What is Minimally Invasive Surgery (MIS)?

MIS is a newer technique of bunion surgery, gaining more in popularity over the past few years. It is a percutaneous technique that is able to get the correction of a bunion deformity whilst using smaller incisions compared to a longer incision in a traditional open bunion surgery. Minimal invasive bunionectomy has a theoretical advantage of decreasing recovery and rehabilitation time. When compared to traditional open bunionectomies, studies show that MIS technique results in less pain, smaller scars, and overall increased patient satisfaction. However, studies do not show that there is a fast recovery time compared to traditional open bunion surgery.

Am I a candidate for MIS?

• Patients who have failed conservative or non-operative treatment measures such as wearing wider shoes, padding, and orthotics, are candidates for bunion surgery. One of the best advantages of minimally invasive surgery, is that patients with a potential for post surgical complications such as healing delays due to their comorbidities, may benefit from MIS as the incisions are much smaller
• Patients who have a milder to moderate bunion are better candidates for this technique of surgery. If you have a severe bunion deformity, this technique is not for you
• There should be minimal arthritis within the joint at the location of bunion deformity

To see if you are a candidate for MIS, schedule an appointment with the Midwest Foot & Ankle Clinics today

References

Alimy, A., Polzer, H., Ocokoljic, A., Ray, R., Lewis, T. L., Rolvien, T., & Waizy, H. (2022). Does minimally invasive surgery provide better clinical or radiographic outcomes than open surgery in the treatment of hallux valgus deformity? A systematic review and meta-analysis. Clinical Orthopaedics & Related Research, Publish Ahead of Print. https://doi.org/10.1097/corr.0000000000002471

Brogan, K., Lindisfarne, E., Akehurst, H., Farook, U., Shrier, W., & Palmer, S. (2016). Minimally invasive and open distal chevron osteotomy for mild to moderate hallux valgus. Foot & Ankle International, 37(11), 1197-1204. https://doi.org/10.1177/1071100716656440

Giannini, S., Cavallo, M., Faldini, C., Luciani, D., & Vannini, F. (2013). The SERI distal metatarsal osteotomy and scarf osteotomy provide similar correction of hallux valgus. Clinical Orthopaedics & Related Research, 471(7), 2305-2311. https://doi.org/10.1007/s11999-013-2912-z

Lai, M. C., Rikhraj, I. S., Woo, Y. L., Yeo, W., Ng, Y. C., & Koo, K. (2017). Clinical and radiological outcomes comparing percutaneous chevron-akin osteotomies vs open scarf-akin osteotomies for hallux valgus. Foot & Ankle International, 39(3), 311-317. https://doi.org/10.1177/1071100717745282

Maffulli, N., Longo, U. G., Oliva, F., Denaro, V., & Coppola, C. (2009). Bosch osteotomy and scarf osteotomy for hallux valgus correction. Orthopedic Clinics of North America, 40(4), 515-524. https://doi.org/10.1016/j.ocl.2009.06.003

Nair, A., Bence, M., Saleem, J., Yousaf, A., Al-Hilfi, L., & Kunasingam, K. (2022). A systematic review of open and minimally invasive surgery for treating recurrent hallux valgus. The Surgery Journal, 08(04), e350-e356. https://doi.org/10.1055/s-0042-1759812

Patnaik, S., Jones, N. J., Dojode, C., Narang, A., Lal, M., Iliopoulos, E., & Chougule, S. (2022). Minimally invasive hallux valgus correction: Is it better than open surgery? The Foot, 50, 101871. https://doi.org/10.1016/j.foot.2021.101871

Xu, Y., Guo, C., Li, X., & Xu, X. (2022). Radiographic and clinical outcomes of minimally invasive surgery versus open osteotomies for the correction of hallux valgus. International Orthopaedics, 46(8), 1767-1774. https://doi.org/10.1007/s00264-022-05419-9

Mourad Ouzzani, Hossam Hammady, Zbys Fedorowicz, and Ahmed Elmagarmid. Rayyan — a web and mobile app for systematic reviews. Systematic Reviews (2016) 5:210, DOI: 10.1186/s13643-016-0384-4.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71. doi: 10.1136/bmj.n71

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