Letter Regarding: Minimally Invasive Dorsal Cheilectomy of the First Metatarsal: A Cadaveric Study / Clinical Outcomes Following Minimally Invasive Dorsal Cheilectomy for Hallux Rigidus

Vecchio, Jorge Javier Del; Laffenêtre, O.; Dealbera, Eric Daniel; Lucas, J.; Dalmau-Pastor, Miki

doi:10.1177/1071100719846070

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…Others have commented that nerve complications may be lessened with technique modifications, including blunt dissection to bone and ensuring proper burr size. 22 In 2020, Stevens et al 20 published a retrospective series of MIS and open cheilectomies at a 3-year follow-up and noted a 12.8% revision surgery rate and 11.3% complication rate in the MIS group compared with 2.6% for both in the open osteotomy group.…”

Section: Forefootmentioning

confidence: 99%

Minimally Invasive Foot and Ankle Surgery: A Primer for Orthopaedic Surgeons

Lausé

Miller

Smith

2023

J Am Acad Orthop Surg

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There is rapidly growing interest in minimally invasive surgery (MIS) of the foot and ankle. Technological advances, specifically with the advent of low-speed high-torque burrs, have enabled the expansion of MIS techniques. Accordingly, there is growing literature reporting excellent outcomes of MIS surgery to address many different pathologies of the foot and ankle. MIS techniques are particularly useful for conducting percutaneous osteotomies and bony de ´bridement. These can be used to address bunion deformity, hammertoes, metatarsalgia, bunionette deformity, bone spurs, and hindfoot deformity. A detailed understanding of the technology, equipment, and techniques is crucial to safely conduct MIS of the foot and ankle. When done safely, MIS provides favorable outcomes with an expedited recovery and limited complications. Minimally invasive surgery (MIS) of the foot and ankle refers to percutaneous procedures that use small incisions for deformity correction, osteotomies, and débridement of the foot and ankle. These techniques have gained attention because of reported faster recovery time, early weight bearing, improved cosmesis, and reduced postoperative opioid use. [1][2][3] Although MIS can include many minimal incision techniques, including arthroscopic surgery, for the purposes of this review, we will discuss MIS techniques that use a specialized low-speed high-torque burr.MIS of the foot and ankle initially gained popularity in the United States in the 1980s for treatment of forefoot deformities. However, early procedures were largely abandoned because of poorly reproducible outcomes, soft-tissue complications, and high rates of recurrence and revision surgery. 4 The initial MIS efforts were technically demanding and required challenging postoperative protocols, which were difficult to follow. Subsequent MIS procedures added provisional fixation using Kirschner wires, but these also had issues with stability and osteotomy positioning. 5,6 For these reasons, early MIS efforts failed to take hold in North America. By contrast, MIS interest in Europe remained strong, and with this interest, came additional research into MIS techniques and the development of the first international MIS foot study group: Groupe de Recherche et Etude en Chirurgie Mini-Invasive du Pied in 2002. International surgeons developed new

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Section: Forefootmentioning

confidence: 99%