often involves cutting the bone and realigning a joint.  This type of procedure has been utilized for years and is still the most popular bunion surgery in the world.  It has its applications and is appropriate for certain individuals.  The Lapidus or Lapiplasty focuses on larger bunions and people that have a more unstable foot.  It aims to correct the bunion in a more comprehensive approach and provides the best long term results.

It involves correcting the bunion in 3 planes, realigning the metatarsal, correcting the bunion at the root cause.  The joint where the bunion originates is cut and realigned and fixated to heal in the proper position.  Recovery can vary by patient and bone quality same with healing times.  I do recommend physical therapy and follow up is essential.

In conclusion Lapiplasty has revolutionized bunion correction and provides excellent long term results and is by far the best procedure for many patients.    

If you would like a consultation for your bunion I can help.  Call to make an appointment with me at 425-391-8666 or make an appointment online.


Dr Brandon Nelson

American College of Foot & Ankle Surgeons


Bunion surgery is the most common foot surgery done in the United States.  There are many different techniques to correct a bunion.  Most involve either cutting of a bone or fusion of a bone.  All involve realignment of a joint in order to improve the function and appearance of the foot. 

I have now been practicing medicine and surgery for over 15 years.  I am a podiatrist in Issaquah and have had the opportunity to help 1000’s of patients with bunions.  Bunions can be extremely painful and the majority of people will require them to be fixed at some point. This experience has led me to utilize Lapiplasty on the majority of my patients.

Why the Lapiplasty?

1.      It provides correction at the center of a bunion deformity

2.     It has been proven to have the best long term outcomes

3.     It stabilizes the foot structure

4.     It does an excellent job for large bunions

5.     It has been utilized for over 100 years

I encourage anybody with a bunion to get evaluated by a surgeon that performs a significant amount of bunion corrections annually.  Experience can make a big difference in outcomes and the Lapiplasty is a technically difficult procedure to execute.  If you have a bunion and would like to discuss the Lapiplasty make an appointment with Issaquah’s top Podiatrist at 425-391-8666 or make an online appointment.


Dr Brandon Nelson

Board Certified Foot & Ankle Surgeon


Bunions are an inherited foot deformity that can be exasperated by shoe gear and activities.  They are created when your first metatarsal begins to shift out of place to stabilize your foot.  They usually become worse with time and eventually cause pain and discomfort.  Many patients require surgical intervention. 

The surgical correction of a bunion can have great outcomes and provide long lasting benefits.  In the United States there are many different approaches to correction of a bunion.  I have been operating long enough to have had experience in most of these procedures.  That is why my bunion correction of choice is Lapidus or Lapiplasty.

The Lapidus or Lapiplasty is a procedure that dates back almost 100 years.  It was first described by Dr Lapidus and to date has stood the test of time for bunion correction.  It involves utilizing a fusion of 2 bones at the apex of the bunion or where the bunion starts.   This provides dynamic correction and great long-term stability.  I find patients are happy with their new foot structure and often want the other side fixed as well.

If you have been contemplating bunion surgery, give me a call.  I have an onsite surgery center that saves time and money.  IV sedation provides for a great experience.  If you would like a consultation for your bunion I can help.  Call to make an appointment with me at 425-391-8666 or make an appointment online.


Dr Brandon Nelson

American College of Foot & Ankle Surgeons

Bunion xray

There is a lot of talk about the lapiplasty procedure for bunion correction.  I think it is important to spend a minute and look at the history and what exactly the procedure is.  Then we can discuss the expectations after surgery.

The lapiplasty is based on the lapidus bunionectomy.  This is a procedure that was first described by Dr Paul Lapidus.  This surgical correction for bunions has been around for about 100 years.  It has been shown to be the most effective method to correct a bunion.  The trouble with it is it can be technically difficult to perform and has a long recovery.  Most of us foot and ankle surgeons trained utilizing this procedure especially if you trained on the West Coast.  Seattle, where I trained is the epicenter for the lapidus procedure. 

