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Consensus in percutaneous bunionette correction.

Frederick Michels¹, Blandine Demeulenaere², Guillaume Cordier³

¹Orthopaedic Department, AZ Groeninge, 8500 Kortrijk, Belgium; MIFAS by GRECMIP (Minimally Invasive Foot and Ankle Society), Mérignac, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR

|November 14, 2020

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Percutaneous bunionette surgery shows consensus, with oblique osteotomy being the preferred method. Condylectomy is rarely used in these minimally invasive bunionette deformity treatments.

Area of Science:

Orthopedic Surgery
Minimally Invasive Procedures

Background:

Percutaneous treatment for bunionette deformity is effective and safe.
Variations exist in surgical techniques and perioperative protocols.

Purpose of the Study:

To analyze current percutaneous bunionette surgery techniques.
To identify areas of agreement in surgical and perioperative protocols.

Main Methods:

A survey was distributed to 50 experienced orthopedic surgeons.
The survey focused on surgical and perioperative aspects of percutaneous bunionette procedures.

Main Results:

A 92% response rate was achieved.
Osteotomy is nearly universal; condylectomy is rare.

Keywords:

Bunionette DMMO Distal metatarsal metaphyseal osteotomy French Minimally invasive surgery Percutaneous surgery Tailor's bunion

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Single, complete osteotomies using a Shannon long burr are common, with location tailored to deformity.

Conclusions:

Consensus exists regarding percutaneous bunionette surgery techniques and protocols.
The percutaneous oblique osteotomy is the favored approach.