Lapidus bunionectomy recovery questions

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Hello!

I had a left lapidus bunionectomy on 1/25/19. I was in the surgical splint for 10 days, then put in a boot and allowed to weight bear beginning day 14. I was allowed to wear regular shoes at week 4. My podiatrist discharged me from his care at 6.5 weeks.

I NEVER had a post-op x-ray. i find that very unusual.

I am back to most normal activities. I walk 3-4 miles a few times per week and bike some, too. I still find I swell after activities so I ice and elevate. By the way, I am a 56 year old female.

Recently I am aware of increased pain in my big toe. If I do heel raises I have sharp pain in my MTP joint that last a while. I am wondering if I really am fused as my progress seems stalled.

What are your thoughts on my situation...especially the lack of x-rays post-op and early discharge? I am considering a second opinion to confirm whether or not the bone is healed. I guess my confidence in my surgeon has been lost.

Any input? Thanks in advance.

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7 Replies

  • Posted

    i had a lapidus last october . i was not allieed to weight bear for 12 weeks .. 0nly partly on the side of my foot after 6 weeks . i had 3 post op xrays.. 1 after thestre 1at 6 weeks and 1 at 12 weeks . then told i could walk in shoes.

    i still get pain in the joint and struggle to walk barefoot. i had a joint replacement in the other foot 9 months ago.

    i am wondering if I need one in the lapidus foot also. i find its very stiff and painful.

    i still have to wear a spacer at night.

    my surgeon was very strict regarding weight bearing and xrays to check!

    i was told by xray that it takes up to a year to heal ..

    it doesnt seem such a common operation as my GPs have never come accross one! my op was done 100 miles from where I live.

    take care.. i think i would request an xray?

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  • Posted

    I would definately ask for an x-ray. I've had three so far here in UK. My left foot bones have moved back unfortunately and it looks like the bunion has returned, so several x-rays are necessary. Good luck

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  • Posted

    i had my first lapidus bunionectomy surgery on my right foot in november 2018 and second in my left in may 2019. i am 7 weeks out and had my first post op xray and have been approved to fully weight bear with no running or weight lifting.

    i find it extremely odd they allowed you to go back to normal activities so quick as well as the discharge so early without xrays. i would get a second opinion for sure!

    image

    i just had an appointment where i was told my sharp pain under my big toe was possibly tendonitis and that i needed to go to PT as soon as i can and she has been extremely thorough.image

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  • Posted

    Thank you Leah, Lorainne and non_mulli. First, I am in the US and my podiatrist used relatively new plating system called Orthofix. They had a device rep in the OR and it is specifically made for early weight-bearing. However, my surgeon kept exclaiming about how "far ahead" my healing seemed to be compared to others and rushed all my transitions.

    In reality, I did not follow his orders completely. I allowed myself more healing time and when I did transition into shoes, I kept walking to a minimum for several weeks. I only began "pushing" things about 10-12 weeks post and that's when I began to feel that things may not be right.

    Thank you for the support. I find it inexcusable that I had no films taken when everyone else has had an average of 3. Bone fusion is pretty darn important! I will see about getting some done.

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  • Posted

    Hello criptastic! I had double bunioctomy on February 20th and my doctor at that time didn't feel that it was necessary to give me x-rays even though its basically considered routine before they discharge you. I was at home for 6 weeks in bed and when I at last had x-rays found out that both bones in both feet had moved and needed to have an emergency surgery to fix it. I was devastated!! I went to a different clinic and had surgery again at April 9th. I had x-rays taken immediately after the surgery, before i left the clinic, after 4 weeks and then once more at 6 weeks when I got my K-pins removed. I am now finally walking and healing much faster than expected since im only 26 years old. But it will take up to 6 months to walk normally, without pain or swelling.. I really believe you should get a second opinion. X-rays are mandatory in order to check if everything has healed correctly.

    Good luck!

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  • Posted

    Thank you for your input, Anna. I hope you continue to heal quickly and completely!

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