Jonathan R.M. Kaplan, MD

Happy Friday y’all… lets talk bunions. For those of you who follow me, you know I’m a big fan of minimally invasive bunions…. But the truth is, it’s not “one size fits all”. Every now and then there are other procedures to consider.
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Here’s an example of a young adult who had undergone a chevron by an outside doctor. This subsequently failed fairly quickly after the index procedure. What are some reasons for this failure? Notice that the patient has a good component of metatarsus adductus. My co-fellow has done multiple studies on the recurrence rate with metatarsus adducuts… it’s real.
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So what are the options now? There’s likely many reasonable options including a proximal osteotomy or Lapidus. In my hands, it’s a Lapidus. Will do a rotational technique combined with correcting angular deformity. In my humble opinion, an akin is almost always beneficial as it allows the ‘finishing touch’ to dial in the alignment.
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And yes, I am looking forward to being able to do MIS Lapidus in the near future
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