Our Summary

This research paper is about a common foot condition known as a bunion, which affects about 23% of adults between 18 and 65 years old. There are various surgical methods to correct severe bunions. Recently, minimally invasive surgeries have become popular because they have been shown to result in quicker recovery times, less post-surgery pain, better appearance, and overall similar positive results compared to traditional surgeries. This paper specifically reviews a minimally invasive procedure called the Lapidus procedure for bunions.

FAQs

  1. What is the Lapidus procedure for bunions mentioned in the research paper?
  2. What are the advantages of minimally invasive surgeries for severe bunions?
  3. What percentage of adults between 18 and 65 years old are affected by bunions?

Doctor’s Tip

One helpful tip a doctor might tell a patient about minimally invasive surgery is to follow post-operative instructions carefully, including keeping the surgical area clean and dry, taking prescribed pain medication as directed, and attending all follow-up appointments to monitor healing progress. Following these instructions can help ensure a successful recovery and optimal outcome from the minimally invasive surgery.

Suitable For

Patients who are typically recommended for minimally invasive surgery for bunions include those who have:

  1. Mild to moderate bunions that have not responded to conservative treatments such as wearing wider shoes, orthotics, or physical therapy.
  2. A desire for quicker recovery times and less post-surgery pain.
  3. A desire for better cosmetic results with smaller incisions and less scarring.
  4. A desire to maintain mobility and return to daily activities sooner.
  5. A willingness to follow post-operative care instructions to ensure successful outcomes.
  6. Good overall health and no underlying medical conditions that may increase surgical risks.

It is important for patients to consult with a foot and ankle surgeon to determine if they are a good candidate for minimally invasive surgery and to discuss the potential benefits and risks of the procedure.

Timeline

Before Minimally Invasive Surgery:

  • Patient consults with a doctor to discuss their bunion and potential treatment options
  • Doctor may recommend conservative treatments such as orthotics or physical therapy before recommending surgery
  • Patient undergoes pre-operative testing and evaluation to ensure they are a good candidate for minimally invasive surgery
  • Patient receives instructions on pre-operative preparations such as fasting before surgery and stopping certain medications

During Minimally Invasive Surgery:

  • Patient is administered anesthesia and the surgeon makes small incisions near the bunion
  • Surgeon uses specialized instruments to realign the bones in the foot and secure them with screws or plates
  • Surgery typically takes 1-2 hours and is performed on an outpatient basis
  • Patient is closely monitored by medical staff during and after the procedure

After Minimally Invasive Surgery:

  • Patient is taken to a recovery area to rest and receive pain medication as needed
  • Patient may be fitted with a surgical shoe or boot to protect the foot
  • Patient is instructed on post-operative care, including keeping the incisions clean and dry, elevating the foot, and avoiding weight-bearing activities
  • Patient may need to attend follow-up appointments with the surgeon to monitor healing and remove any stitches or dressings
  • Patient gradually resumes normal activities and physical therapy to strengthen the foot and prevent future bunions

Overall, minimally invasive surgery for bunions offers patients a quicker recovery time and less post-operative pain compared to traditional surgeries, allowing them to return to their daily activities sooner.

What to Ask Your Doctor

  1. Can you explain the specific minimally invasive procedure you recommend for my bunion?
  2. What are the potential risks and complications associated with minimally invasive surgery for bunions?
  3. How long is the recovery time for minimally invasive surgery compared to traditional surgery for bunions?
  4. What are the success rates of minimally invasive surgery for bunions compared to traditional surgery?
  5. Will I need physical therapy or rehabilitation after minimally invasive surgery for my bunion?
  6. How experienced are you in performing minimally invasive surgeries for bunions?
  7. Are there any specific criteria or factors that make me a good candidate for minimally invasive surgery for my bunion?
  8. How long will the effects of minimally invasive surgery for my bunion last?
  9. Will I be able to return to my normal activities and exercise routine after minimally invasive surgery for my bunion?
  10. Are there any alternative treatments or procedures that I should consider before deciding on minimally invasive surgery for my bunion?

Reference

Authors: Chrea B, Elghazy MA, Johnson AH. Journal: Foot Ankle Clin. 2025 Sep;30(3):461-472. doi: 10.1016/j.fcl.2024.11.004. Epub 2025 Jan 8. PMID: 40713330