Percutaneous Techniques in Orthopedic Foot and Ankle Surgery

Area of Science:

• Orthopedic Surgery
• Foot and Ankle Surgery
• Minimally Invasive Procedures

Background:

• Percutaneous techniques offer alternatives to traditional open surgery in foot and ankle orthopedics.
• Growing interest in minimally invasive approaches for conditions like bunions and toe deformities.
• Advancements in surgical tools and techniques enable percutaneous execution of complex procedures.

Purpose of the Study:

• To provide a comprehensive overview of common percutaneous orthopedic foot and ankle procedures.
• To educate surgeons on indications, contraindications, planning, technique, and postoperative care.
• To synthesize current literature regarding these minimally invasive surgical options.

Main Methods:

• Review of indications and contraindications for each percutaneous procedure.
• Detailed description of preoperative surgical planning considerations.
• Explanation of surgical techniques for bunionectomy, lesser toe correction, calcaneal osteotomy, cheilectomy, and MTPJ arthrodesis.
• Outline of postoperative management protocols.

Main Results:

• Established guidelines for performing percutaneous bunionectomy.
• Techniques for correcting lesser toe deformities and bunionettes via percutaneous approach.
• Methodology for percutaneous calcaneal osteotomy and cheilectomy.
• Surgical steps for percutaneous first metatarsophalangeal joint arthrodesis.

Conclusions:

• Percutaneous procedures are viable options for common foot and ankle pathologies.
• Careful patient selection and surgical planning are crucial for successful outcomes.
• These minimally invasive techniques can lead to effective treatment with potentially faster recovery.