CME OnDemand: 2025: MIS Forefoot Surgery-MIS Forefoot Surgery

Video Transcription

Video Summary

This webinar features three experts specializing in minimally invasive surgery (MIS) techniques for foot deformities, focusing primarily on recurrent bunion and hallux valgus revision procedures. Dr. Kaplan highlights the challenges in treating recurrent bunions, noting variable recurrence rates and emphasizing the importance of patient-specific factors such as hypermobility, foot biomechanics, and prior surgical choices. He advocates that MIS offers benefits including smaller incisions, less pain, faster recovery, and improved patient satisfaction, especially valuable for diverse patient profiles—from young active individuals to elderly patients with limited mobility.<br /><br />Dr. Gonzalez presents complex revision hallux procedures, illustrating how MIS and "maximally invasive" approaches can be tailored based on patients’ complaints and anatomy. He discusses cases ranging from simple hardware removal paired with osteotomies to extensive staged bone grafting for nonunions, stressing individualized treatment plans.<br /><br />Dr. Teller discusses minimally invasive options for forefoot deformities like hammer toes, including flexor tenotomies, capsule releases, and osteotomies, often without hardware fixation. Techniques focus on achieving well-aligned toes with minimal complications and emphasizing soft tissue management.<br /><br />Throughout the panel, the experts underscore the limited current data on MIS in revision foot surgery, advocating for tailored approaches, careful preoperative assessment including weight-bearing CT, and shared decision-making that balances patient goals with surgical complexity. They stress the value of MIS for reducing surgical trauma while acknowledging cases where more invasive methods are necessary. The session concludes with practical pearls and encourages ongoing research and education in advancing MIS techniques for foot deformity revisions.

Keywords

minimally invasive surgery

MIS

foot deformities

recurrent bunion

hallux valgus revision

forefoot deformities

osteotomies

soft tissue management

patient-specific treatment