What is the lapidus procedure?  The procedure itself involves correcting a bunion at the apex of the deformity.  Most of us believe this is at the tarsometatarsal joint.  This is where the correction occurs with the lapidus and lapiplasty.  The procedure involves, releasing the 1st metatarsal joint and sesamoid, correcting the metatarsal and then fusing the tarsometatarsal joint.  This fusion was the limiting step to recovery and this is where the lapiplasty surgical set has made steps to decrease healing times.  Their system utilizes a plate that allows early weight bearing.

Recovery for most patients undergoing a lapiplasty can be summarized as follows;

-First week couch potato, relax put your foot up

-Week two get your dressing changed

-Week three start weight bearing in the boot

-Week 6 begin to transition out of boot into normal shoe

-Month 3 back to full activities

If you have a bunion and would like to discuss the Lapiplasty make an appointment with me at 425-391-8666 or schedule an appointment online. 


Dr Brandon Nelson

Board Certified Foot & Ankle Surgeon

Screenshot 2023 12 06 at 10.49.54 AM

I remember performing my first bunion surgery over 15 years ago and was so excited to help my patient.  I also remember learning all the different types of bunion surgeries and how each one was slightly different.  It made me ponder why there were so many different types of bunion surgeries for one pathology.  It was about this time I was introduced to the Lapidus bunionectomy by an attending physician.  He discussed how this was his favorite procedure, how it provided great outcomes but was difficult to execute.

Well fast forward 15 years and now the Lapidus is one of the most common bunion surgeries in the United States.  Things have really changed with the Lapiplasty system.  A group of doctors worked with a medical device company to develop a series of gigs and clamps to make the Lapidus reproducible and easier to perform.  This has really revolutionized bunion surgery and I anticipate Lapidus will eventually be the most common surgery worldwide.

I feel lucky having trained in the Northwest as I am very familiar with the Lapidus procedure and even before the Lapiplasty system it was one of my go to bunion corrections. 

If you have a bunion, you know how uncomfortable they can be.  If you would like a consultation on your bunion I can help.  Call to make an appointment with me at 425-391-8666 or schedule an appointment online


Dr Brandon Nelson

American College of Foot & Ankle Surgeons


Dr Brandon Nelson, A Board-Certified Physician & Surgeon Discusses The Lapiplasty Bunion Procedure

Bunion and bunion pain affects millions of people per year.  It creates pain around your big toe and can decrease quality of life.  The pain can become so intense or make it difficult to wear shoes often people would like it removed.  Bunion surgery has been around for over 100 years however recently a new technique called the Lapiplasty has changed the recovery times and improved outcomes.

The lapiplasty is a 3-D bunion correction system that has helped to address the bunion at its origin.  This procedure works to stabilize the foot and realign the metatarsal bone.  It has been shown to have very low recurrence rates and great long-term outcomes. 

There are a few reasons it has proved to be a game changer.  One, is correcting the bunion deformity by fixing both the angular and rotational deformity of the bunion.  Two, it has a faster recovery over the traditional bunion surgery.  Three, it reduces complications including stiffness and improved joint stability.

I have found this new system to be revolutionary for my patients.  I find it to be the future of bunion surgery. If you would like a consultation on your bunion I can help.  Call to make an appointment with me at 425-391-8666 or schedule an appointment online. 


Dr. Timothy Young, a Board Certified Foot Surgeon, Discusses My Top 5 Reasons Why I Recommend the Lapiplasty Bunion Repair


Bunions can be painful and disruptive, affecting the quality of life for many individuals. Traditional bunion surgery, also known as a bunionectomy, has been the standard approach for decades. However, in recent years, a groundbreaking surgical technique called Lapiplasty has emerged as a game-changer in the field of bunion repair. Surgeons worldwide are increasingly recommending Lapiplasty for several compelling reasons. In this blog, I will review the top 5 reasons why I recommend the Lapiplasty Procedure for bunion surgery.

