Minimally Invasive Surgery (MIS) Training Wheels With First Metatarsal Phalangeal Joint (MTPJ) Fusions

by Vince Vacketta, DPM

The indications and utilization of minimally invasive techniques in foot and ankle surgery continue to grow at an exponential rate. Joint-sparring bunion correction has led the way in popularizing MIS techniques though there still remains a strong division between early adopters and skeptics. 

As indications and applications of MIS techniques continue to expand, new research presents a common ground for MIS believers and skeptics to stand on with the MIS 1st MTPJ fusion. With smaller incisions and comparable outcomes to open 1st MTPJ fusion, MIS 1st MTPJ fusion is an excellent procedure to join the MIS movement. Take a deep dive below to understand the how and why: 

How it's Done: https://www.fastracjournal.org/article/S2667-3967(21)00041-0/fulltext

The Data:

- https://journals.sagepub.com/doi/10.1177/10711007241238221

- https://www.fastracjournal.org/article/S2667-3967(23)00071-X/fulltext