It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Foot & Ankle Problems Message Board

  • Lapidus Procedure - have you had it?

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 02-20-2004, 11:30 AM   #1
    apegirl
    Member
     
    apegirl's Avatar
     
    Join Date: Feb 2004
    Posts: 61
    apegirl HB User
    Lapidus, gastroc slide - have you had it?

    I had bunion surgery (osteotomies) about two years ago. There were major complications on the left foot (you don'twant to know), and the right foot was undercorrected. After much lobbying of the best orthopedic specialist in the city, I am going in for a Lapidus Procedure on the right. This involves putting screws through the upper metatarsals to bring them closer together at the top, rather than working on the forefront of the foot. The Lapidus is known as a "salvage procedure for failed bunion surgeries". As well, the doctor is going to do a "gastrocnemius slide", a lengthening of the tendon in the calf, which helps with the stability of the whole foot. Apparently the recovery from this will be a little longer than most other bunion procedures, 6 to 8 weeks non-weightbearing (which realistically means 4 to 5 months of being careful, I'm sure). Of course I'm worried, but more worried about the pain and growing arthritis in my foot.

    1) what does "some" loss of mobility mid-foot mean?
    2) how painful is tendon lengthening?
    3) what sort of shoe can I reasonably expect to be able to wear?

    I rely on my feet for my work. I need to be very mobile. I have already lost almost a year on 2 failed surgeries, but this will get better.

    My advice if things go wrong? Educate yourself. Agitate for change. The ONLY person who knows what's really going on is you.

    Regards,
    L.

    Last edited by apegirl; 02-20-2004 at 12:14 PM. Reason: More info

     
    Sponsors Lightbulb
       
    Old 02-20-2004, 02:59 PM   #2
    Lasoniamacaroni
    Member
    (female)
     
    Lasoniamacaroni's Avatar
     
    Join Date: Jul 2003
    Location: Michigan
    Posts: 77
    Lasoniamacaroni HB User
    Re: Lapidus Procedure - have you had it?

    Hi! I've had 2 lapidus procedures. My left foot is awesome. My right foot was undercorrected and needs to be redone(in a couple years) My new doc says he has never heard of a failed lapidus, lucky me. It really wasn't that bad. All I can suggest is physical therapy!!!! Do not wait. Your foot and ankle will be soooo atrophied from 8 weeks in a cast, it needs professional help to get back into shape. Any questions, ask!!!

     
    Old 02-22-2004, 12:49 PM   #3
    apegirl
    Member
     
    apegirl's Avatar
     
    Join Date: Feb 2004
    Posts: 61
    apegirl HB User
    Re: Lapidus Procedure - have you had it?

    Quote:
    Originally Posted by Lasoniamacaroni
    Hi! I've had 2 lapidus procedures. My left foot is awesome. My right foot was undercorrected and needs to be redone(in a couple years) My new doc says he has never heard of a failed lapidus, lucky me. It really wasn't that bad. All I can suggest is physical therapy!!!! Do not wait. Your foot and ankle will be soooo atrophied from 8 weeks in a cast, it needs professional help to get back into shape. Any questions, ask!!!
    Thanks, Lasonia. I do have a question. My other two surgeries involved removable pins (a rather creepy thing, having metal sticking out of your foot). I take it the Lapidus will involve permanent screws. I have heard of complications, i.e., people having pain from the screws, the screws breaking, etc. Can you feel them at all?

    Unfortunately, physical therapy will be very limited as I can't really afford it. But I'm a dancer (hence the bad feet) and after my previous experiences, I know what to do, and what to look out for.

    I feel very confident in my ortho. Here's hoping for the best.

    L.

     
    Old 02-24-2004, 09:34 PM   #4
    vita_20878
    Newbie
     
    vita_20878's Avatar
     
    Join Date: Jan 2004
    Location: Maryland
    Posts: 8
    vita_20878 HB User
    Re: Lapidus Procedure - have you had it?

