Lapidus Bunionectomy Non Union

Posted , 8 users are following.

I had a Lapidus Bunionectomy to my left foot.

The surgeon used two memory staples only as internal fixation.

I was not put in any plaster cast.

I was allowed to walk heel weight bearing in a wooden soled shoe after two weeks.

I developed a stitch abscess at 6 weeks but was allowed to fully weight bear from then on.

My fusion failed and I needed revision surgery.

It has been suggested to me that the reason the initial surgery failed was my fault as I couldn't have followed the instructions in regard to weight bearing.

I am adamant that I did exactly as I was told. 

Does anyone have any similar experiences with this surgery?

0 likes, 17 replies

Report / Delete

17 Replies

Next
  • Posted

    I had a 2nd digit hammer toe repaired about 5 years ago and in doing so they thought the big toe should be realigned. Like you, after 12 weeks in a boot with heel walking only the xray showed the big toe bone had unioned. So I went to the pool and when I steped on the very first step into the water, I felt the pain.  The big toe had in fact not unioned.  My doctor also decided, after releasing me to do anything , that I had probably pushed it too much and referred me to another doctor.  Not a name, mind you.  Just you might need to see another specialist.  I now have a permanent pin in my second digit and a plate and pin in the big toe.  I used to be able to pick up a pencil with my toes and now they won't even bend.  Mid mid foot fusion is not fairing that well either. Almost 6 months post-op and I'm still in a walking shoe and have a metal plate on top of my foot that will make me have to buy a half size bigger shoe and somehow try to keep the other shoe on the normal size foot.

    BTW. This all started when a ortho foot surgeon shaved off too much bone from bunion surgery about 20 years ago. It caused my toes to pronate and that's what caused the hammering.

    I know how frustrated you must be exclaim? Try to keep positive.  

    Report / Delete Reply
  • Posted

    Ali, Sorry to hear that the fusion failed. My fusion was in a different area and I had to be non weight bearing for a full six weeks, probably the longest six weeks of my life. After that I was allowed 25% of my weight in weekly increments. Getting up and down the stairs was a nightmare. I have several screws and staples in the area.  

    Did you have the revision surgery yet?  If so how is it going?

    Report / Delete Reply
    • Posted

      I had the revision surgery and that's when they put the plate and screws in the big toes and a pin in the second toe. That was the left foot.  I had the latest surgery on the right foot.

      Report / Delete Reply
  • Posted

    I had the same surgery April 12th and was non weigh bearing for 3 months. I had 2 screws put in and was in a cast for 3 weeks then a boot , but again non weight bearing.   I'm walking now but slowly.  I have a fabulous doctor but he works for Kaiser.  I'm sorry you're dealing with this.  

    Report / Delete Reply
  • Posted

    I had bunion surgery on left foot almost 2 years ago. Had 2 screws and a staple put in. Within 2 weeks of op my bunion was as bad as ever. I asked to be referred to another surgeon. I had op 6 weeks ago, had bunion shaved, the toe fused and a metal plate put in quite high up my foot. Also had the next 2 toes shortened and screws put in. Had a small foot cast on for 2 weeks but was walking using a heel bearing shoe within an hour of operation. Stitches out and only a small bandage on from second till 6th week still heel bearing shoe. On 6th week the Surgeon said as long as I can get my foot into a shoe I can carry on as normal. I have 2 abcesses which I queried as they are really sore, red and weeping pus all the time. He told me it's normal. Told me to come back in 3 months. The bunion is still there. I am considering going to my own GP for help with abcesses but as far as the bunion surgery, it's another failed op and I will never put myself through this pain again. Twice was enough. Oh and I am also "clicking" when I walk lol.

    Report / Delete Reply
  • Posted

    Sorry to hear so many of these surgeries go wrong. I had a bunionectomy and hammertoe surgery on my right foot on feb 9 and again on feb 12 the same week. Like you the doc said I didn't follow orders and stay ff foot but I did. When I asked to see the post op xray he said he didn't take one. So how des he know he aligned the bone correctl?? The second surgery he did just on the bunion again to re-algn the bone and he took an xrsy this time. However it still wasnt lined up. Then he told me I would need a 3rd surgery in about 9 months to a year. I left his practice and have been on a hunt for a doctor who could fix this. I now have a doc who says he can fix this (i am in a lot of pain). My big toe on my right foot turns out to the left. No shoes fit , can't walk, quality of life has gone down hill This doc wants to use a device called RELine. it goes into the bone on the side of the foot. This is instead of a bone fusion which would really freak me out. He also wants to straighten my 2nd toe out with an implant. Not sure about that yet. Has anyone dealt with these devices??

