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Lapiplasty®

3D Bunion Correction®

Relentlessly innovated to drive best-in-class outcomes and OR
efficiency, save time and eliminate steps, provide a reproducible triplanar correction, and rapid return to weight bearing.

surgical instrument with drill component inserted into bone model on white background
  • Save time & eliminate steps.
    The 3-N-1® Cut Guide delivers precise cuts fast in fewer steps.
  • Reproducible triplanar correction.
    Efficient and accurate triplanar correction through streamlined instrumentation delivering best-in-class long-term low recurrence rates.4,10
  • Rapid return to weight bearing.
    Patients return to protected weight bearing at an average of 7.7 days10, compared to an average 6-10 weeks with other Lapidus fusion procedures.11
Medical device attached to a skeletal model of a foot on a black background showing the alignment and structure of bones.

Key Surgical Steps

Step 1: Correct

Make Your Correction Before You Cut

The Lapiplasty® Positioner is engineered to quickly and reproducibly correct the alignment in all three planes, establishing and holding true anatomic alignment of the metatarsal and sesamoids.1

Step 2: Cut

Perform Precision Cuts with Confidence

The Lapiplasty® Cut Guide delivers precise cuts with the metatarsal held in the corrected positions, ensuring optimal cut trajectory with only 2.4-3.1mm average metatarsal shortening.3

Step 3: Compress

Achieve Controlled Compression of Joint Surfaces

The Lapiplasty® Compressor is designed to deliver controlled compression4 to the precision-cut joint surfaces, while maintaining 3-plane correction.

Step 4: Fixate

Apply Multiplanar Fixation for Robust Stability

Low-profile Biplanar Plating provides biomechanically-tested5,6 multiplanar stability for rapid return to weight-bearing in a boot.1

The Evidence-Based Triplanar Solution

97 and 99%

successful maintenance of 3D correction

(as demonstrated in 13 &17 months follow-up, respectively)1,7

Early weight bearing

at avg 7.7 days in a walking boot4,10

10.4mm

average reduction in osseous foot width8

2.4 and 3.1mm

average shortening of first ray

(in lateral and AP radiographs, respectively)3

2-3%

non-union rate

(13.5 & 9.5 month follow-up)1,2

3%

hardware removal rate

(in a 13 month study)2

Low recurrence rates

0.8% (HVA > 20°) & 8.4% (HVA > 15°) at 48 months4,10

30%

increase in cycles to failure with Biplanar Plating

(compared to dorsomedial Lapidus plate + compression screw)5

81%

pain reduction and 89% improvement in MOxFQ walking/standing scores at 48 months4,10

Biomechanically Tested5,6 for Rapid Weight-Bearing1

Our low-profile Biplanar Plating has been biomechanically tested5,6 (and published) to be superior to a standard Lapidus plate and compression screw construct.5

Lapiplasty® Case Examples

Constructs at surgeon’s discretion. Individual results may vary. These experiences are specific to these patients only.

X-ray comparison of human foot before and after bunion surgery showing surgical pins and realignment of bones.
X-ray comparison showing a foot before and after surgery with metallic screws in bones.
Before and after X-ray of a foot with surgical repair, showing bone correction and metal plates for stabilization.

Introducing the Micro-Lapiplasty® Minimally Invasive System

Delivers precise triplanar correction through a 2 cm incision — guided by an external Positioner using the patented “Correct Before You Cut” approach.

Supporting Documents

Lapiplasty® Brochure

Publication Summary

Lapiplasty® 10 Step Guide

Clinical Data

Surgical Technique Guide

Instructions for Use

Cleaning & Sterilization Guide

Surgical Animation Guide

Other Products

Red skeletal hand holding a stapler against a black background, embodying technology and anatomy.

IntelliGuide®

The first patient-specific cut guides for personalized 3D Bunion and Midfoot Correction.

Diagram of a foot skeleton with surgical plate and screws on the metatarsals.

SpeedMTP®

Delivers the speed and dynamic compression of a staple with the stability and strength of a titanium locking plate.*

Orthopedic spinal fusion plate with colorful screws for surgical procedures

Plating Systems

Next-generation Multiplanar Plating option with an advanced, 3D proximal contour designed to conform to the anatomy of the tarsometatarsal joint.

Two colorful screws, one purple and one yellow, with detailed ridges, displayed horizontally on a white background.

Compression Screws

Titanium compression screws sterile-packed with the associated drill and guide wires for use with the Lapiplasty® Procedure and other common applications.

Got Questions?

For more information or to get trained on Treace’s comprehensive 3D Bunion Correction® systems, give us a call or complete the form.


1. Ray J, et al. Foot Ankle Int. 2019;40(8):955-960.
2. Dayton P, et al. J Foot Ankle Surg. 2019. 58:427-433.

3. Hatch D, et al. Foot & Ankle Ortho. 2020, 5(4): 1-8.

4. Interim analysis from the Lapiplasty® ALIGN3D™ multicenter, prospective clinical study of 173 patients, of which 139 patients have at least 48 months of follow-up.
5. Dayton P, et al. J Foot Ankle Surg. 2016. 55:567-71.

6. Data On File

7. Dayton P, et al. J Foot Ankle Surg. 2020, 59(2): 291-297.

8. Vaida J, et al. Foot & Ankle Orthopaedics. 2020. Vol. 5(3) 1-5.
9. Liu GT, et al. J Foot Ankle Surg. 2022. 61:1308-1316.
10. Four-year outcomes following triplanar tarsometatarsal arthrodesis with early weight bearing for Hallux Valgus: A multicenter prospective study
Hatch DJ, Chhabra A, Dayton M, Dayton PD, Farber DC, Kile DA, Koay J, Liu GT, McAleer JP, Santrock RD; J Foot Ankle Surg 000 (2025) 1−7 Catanzariti AR, et al. J Foot Ankle Surgery, 1999. 38:325-332
11. Catanzariti AR, et al. J Foot Ankle Surgery, 1999. 38:325-332
*Encompasses locking plate and screw construct.

M3926C