Minimally Invasive Bunion Surgery vs. Lapidus Procedure: Which is Right for You?

Bunions are a common foot condition that can cause significant pain and discomfort, affecting mobility and quality of life. For individuals considering surgical correction, two primary options are minimally invasive bunion surgery and the Lapidus procedure. Each approach has distinct benefits and is suited to different types of patients. Understanding the differences can help you make an informed decision about which procedure is best for your needs.

What Is Minimally Invasive Bunion Surgery?

Minimally invasive bunion surgery is a modern approach that corrects bunions through small incisions, reducing tissue damage and speeding up recovery. This technique utilizes tiny surgical instruments and real-time imaging to reposition the misaligned bones in the foot.

Benefits of Minimally Invasive Bunion Surgery:

• Smaller incisions – Reduces scarring and minimizes tissue trauma.

• Faster recovery – Patients can often walk sooner and return to normal activities more quickly than with traditional surgery.

• Less postoperative pain – Less soft tissue disruption leads to reduced pain and swelling.

• Outpatient procedure – Many patients can go home the same day of surgery.

Who Is a Candidate?

Minimally invasive bunion surgery is ideal for patients with mild to moderate bunions who are looking for a quicker recovery with minimal scarring. However, this technique may not be suitable for individuals with severe bunions or significant joint instability.

What Is the Lapidus Procedure?

The Lapidus procedure, also known as first tarsometatarsal fusion, is a more involved surgery designed to address moderate to severe bunions, especially those associated with hypermobility of the first metatarsal joint. This procedure involves fusing the joint at the base of the big toe to correct the misalignment permanently.

Benefits of the Lapidus Procedure:

• Long-term stability – The fusion prevents recurrence of the bunion by addressing its root cause.

• Effective for severe cases – Suitable for patients with significant deformity or joint instability.

• Improves overall foot function – Strengthens the foot structure, reducing the likelihood of future issues.

Who Is a Candidate?

The Lapidus procedure is recommended for patients with severe bunions, hypermobility, or a history of bunion recurrence after previous surgeries. It requires a longer recovery time compared to minimally invasive surgery, with patients typically needing to avoid weight-bearing on the foot for several weeks.

Comparing Recovery Times

• Minimally Invasive Bunion Surgery: Patients may begin walking within a few days to a couple of weeks, with full recovery in about 6-8 weeks.

• Lapidus Procedure: Non-weight-bearing for 6-8 weeks, with a longer overall recovery of 3-6 months.

Which Procedure Should You Choose?

The decision between minimally invasive bunion surgery and the Lapidus procedure depends on the severity of your bunion, your activity level, and your long-term goals. A consultation with a foot and ankle specialist can help determine the best approach for you based on your specific condition.

If you’re struggling with bunion pain and considering surgery, reach out to our team at Garden State Pain and Orthopedics. Garden State Pain and Orthopedics Foot and Ankle Specialist, Dr. Scott Hanauer, specializes in bunion correction.