    Report / Delete Reply
  • Posted

    I'm amazed at how many of us have had such poor quality results with foot surgery.  Kinda makes you think if poditrist might be the scurge of the earth.  I'm actually, after 7 months post-op, beginning to have some positive results.  Hoping to be able to wear two real shoes soon without swelling.

     

    Report / Delete Reply
    • Posted

      That's great news Linda. How does your left foot feel with all the hardware in it?? Do you feel you can flex your foot normally? Do you feel any of the hardware at all?

      Report / Delete Reply
    • Posted

      I can't bend my first and second toes, but it hasn't really bothered me.  I know the hardware is there, but it's not painful.  I do have nerve pain on the second toe, but I had that before the surgery.  A phantom pain no one has been able to stop. It's been injected many times with no relief.

      Report / Delete Reply
  • Posted

    Hi.

    I had a right big toe fusion operation 3 months ago, and was sent home afterwards with a post-operation shoe to keep the weight on my heel, and instructions to keep my foot raised as much as possible. The dressing was removed after 2 weeks and everything seemed OK. However, after 6 weeks I was x-rayed and the fusion was going poorly. After another 4 weeks of wearing the heel-bearing shoe and keeping my foot raised I was x-rayed again. It hadn't progressed so I now need to wait until December for another x-ray. If it has not fused sufficiently I will need another operation. I have been told I can stop wearing the orthopaedic shoe and wear loose trainers, unless it becomes too painful. I can walk (I need to use a stick) but I am in pain a lot. No one is blaming me, and I know I have followed the instructions all the way - but I am still very disappointed. I am very worried that walking in trainers will undo any fusion that has already happened and I will have suffered both the operation and long recovery for nothing. Fingers crossed...

    Andy

    Report / Delete Reply
    • Posted

      So sorry to hear this. What happens when a fusion goes wrong and how do they correct it? Is it still painful and swollen. Do you have any options??
      Report / Delete Reply
    • Posted

      Hi. I'm not sure exactly what is going wrong except that I am noit laying down callous and the joint is not fusing. They have spoken about corrective surgery, but also about putting a metal splint across the joint and screwing  it to both my toe and foot. I guess theyt are hoping I will start to fuse the joint naturally. I don't know what my options might be - I presume they'll discuss it with me after my x-ray in December. I'm more worried about why I am not laying down callous, as it might be a sign of osteoporosis. At the moment I feel like I'm in limbo, just trying to carry on.

      Andy

      Report / Delete Reply
    • Posted

      Hello Andy,

      I had hammertoe surgery done 4 years ago on left foot.  The doctor insisted the toe would hammer again if I didn't realign the big toe. After non weight bearing for 4 months, I was released to walk without the boot. I love water aerobics and hit the pool as soon as I could.  The first step told the story. The big toe had not unioned and I was referred (dumped on) to another doctor who put a steel plate and screws on the big toe.  It's held but the surgery shortened the big toe and I have a tough time walking a straight path.  I would never go mountain climbing, I might walk off a cliff.  I still play golf, still love to cook, can't garden like I want to,  so sometimes hate the limited mobility I have in thoes two toes. I can't bend the big and second toe. 

      I wish I'd have known about the bone stimulator at the time of that surgery.  I might have regrown the bone naturally and avoided the screws and plate.

      BTW, age has a huge bearing on recovery and bone regrowth.

      Report / Delete Reply
    • Posted

      Hi Linda

      I'm please you have no pian (hopefully) and can at least play golf and cook! But I'm sorry about the gardening - I'm sure you'll get used to the lack of mobility in your toes in time. I'm not the most active of people but I love hill-walking , cycling and the occasional short run - I guess I've seen the end of that now! To be honest I'm simply looking forwards to losing the mobility if it means getting rid of the pain - I'm not bothered any more how they do it. I've been told I'll be able to read, watch TV, go on walking holidays and still be able to swim, so if a plate and screws helps with that, then I'm all for it. biggrin

      And you are right about age and recovery - I'm hoping my slow recovery is simply because I'm no spring chicken rather than anythjing else.

      I must admit I know nothing about a bone simulator - I'm not even sure if it's an available option for me.

      Report / Delete Reply
    • Posted

      This forum will not let us publish any products or services, so I can't give you the name.  Are you acroos the Pond or in the USA? It may not be available outside the USA.

       

      Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up