Insights on Performing MIS For First MTPJ Arthrodesis

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What are the most important points clinicians should take away from your ASPS presentation?
 
Minimally invasive surgery (MIS) has evolved over the past decade to become a viable solution for many patients as podiatric surgeons evaluate and treat both hallux valgus and hallux rigidus deformities. Careful patient selection is critical for optimal results.  
                       
What are the advantages and disadvantages of MIS arthrodesis in the metatarsophalangeal joints (MTPJs) as opposed to other techniques?
 
The biggest advantages of MIS over traditional open surgery are reduced recovery times (both skin incisions and fixation). The biggest disadvantage in my experience is a slightly increased risk of recurrence of the deformity. 
 
In which patients is an MIS approach most effective?  
 
In my experience, it’s most effective for those who may not be able to have a full open procedure due to their weight-bearing status, risk of falls, or overall health. In general, MIS is less invasive an opens up a broad patient sector for procedures they may have previously not been a candidate for.
 
Dr. Lockwood is the founder of Heartland Foot and Ankle Associates in central Illinois. She is a Diplomate of the American Board of Podiatric Medicine and a Fellow of the American College of Podiatric Medicine. Dr. Lockwood is a Fellow and member of the Board of Directors of the American Society of Podiatric Surgeons.