The Lapidus Bunion procedure which was first described in 1934 has been re-invented with 3D rotation of the 1st metatarsal and now marketed as the LapiplastyTM procedure  

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See the below X-rays for the difference in hardware between Lapidus and LapiplastyTM ​
​which are achieving the same outcome:

Lapidus

LapiplastyTM 

IMPORTANT: No Bunion Surgeon should ever offer only one surgery for bunions. Different Procedures are indicated pending imaging and clinical appearance of your foot. This is not a one procedure fits all deformity. 

*Indications for a Lapidus or LapiplastyTM Procedure:

Large IM (intermetatarsal angle)

Hypermobile 1st Ray

Atavistic Cuneiform 

The Lapidus or LapiplastyTM Procedure Can Have Dramatic, Positive Outcomes

Dr. Thomas reports "The Lapidus or LapiplastyTM procedure has worked great in my patients in the past who were candidates for the surgery. However, only a small percentage of bunion patients I see require this more invasive fusion surgery, In order to achieve fusion and decrease risk for non-unions I prefer the Lapidus procedure with compression compared to the LapiplastyTM given less operating room time, hardware, and potential complications. This is different for each surgeon as I have colleagues who tell me their patients do well with the LapiplastyTM procedure."

Some of the common complication of the Lapidus (or LapiplastyTM) Bunion Procedure:
- Large, thicker scars
- Nerve entrapment
- Residual post op swelling
- Stiffness, decreased range of motion
- Gapping between the big toe and 2nd toe (Hallux Varus)
- Increased surgery and anesthesia time

Complications (note Not Dr. Thomas' Patients)

Video of LapiplastyTM Procedure (courtesy of Treace Medical)