1. Superior Three-Dimensional Correction

One of the most remarkable aspects of Lapiplasty is its ability to correct bunions in three dimensions, addressing the root cause of the deformity. Traditional bunion surgery often focuses on the visible bony bump, leaving the underlying bone misalignment uncorrected. Lapiplasty, on the other hand, repositions the metatarsal bone, restoring its proper alignment in all three planes—sagittal, transverse, and frontal. This three-dimensional correction not only provides better cosmetic results but also reduces the risk of bunion recurrence, making it a preferred choice among surgeons.

2. Faster Recovery and Reduced Downtime

Lapiplasty's minimally invasive approach and stable fixation results in faster recovery times for patients. Unlike traditional bunion surgery, which often requires patients to remain off their feet for an extended period, Lapiplasty allows patients to bear weight on their feet and start walking within days. This accelerated recovery can significantly improve a patient's overall experience and quality of life during the healing process.

3. Long-Lasting Results

Surgeons recommend Lapiplasty due to its track record of providing more durable and longer-lasting results. Traditional bunion surgery may offer temporary relief, but recurrence rates can be high. The Lapiplasty's comprehensive correction of the deformity decreases the likelihood of bunions returning, allowing patients to enjoy a more permanent solution to their foot pain.

4. Stable Fixation

The Lapiplasty utilizes very stable plates. These allow earlier weightbearing and return to activities. This fixation helps to promote optimal bone healing and long term stability. Surgeons who recommend Lapiplasty often highlight the fixation benefits of this innovative technique, which can boost patients' confidence and satisfaction with their results.

5. Evidence-Based Success

Surgeons have confidence in recommending Lapiplasty due to the strong evidence supporting its success. Numerous clinical studies and real-world cases have demonstrated the effectiveness of this procedure in addressing bunions, relieving pain, and improving patient outcomes. These data-driven results reassure both surgeons and patients that Lapiplasty is a reliable and proven treatment option.


Lapiplasty has revolutionized the field of bunion repair with its three-dimensional correction, quicker recovery times, long-lasting results, stable fixation, and evidence-based success. Surgeons worldwide recommend Lapiplasty as a superior alternative to traditional bunion surgery for patients seeking a more comprehensive and permanent solution to their foot pain. If you're considering bunion repair, please contact my office so I can evaluate your specific needs and discuss the benefits of Lapiplasty as a potential solution to your bunion woes.

If you are experiencing foot or ankle pain, give us a call at 425-391-8666 or make an appointment online today. 

Dr Brandon Nelson, Discusses the Lapiplasty Procedure for The Best Possible Correction of a Bunion

Bunions can be quite painful for people especially as they get larger and make it difficult to fit in shoes.  Bunions tend to get bigger as time goes on and eventually push the other toes out of alignment.  But what can be done to stop the bunion or even slow it down?

Many people want to know what can be done from a conservative standpoint to slow a bunion.  I have seen all sorts of devices to pull the toes around to try and straighten a bunion.  But, it should be known that the bunion is a bony pathology that is related to a change in position of the bone.  This makes it impossible to apply something to the outside of the foot to fix a bone on the inside.  However, there are a few things that can slow down a bunion.  Most important is to understand a bunion gets larger the more pressure that is exerted on it. 

Meaning the more you walk the bigger the bunion gets.  This is where conservative therapy begins.  The best now measure to intervene here is a prescription orthotic for bunion correction.  I am not talking about an insert from a shoe store or online this must be done by a physician.  This is a prescription medical device where biomechanical measurements and 3-D measurements of the foot are taken.  The good news about this is most insurances cover this device as long as it is prescribed by your foot and ankle physician. 

