Lapidus Bunionectomy
The Lapidus procedure corrects bunions at their root cause — instability at the joint between the first metatarsal and the medial cuneiform. It is preferred for moderate-to-severe bunions and recurrent deformities.
Medically reviewed by Michael G. Lyons, DPM — Board-Certified Foot and Ankle Surgeon
Written and reviewed by the physicians of Foot Health Centers, Hernando & Southaven, MS. Meet our doctors
- Moderate to severe bunion deformity
- Hypermobility of the first ray
- Recurrent bunion after prior surgery
The first metatarsal-cuneiform joint is fused after realigning the first metatarsal in all three planes. Modern fixation with plates and screws allows early weightbearing.
- Protected weightbearing in surgical boot within 1–2 weeks
- Boot for 6–8 weeks total
- Return to regular shoes 8–12 weeks
- Full activity 4–6 months
- Nonunion of fusion
- Hardware irritation
- Recurrence
- Wound healing
Conditions this procedure treats
Frequently asked questions
Why fuse the joint?
The first tarsometatarsal joint normally has minimal motion. Fusing it stabilizes the deformity and dramatically reduces recurrence.
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