Transforming Foot Health: The Advantages of Trease Lapiplasty and 3D Triplanar Bunion Correction
- Dr. Correa

- Feb 2
- 4 min read
Bunions cause pain, discomfort, and difficulty walking for millions of people worldwide. Traditional bunion surgeries often focus on correcting the deformity in two dimensions, which can lead to incomplete correction and a higher chance of recurrence. The Trease Lapiplasty system offers a new approach by addressing bunions in three dimensions, providing a more comprehensive and lasting solution. This blog post explores how Trease Lapiplasty works, the benefits of 3D triplanar correction, and why it is transforming foot health for patients.

Close-up view of a foot model showing 3D triplanar bunion correction with Trease Lapiplasty system
Understanding Bunions and Their Challenges
A bunion, medically known as hallux valgus, is a bony bump that forms at the base of the big toe. It develops when the big toe pushes against the adjacent toe, causing the joint to stick out and become misaligned. This deformity can cause:
Pain and swelling around the joint
Difficulty wearing shoes comfortably
Limited mobility and walking problems
Long-term joint damage if untreated
Traditional bunion surgeries typically involve cutting and realigning bones in two dimensions, mainly focusing on the sideways deviation of the toe. While this can reduce the bump and relieve pain, it often does not address the full complexity of the deformity. This can lead to:
Incomplete correction of the bunion
Recurrence of the deformity over time
Longer recovery periods
Potential complications from bone cuts and hardware
These challenges highlight the need for a more precise and effective surgical method.
What Is Trease Lapiplasty?
Trease Lapiplasty is a surgical system designed specifically to correct bunions by addressing the deformity in three dimensions: sideways, upward/downward, and rotational. This approach is called 3D triplanar correction.
The system uses patented instruments and implants to:
Realign the metatarsal bone (the long bone behind the big toe) in all three planes
Stabilize the bone with low-profile plates and screws
Restore the natural anatomy of the foot
Unlike traditional methods that cut and shift the bone in one or two directions, Trease Lapiplasty corrects the root cause of the bunion by rotating the bone back to its proper position. This reduces the chance of the bunion returning and improves overall foot function.
Benefits of 3D Triplanar Correction with Trease Lapiplasty
1. More Complete and Accurate Correction
By addressing the bunion in three dimensions, the Trease Lapiplasty system provides a more precise realignment of the foot’s bones. This means:
The big toe joint is properly positioned
The foot’s natural shape and mechanics are restored
The deformity is less likely to come back
This comprehensive correction improves both the appearance and function of the foot.
2. Faster Recovery and Return to Activity Compared to Traditional Lapidus Procedure
Because Trease Lapiplasty stabilizes the bone with strong plates and screws, patients often experience:
Increased stabilization and reduced pain
Faster return to weight bearing
Earlier return to normal activities
Many patients can bear weight on the foot sooner than with traditional midfoot fusions, which helps speed up rehabilitation.
3. Reduced Risk of Bunion Recurrence
Trease Lapiplasty’s 3D correction targets the underlying cause of the deformity, which significantly lowers the risk of the bunion returning. This means patients enjoy longer-lasting results.
4. Improved Joint Stability and Function
The system’s fixation method stabilizes the joint in its corrected position. This helps:
Maintain proper alignment during healing
Preserve joint motion and reduce stiffness
Improve overall foot biomechanics
Patients often report better comfort and mobility after surgery.
5. Suitable for a Wide Range of Patients
Trease Lapiplasty can be used for mild to severe bunions, including complex cases where traditional surgery may not be effective. It is also an option for patients who have had previous bunion surgeries but experienced recurrence.
What to Expect During and After Trease Lapiplasty Surgery
The Procedure
The surgery usually takes about one to two hours and is performed under regional or general anesthesia. The surgeon:
Makes a small incision near the bunion
Uses specialized instruments to rotate and realign the metatarsal bone in three planes
Secures the bone with low-profile plates and screws
Closes the incision with sutures
Recovery Timeline
First 1-2 weeks: The foot is protected in a surgical boot or cast. Patients are encouraged to keep weight off the foot.
Weeks 2-4: Gradual weight-bearing begins, often with the help of physical therapy.
After 4 weeks: Most patients can walk normally and resume light activities in a walking boot.
After 8 weeks: Return to regular shoe gear.
3-6 months: Full recovery with return to sports or high-impact activities.
Following the surgeon’s instructions and attending follow-up appointments are essential for a successful outcome.
Choosing the Right Treatment for Your Bunion
If you suffer from bunion pain or deformity, it is important to consult a foot and ankle specialist to discuss your options. Trease Lapiplasty may be a good choice if:
You want a long-lasting correction
You have a moderate to severe bunion
You want to reduce recovery time
You have had previous bunion surgery with recurrence
Your doctor will evaluate your foot structure, symptoms, and lifestyle to recommend the best treatment plan.
If you have been experiencing bunion pain, call us at 832-743-0508 to schedule an appointment. Or visit us at www.SelectFAS.com to schedule online.




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