Surgical correction is the ultimate stop gate to the bunion getting bigger.  There are many options for surgical correction but the one moving to the forefront of medicine today is the Lapiplasty.  This procedure is based upon the Lapidus which has been utilized for almost 100 years.  This is a tried and true method for getting amazing bunion correction and providing lasting results.  If you have a bunion I can help.  Give me a call at 425-391-8666 or make an appointment online today.


Dr Brandon Nelson


Dr Timoth Young, Board Certified Foot Surgeon talks about Lapidus and Lapiplasty Fixation: Advancements in Foot and Ankle Surgery Part 2

Benefits of Lapidus and Lapiplasty Fixation:

  1. Improved Alignment: Both procedures aim to correct the alignment of the foot bones, which not only relieves pain but also helps restore normal foot function.

    Faster Recovery: Lapidus and Lapiplasty procedures enable patients to return to weight-bearing activities sooner than traditional methods, reducing downtime.

    Reduced Risk of Recurrence: Lapiplasty fixation, in particular, targets the underlying cause of bunions, reducing the likelihood of recurrence.

    Long-Term Results: The fusion achieved through these fixation methods creates stable and lasting joint alignment, offering enduring relief from pain and discomfort.

    Minimal Soft Tissue Disruption: These procedures typically involve less disruption of soft tissues, leading to reduced scarring and a potentially smoother recovery process.

Conclusion: Lapidus and Lapiplasty fixation procedures are innovative approaches to correcting foot and ankle deformities, especially bunions. With their focus on achieving proper bone alignment and stability, these procedures offer patients improved quality of life, reduced pain, and faster recovery times. If you're experiencing foot and ankle issues, consult a qualified orthopedic surgeon to determine whether Lapidus or Lapiplasty fixation could be the right solution for you. Always remember that personalized medical advice is crucial before making any decisions regarding surgical interventions.

If you are experiencing foot or ankle pain, give us a call today at 425-391-8666 or make an appointment online


Dr Timoth Young, Board Certified Foot Surgeon talks about Lapidus and Lapiplasty Fixation: Advancements in Foot and Ankle Surgery Part 1

Introduction: Foot and ankle disorders can significantly impact a person's quality of life, affecting their ability to walk, stand, and perform daily activities. Over the years, surgical techniques and technologies have evolved to address these issues effectively. One of the notable advancements in foot and ankle surgery is the Lapidus and Lapiplasty fixation procedures. In this blog, we'll delve into what these procedures are, how they work, and their benefits for patients.

Lapidus Fixation: The Lapidus procedure, also known as the first tarsometatarsal (TMT) joint arthrodesis, is a surgical technique designed to correct deformities in the first metatarsal and medial cuneiform bones of the foot. This procedure is commonly used to treat conditions such as hallux valgus (bunions) and hypermobility of the first TMT joint. The primary goal of the Lapidus procedure is to achieve stability in the joint, alleviate pain, and improve the alignment of the foot.

During the Lapidus procedure, a surgeon makes an incision on the top of the foot near the first TMT joint. The joint is then realigned, and screws or other fixation devices are used to hold the bones in their corrected positions. Over time, the bones fuse together, creating a stable and properly aligned joint. This fusion eliminates the pain associated with joint movement and provides long-lasting relief.

Lapiplasty Fixation: The Lapiplasty procedure is a modern advancement in foot surgery that specifically targets bunions by addressing the root cause of the deformity. Unlike traditional bunion surgeries that focus on removing the bony bump, the Lapiplasty procedure aims to correct the misalignment of the metatarsal bone responsible for the bunion formation. This technique not only provides a more aesthetic result but also reduces the risk of bunion recurrence.

During the Lapiplasty procedure, a surgeon makes a precise cut in the metatarsal bone to realign it to its proper position. Specialized instrumentation is used to stabilize the bone, and fixation plates and screws are inserted to secure the corrected alignment. This approach allows patients to bear weight on the treated foot shortly after surgery, resulting in a faster recovery compared to traditional methods.

If you are experiencing foot or ankle pain, give us a call today at 425-391-8666 or make an appointment online

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