Dr. Persaud has a bunion approach for all patients. To those with mild bunions, to those with severe bunions, or those who have arthritis… We have the fix for you.

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PROstep® Minimally Invasive Surgery for Bunion Correction

We understand that knowing what to expect from your bunion correction surgery is important to you. As you are reading through this material, please reach out to us to discuss if you have additional questions.

Recovery from a traditional open bunion surgery can be more painful and time intensive. But there is nothing traditional about PROstep MIS. As a minimally invasive technique that’s resetting the standard of care, you can avoid traditional open bunion surgery altogether.

What is PROstep ® Minimally Invasive Surgery?

PROstep minimally invasive surgery involves performing surgery through tiny incisions, usually under some form of image guidance. The incisions are just a few millimeters long compared to 3-5 inch incisions used in traditional open bunion surgery.

This type of surgery has been enabled by advances in technology which have allowed the development of very small drills (called burrs). These can be used to make delicate cuts in the bones of the foot to re-align them through very small incisions. The surgery is carried out under image guidance in surgery and allows your surgeon to have eyes inside the foot when performing surgery.

Benefits of PROstep® Minimally Invasive Surgery

Patients who experience PROstep minimally invasive surgery on average can recover faster compared to a traditional open procedure.^2,3 Typically you will walk out of surgery in a post-op shoe without the use of assistive devices such as a knee scooter or crutches.

Bunions can really slow you down and having a traditional open surgery can require a longer and more painful recovery, which means putting life on pause. PROstep gets you back on your feet faster including a quicker return to function^2,3 such as driving, working, exercising or whatever else.

This surgery requires much smaller incisions compared to an open procedure¹, meaning you won’t have a large scar as a result. ^1,2 Effective relief from bunion pain is the most important benefit but preserving the natural look of your foot is also part of the PROstep minimally invasive standard- a difference you can feel as much as you can see.

When compared to traditional open bunion surgery, PROstep results in:

Quicker return to function^2,3
Less pain¹
Smaller scars^1,2
Overall increased patient satisfaction¹
Less need for opioids post-op⁴

IMPORTANT INFORMATION

For important risk information visit www.prostepmis.com

Individual results and activity levels after surgery vary and depend on many factors including age, weight and prior activity level. There are risks and recovery times associated with surgery and there are certain individuals who should not undergo surgery. Only a physician can tell you if this product and associated procedure are right for you and your unique circumstances. Please consult with a physician for complete information regarding benefits, risks, anticipated implant duration and possible outcomes.

References

Lam P, Lee M, Xing J, Di Nallo M. Percutaneous Surgery for Mild to Moderate Hallux Valgus. Foot Ankle Clin N Am 2016; 21: 459-477.
Lee M, Walsh J, Smith MM, Ling J, Wines A, Lam P. Hallux Valgus Correction Comparing Percutaneous Chevron/Akin (PECA) and Open Scarf/Akin Osteotomies. Foot Ankle Intl 2017; 38(8): 838-846.
Maffulli N, Longo UG, Oliva F, Denaro V, Coppola C. Bosch Osteotomy and Scarf Osteotomy for Hallux Valgus
Jimmy J. Chan, MD; Javier Z. Guzman, MD; Andrea Nordio, MD; Jesse C. Chan; Carl M. Cirino, MD; Ettore Vulcano, MD. Opioid Consumption and Time to Return to Work After Percutaneous Osteotomy in Foot Surgery. Orthopedics. May 7, 2020.

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PROstep MIS Bunionette

Simple. Strong. Reproducible.

PROstep MIS Bunionette is a simple, easy to use, fully sterile minimally invasive system specifically designed to treat bunionette deformity.

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Put bunions in their place.
Once and for all.

Bunions are a pain—literally. But one simple procedure could change it all. Welcome to Lapifuse, a new type of bunion surgical correction that is designed to reduce pain and increase mobility; it also protects the natural appearance of your foot. With Lapifuse, patients are less likely to experience bunion recurrence.¹

What is LapiFuse?

Some bunion procedures can shorten and alter the look of your toe, that may cause pain and other foot-related issues down the road. LapiFuse is different. Traditional fusion surgeries simply correct bunion deformities at only the big toe joint. By using what is known as “Triplanar Correction“, LapiFuse can correct foot deformities caused by bunions at the source of the problem leading to holistic treatment that can reduce pain, all while preserving the natural look of the foot.

Reasons to Believe in LapiFuse
LapiFuse Checks Off Every Box!

Improved appearance

Bunion correction treatment that removes the bunion and preserves the length of the toe to protect the natural appearance of the foot.

Pain reduction

The LapiFuse procedure is designed to reduce pain and the likelihood of future procedures^1,2 by eliminating the bunion and maintaining the alignment achieved during the procedure.

Improved mobility

Specifically designed to improve mobility by addressing the issue in the midfoot, which preserves the joint movement of the big toe, allowing you to get back to your active lifestyle.

FAQs

Q: What makes the LapiFuse procedure different from other bunion correction surgeries?

A: Some bunion correction procedures require shortening of the toe and large incisions that can affect how the foot looks, while potentially creating new pain and leading to additional surgical procedures. The LapiFuse Bunion Procedure is designed to preserve toe length, reduce pain and restore the natural appearance of the foot.²

Q: How long does the LapiFuse procedure take?

A: The time required for the LapiFuse procedure is unique to each patient and surgeon. Generally, the LapiFuse procedure will take 45-60 minutes.

Q: What will my recovery look like?

A: Recovery instructions may vary by surgeon. Results are specific to individual patients. During the first week after your procedure, it is generally recommended that you keep your foot elevated to heal. Then, 10 days post-operation, you may be placed in a bunion dressing and short walker boot. After 6 weeks, your doctor may remove the boot and you should be able to wear normal footwear. However, please consult your doctor on recovery instructions to ensure optimal healing.

Q: Will the procedure improve my mobility?

A: Because the LapiFuse procedure preserves the joint movement of the big toe, it is specially designed to improve mobility, letting you get back to your active lifestyle. Typically, patients should be able to return to regular physical activity 6-7 weeks after their procedure. However, please consult your doctor on recovery instructions to ensure optimal healing. Recovery instructions may vary by surgeon. Results are specific to individual patients.

Q: When can I wear loose fitting closed-toe shoes again?

A: Typically, at 6-7 weeks, patients are allowed full weight bearing in loose fitting close toed shoes. Your doctor will provide you with recovery instructions to ensure optimal healing. Recovery instructions may vary by surgeon. Results are specific to individual patients.

Q: Is it possible for my bunion to return after surgery?

A: Surgical correction of bunions seeks to address the underlying structural causes of bunions and the LapiFuse procedure is specially designed with compression technology to reduce the likelihood that bunions will return. However, there is a possibility that the bunions may return and, to reduce that risk, be sure to comply fully with your doctor’s recovery instructions.¹