Related Experiment Video
Updated: Jun 21, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Minimally invasive Tailor's bunion correction: Radiographic and functional outcomes with and without screw fixation
Brian G Loder1, Akram Aljumail1, Denny Cherry1
1Michigan Minimal Invasive Foot and Ankle Fellowship, USA.
Summary
Minimally invasive tailor's bunion surgery significantly improves foot alignment and function. Screw fixation impacts complication rates but not final outcomes in this procedure.
Area of Science:
- Orthopedic surgery
- Foot and ankle reconstruction
Background:
- Minimally invasive techniques for tailor's bunion correction are increasingly used.
- The impact of screw fixation on outcomes is not well-established.
Purpose of the Study:
- To evaluate radiographic and patient-reported outcomes of minimally invasive distal fifth metatarsal osteotomy.
- To assess the specific effect of screw fixation on these outcomes.
Main Methods:
- Retrospective cohort study of 68 feet undergoing minimally invasive fifth metatarsal osteotomy.
- Radiographic assessment via fourth-fifth intermetatarsal angle (IMA).
- Functional assessment using the Foot Function Index (FFI); comparison of screw fixation versus non-fixation cohorts.
Main Results:
- Significant improvement in mean IMA (10.0° to 4.0°) and FFI (94.8 to 39.6).
- Screw fixation showed greater angular correction but similar final IMA and functional improvement.
- No nonunions in the fixation group versus 5.6% without fixation; hardware irritation occurred in 37.5% of fixation cases.
Conclusions:
- Minimally invasive tailor's bunion correction yields substantial radiographic and functional benefits.
- Screw fixation primarily affects the complication profile, not the final alignment or functional results.