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

Video Transcription

Video Summary

Orthopedic foot and ankle surgeon Holly Johnson presents a minimally invasive bunion correction using a distal metatarsal osteotomy plus proximal phalanx (Akin) osteotomy. She emphasizes operating-room layout (C-arm on surgeon&rsquo;s dominant side), foot positioning off the bed for full bur motion, and using low-speed high-torque power with copious irrigation to prevent thermal injury. She describes osteotomy planning to minimize shortening, controlled translation/rotation to &ldquo;lock&rdquo; the TMT joint, and precise K-wire/screw placement (two screws for rotational stability). She outlines medial spike and eminence resection techniques, frequent fluoroscopic checks, dressing, and a staged postoperative weight-bearing/activity protocol.

Asset Subtitle

In this lesson, Dr. Holly Johnson presents minimally invasive bunion correction using a distal metatarsal osteotomy plus proximal phalanx (Akin) osteotomy. She emphasizes operating-room layout (c-arm on surgeon’s dominant side), foot positioning off the bed, and using low-speed high-torque power with copious irrigation to prevent thermal injury.

Keywords

minimally invasive bunion correction

distal metatarsal osteotomy

Akin osteotomy

fluoroscopy-guided K-wire and screw fixation

postoperative weight-bearing protocol