TITLE:
Minimally Invasive Surgery of the Forefoot: Current Concept Review
AUTHORS:
Bruno Magnan, Manuel Bondi, Silvio Mezzari, Ingrid Bonetti, Elena Samaila
KEYWORDS:
MIS; Forefoot; Hallux Valgus; Bunionette; Percutaneous Distal Osteotomy
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.4 No.6A,
June
20,
2013
ABSTRACT: A minimally invasive surgical technique (MIS) is any procedure
that could be less invasive than open surgery used for the same purpose. Though
MIS often involves small incisions or percutaneous approaches, its main goal is
to achieve good therapeutic results with the least damage
to functional anatomic structures. Minimal
invasiveness in orthopaedic forefoot surgery, including first ray and lesser
toes, with its growth over the last two decade, showed many advantages and good
outcomes with the aim to obtain fewer complications due to a contained approach,
shorter surgical time and exposure, lesser post-operative risk of infection,
lesser pain, hospitalization and post-operative recovery time, compared with
traditional open approaches. This appears particularly true for what concerns hallux valgus surgical
correction. MIS
techniques have proven in the literature to be reliable, providing today
comparable results with traditional open approaches.