Luckily, we are highly skilled in treating a variety of conditions and issues. Whether you have slight discomfort or severe pain, we can provide you with care that allows you to live the lifestyle you want!
These are just some of the conditions, treatments, and services you will find at our podiatric office. Just ask us if you have any questions!
Surgical Corrections of Foot Disorders
Ignoring pain and discomfort in your feet can severely affect your health and physical activity in the long run. Sometimes the only effective way to treat a foot condition is surgery. Rely on the experienced and qualified surgeons at Seneca Family Footcare to restore the health and functionality of your feet with foot surgery.
We have been providing foot care to Ronceverte and the surrounding areas since 2000. Our friendly and caring staff will thoroughly examine your feet and provide you with the right surgical treatment.
Hallux valgus, commonly known as a bunion, has often been seen as a transverse plane deformity, but as per the researches, it is actually a three-plane deformity with 87% of the patients having an abnormal frontal-plane rotation of the first metatarsal.
In order to restore the anatomic first ray alignment (MTP joint congruity and sesamoid position), the metatarsal rotation must be corrected. There’s a 12x chance of this deformity recurring if it is left untreated.
As the triplanar deformity can be addressed at its origin, the 1st tarsometarsal (TMT) joint provides the optimal surgical site for true anatomic restoration.
The LAPIPLASTY® Procedure?
LAPIPLASTY® Procedure is an innovative approach to anatomic bunion correction. It has been designed to provide unparalleled control and reproducibility to the first TMT fusion by accurately positioning the metatarsal in anatomic alignment (including frontal-plane rotation), performing precision joint cuts while the correction is held in place and an easy-to-apply multiplanar tension-side fixation.
Make your correction before you cut
The LAPIPLASTY® Positioner is designed to quickly and reproducibly close the IM angle and derotate the metatarsal. This establishes and holds the right anatomic alignment of the metatarsal and sesamoids.
Perform precision cuts with confidence
Using the LAPIPLASTY® Cut Guide, precise and parallel cuts are performed by holding the metatarsal in the right position. This ensures optimal cut trajectory and virtually eliminates the risk of metatarsal shortening.
Apply multiplanar fixation with tension-side support
Low-profile BIPLANAR Plating with the anatomic PLANTAR-PYTHON Plate helps provide easy-to-apply plantar plating and multiplanar stability. It uses standard-sized locking screws to accommodate anatomic variations, in turn, avoiding intra-operative measuring.
Key Surgical Steps of LAPIPLASTY® Procedure
Run the sagittal saw proportionately down the first TMT joint to mobilize and plane the joint surfaces.
Insert the LAPIPLASTY® Fulcrum at the base of the first and second metatarsals to serve as a pivot point about which the metatarsal can be positioned in an anatomic alignment.
Apply the LAPIPLASTY® Positioner and simultaneously secure the IM angle, frontal-plane rotation, and sagittal alignment in the corrected position. Lock in the correction with a smooth k-wire through the first and second metatarsal.
Secure the LAPIPLASTY® Cut Guide to make precise cuts with the triplanar correction held in place. Fenestrate joint surfaces to expose the bleeding bone for optimal fusion.
Insert a two-millimeter threaded olive across the first TMT joint, from distal-lateral to proximal-medial, for pre-compression and provisional fixation. Insert a smooth k-wire from distal-medial to hold the rotational correction.
Apply low-profile BIPLANAR™ Plate dorsally and PLANTAR-PYTHON® Plate from the medial side of the cuneiform to plantar on the first metatarsal, which helps provide multiplanar fixation and tension-side stability.