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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Published on: January 24, 2018

Percutaneous bunionette correction.

Frederick Michels¹, Jan Van Der Bauwhede, Stéphane Guillo

¹Orthopaedic Department, AZ Groeninge Kortrijk, Burg Vercruysselaan 5, 8500 Kortrijk, Belgium. frederick_michels@hotmail.com

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons

|January 23, 2013

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Percutaneous Bunionette Correction.

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This study shows a minimally invasive percutaneous technique effectively corrects tailor

Area of Science:

Orthopaedic surgery
Foot and ankle surgery
Minimally invasive procedures

Background:

Tailor's bunion (bunionette) often requires conservative treatment.
Severe or refractory cases necessitate surgical intervention.
Evaluating novel surgical approaches is crucial for improving patient outcomes.

Purpose of the Study:

To assess the efficacy and safety of a percutaneous technique for correcting bunionette deformities.
To compare the outcomes of this minimally invasive method with traditional open surgery.

Main Methods:

Twenty-one percutaneous procedures were performed on 20 patients.
Patient outcomes were evaluated using the American Orthopaedic Foot & Ankle Society (AOFAS) Lesser Toe Metatarsophalangeal-Interphalangeal Scale.

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Radiographic measurements assessed correction of intermetatarsal and metatarsophalangeal angles.

Main Results:

No significant complications such as wound healing issues, infections, non-unions, or mal-unions were reported.
Functional assessments indicated very good patient outcomes.
Radiographic analysis demonstrated effective correction of key angular deformities.

Conclusions:

The percutaneous technique offers a reliable and effective treatment for bunionette deformity.
Outcomes are comparable to open techniques, with a reduced risk of soft tissue complications.
The technique is adaptable and does not require internal fixation, offering a versatile surgical option.