Lapidus arthrodesis is a surgical procedure used to permanently fuse together two or more bones in the foot. This procedure is often performed to treat severe foot and ankle arthritis, or to correct deformities of the foot or ankle. The Lapidus arthrodesis procedure is a complex procedure that requires careful preoperative planning and precise surgical technique. In this article, we will discuss the steps of the Lapidus arthrodesis procedure in detail.The Lapidus arthrodesis procedure involves a variety of steps including patient preparation, exposure of the surgical site, preparation of the bone surfaces, placement of screws, and postoperative care.
By understanding each step of the Lapidus arthrodesis procedure, you can better understand how this procedure can help treat your condition and get you back on your feet.
Preoperative PlanningDuring the preoperative planning stage, the patient should be evaluated for any medical conditions that could affect the outcome of the surgery. This includes an assessment of the patient’s overall health and any potential risk factors. The surgeon will also take measurements of the foot to determine the best surgical approach and choose the appropriate implants or hardware needed for the procedure.
Surgical TechniqueDuring the surgical procedure, the surgeon will make an incision in the foot to expose the first metatarsal and medial cuneiform bones. The bones are then prepared for fusion by removing any damaged tissue and stabilizing them with hardware such as pins, screws, or plates.
Once the bones are stable, they are fused together using bone grafts or other materials. The incision is then closed and a dressing is applied to protect the area.
Postoperative CareAfter surgery, it is important for patients to follow their surgeon’s postoperative instructions. This includes taking medications as prescribed, avoiding putting weight on the affected foot for several weeks, and performing physical therapy exercises as directed. Patients should also follow up with their surgeon regularly for check-ups to ensure proper healing.
These postoperative care measures are essential for a successful outcome and full recovery.Patients should take all medications prescribed by their surgeon, including antibiotics, pain medications, and anti-inflammatory medications. Additionally, patients should avoid putting weight on the affected foot for several weeks after surgery. This is to allow the bones to heal and fuse together properly. Depending on the severity of the deformity, this time frame may range from four to eight weeks.Physical therapy is also essential for recovery.
Physical therapy exercises help strengthen and stabilize the bones and joints in the foot after surgery. It is important that patients perform these exercises as prescribed by their surgeon or physical therapist. Additionally, patients should use any assistive devices such as crutches or a walker if necessary.Finally, it is important for patients to follow up with their surgeon regularly after surgery. During these check-ups, the surgeon can assess the patient’s progress and make sure that the bones have healed properly.
The surgeon may also order additional tests or scans to ensure that the fusion is successful.
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