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Bunionette: Is There a Minimally Invasive Solution?

Frederick Michels1, Stéphane Guillo2

  • 1Orthopaedic Department, AZ Groeninge, President Kennedylaan 4, Kortrijk 8500, Belgium; Ankle Instability Group; GRECMIP - MIFAS (Groupe de Recherche et d'Etude en Chirurgie Mini-Invasive du Pied - Minimally Invasive Foot and Ankle Society), Mérignac, France.

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Summary
This summary is machine-generated.

A minimally invasive percutaneous technique for bunionette deformity offers similar results to open surgery with fewer complications. This hardware-free approach may become the new standard for treating painful lateral fifth metatarsal head prominence.

Keywords:
BunionetteFifth metatarsalForefoot surgeryMetatarsal osteotomyPercutaneousTailor’s bunion minimally invasive

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery

Background:

  • Bunionette deformity involves a painful prominence on the lateral aspect of the fifth metatarsal head.
  • Surgical intervention is considered when conservative treatments fail to alleviate symptoms.

Purpose of the Study:

  • To evaluate the efficacy and safety of a percutaneous surgical approach for bunionette deformity.

Main Methods:

  • The percutaneous technique involves a two-step procedure: condylectomy and osteotomy of the fifth metatarsal.
  • This minimally invasive approach is hardware-free.

Main Results:

  • The percutaneous technique demonstrates a small learning curve and yields results comparable to open surgical methods.
  • Advantages include a hardware-free, minimally invasive approach, avoiding complications associated with surgical hardware and soft tissue healing.

Conclusions:

  • The percutaneous technique for bunionette deformity presents a low complication rate.
  • This approach has the potential to establish itself as the new gold standard in surgical treatment.