    At the end of September, I had a bunionectomy with a Lapidus procedure and correction of a hammer toe (my second toe) -- all told these corrections took 6 osteotomies, 2 screws, and 1 removeable pin (in my second toe for 4 weeks). I wore a nonweightbearing cast for around 6 weeks and then went through various walking casts and then a walking boot for 7 more weeks.

    I hated the screws in my foot -- I felt like part of my foot was pinned down during the entire time I was in a cast and boot. 2-3 weeks after I got out of my last walking boot, the two screws were removed during a short surgery. The orthopedist used Versed, so I was awake but forgot most of what went on because of the Versed. It didn't hurt, even though I was awake as they were backing out the screws.

    I did lose some motion in my midfoot from the Lapidus procedure, but have most of it back now. What feels weird is the fusion in my second toe. There's some motion in the very end joint, but that's it. I still have some leftover pain where the screws had been 4 weeks after their removal, but they tell me that will go away in time.

    I can comfortably wear any kind of shoe as long as they have a wide enough toebox.

    Hope this answers some of your questions.

    Vita



    Quote:
    Originally Posted by apegirl
    Thanks, Lasonia. I do have a question. My other two surgeries involved removable pins (a rather creepy thing, having metal sticking out of your foot). I take it the Lapidus will involve permanent screws. I have heard of complications, i.e., people having pain from the screws, the screws breaking, etc. Can you feel them at all?

    Unfortunately, physical therapy will be very limited as I can't really afford it. But I'm a dancer (hence the bad feet) and after my previous experiences, I know what to do, and what to look out for.

    I feel very confident in my ortho. Here's hoping for the best.

    L.

     
    Old 03-01-2004, 12:38 PM   #5
    Sarai Kuczek
    Junior Member
     
    Sarai Kuczek's Avatar
     
    Join Date: Feb 2004
    Posts: 10
    Sarai Kuczek HB User
    Re: Lapidus Procedure - have you had it?

    Hi: had a lapidus procedure on my right foot five weeks ago. I have not had the need to take any pain pills. However, I am a person who does not take meds unless it is absolutely necessary. When I think of the side effects of narcotics, mainly constipation, drowsiness, etc. I do avoid them. I do keep my foot elevated most of time. I exercise twice a day on the floor with my feet up on the stairs. i.e. setups, bicycling with weights around my ankle. Then to exercise my upper body, I sit on a stool with my right leg resting on a chair and do 30 minutes holding free weights. Three days ago started exercising on a stationary bike 20 minutes three times a day, however, I can only pedal with my heel so that I do not put any weight to the ball of my foot. I still wear my orthothic booth though.

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Lapidus Q's seeking answers from those who have experienced procedure themselves swhazlow Foot & Ankle Problems 8 10-09-2010 12:43 AM
    Lapidus - Need some advice please! q95253 Foot & Ankle Problems 6 01-21-2008 05:13 PM
    9 Weeks Post-Lapidus Full Weight-bearing questions tessnyc Foot & Ankle Problems 2 10-13-2007 10:25 AM
    Dancers: Feedback on Lapidus and MTJ debridement allthatjazzgrl Foot & Ankle Problems 4 08-12-2007 09:36 AM
    Difference Between a Lapidus and Chevron procedure grandpa23 Foot & Ankle Problems 3 01-16-2007 12:37 PM
    Lapidus vs Chevron bunionectomy? melgag21 Foot & Ankle Problems 1 06-13-2006 12:09 PM
    Lapidus procedure (mid-foot fusion)anyone? What is recovery like? How to prepare? Midwest-JD Foot & Ankle Problems 10 11-06-2005 09:05 PM
    Lapidus Procedure? teef Foot & Ankle Problems 6 10-21-2004 04:40 AM
    Lapidus bunionectomy Sarai Kuczek Foot & Ankle Problems 2 03-07-2004 03:08 PM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 08:34 PM.





    © 2022 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!