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Radiographic and Cadaveric Analysis of Minimally Invasive Bunionectomy Osteotomy Position—“MIS Bunion Sweet Spot”

Radiographic and Cadaveric Analysis of Minimally Invasive Bunionectomy Osteotomy Position—“MIS... Minimally invasive surgery (MIS) is a growing technique that favors faster recovery and cosmetic results. We propose a recommended osteotomy position or “MIS Sweet Spot” to make the procedure more reproducible and lessen the learning curve to improve outcomes. A total of 211 patients from 3 surgeons between 2 different study centers were included in a retrospective radiograph measurement analysis and a cadaveric dissection to confirm the safety of nearby anatomical structures. An average distance of 2.2 cm proximal from the first metatarsophalangeal joint was found as the “Sweet Spot” to perform the transverse osteotomy. At this distance, neurovascular and tendinous structures were unharmed and the osteotomy remained extracapsular. Furthermore, an average of 10.7° of intermetatarsal angle reduction and a reduction of tibial sesamoid position of 3 points were achieved. A predictable and measurable distance for osteotomy placement will help to provide more confidence in producing the bunionectomy osteotomy with the specialized tools used in MIS and can help to reduce operative time and improve results.Level of Clinical Evidence (LOCE): 3 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Foot & Ankle Specialist SAGE

Radiographic and Cadaveric Analysis of Minimally Invasive Bunionectomy Osteotomy Position—“MIS Bunion Sweet Spot”

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References (3)

Publisher
SAGE
Copyright
© 2022 The Author(s)
ISSN
1938-6400
eISSN
1938-7636
DOI
10.1177/19386400221101950
Publisher site
See Article on Publisher Site

Abstract

Minimally invasive surgery (MIS) is a growing technique that favors faster recovery and cosmetic results. We propose a recommended osteotomy position or “MIS Sweet Spot” to make the procedure more reproducible and lessen the learning curve to improve outcomes. A total of 211 patients from 3 surgeons between 2 different study centers were included in a retrospective radiograph measurement analysis and a cadaveric dissection to confirm the safety of nearby anatomical structures. An average distance of 2.2 cm proximal from the first metatarsophalangeal joint was found as the “Sweet Spot” to perform the transverse osteotomy. At this distance, neurovascular and tendinous structures were unharmed and the osteotomy remained extracapsular. Furthermore, an average of 10.7° of intermetatarsal angle reduction and a reduction of tibial sesamoid position of 3 points were achieved. A predictable and measurable distance for osteotomy placement will help to provide more confidence in producing the bunionectomy osteotomy with the specialized tools used in MIS and can help to reduce operative time and improve results.Level of Clinical Evidence (LOCE): 3

Journal

Foot & Ankle SpecialistSAGE

Published: Jan 1, 2022

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