CME OnDemand: Novel Imaging and MIS Techniques in Foot and Ankle Care (2026)-MIS Fusions

Video Transcription

Video Summary

Alistair Younger presents minimally invasive (MIS) techniques for Lapidus fusion, naviculocuneiform (NC) fusion, and first MTP fusion to treat the full spectrum of hallux valgus, including severe deformity and metatarsus adductus. He contrasts percutaneous chevron (milder cases) with MIS Lapidus for triplanar correction, IM angle reduction, pronation control, and plantarflexion of the first ray. Key principles include complete cartilage removal (often arthroscopic-assisted) while preserving subchondral bone for stronger fixation. He demonstrates percutaneous soft-tissue releases, distractor/compressor reduction, and screw constructs, citing studies showing full-thread screw constructs outperform dorsal plate/cross-screw constructs. He emphasizes training via cadavers, mentorship, and readiness to convert to open surgery.

Asset Subtitle

In this lesson, Dr. Alastair Younger presents minimally invasive (MIS) techniques for Lapidus procedure, naviculocuneiform (NC) fusion, and first MTP fusion to treat the full spectrum of hallux valgus, including severe deformity and metatarsus adductus.

Keywords

minimally invasive Lapidus fusion

hallux valgus triplanar correction

naviculocuneiform fusion

first MTP fusion

percutaneous chevron osteotomy