Abstract
Minimally invasive surgery (MIS) and percutaneous (PC) surgery recently spread as a new technique in operative forefoot correction, and by extension in hindfoot and midfoot. Numerous procedures were described, and a race for MIS and PC has started. However, performing surgery with small incisions should not be an end in itself. Biomechanical and anatomical concerns must be taken into account and shall not be sacrificed for cosmetic reasons. For the most common hindfoot and midfoot pathologies, we discuss what we consider the surgical necessities and then describe the MIS and/or PC procedure we choose, according to these fundamentals.
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Lawrence JE, Nasr P, Fountain DM, Berman L, Robinson AH (2017) Functional outcomes of conservatively managed acute ruptures of the Achilles tendon. Bone Jt J 99-B(1):87–93. https://doi.org/10.1302/0301-620x.99b1.bjj-2016-0452.r1
Zhang H, Tang H, He Q, Wei Q, Tong D, Wang C, Wu D, Wang G, Zhang X, Ding W, Li D, Ding C, Liu K, Ji F (2015) Surgical VERSUS conservative intervention for acute achilles tendon rupture: a PRISMA-compliant systematic review of overlapping meta-analyses. Medicine (Baltimore) 94(45):e1951. https://doi.org/10.1097/MD.0000000000001951
Krueger H, David S (2016) The effectiveness of open repair versus percutaneous repair for an acute achilles tendon rupture. J Sport Rehabil 25(4):404–410. https://doi.org/10.1123/jsr.2015-0024
Li Q, Wang C, Huo Y, Jia Z, Wang X (2016) Minimally invasive versus open surgery for acute Achilles tendon rupture: a systematic review of overlapping meta-analyses. J Orthop Surg Res 11(1):65. https://doi.org/10.1186/s13018-016-0401-2
Delponte P, Potier L, de Poulpiquet P, Buisson P (1992) Treatment of subcutaneous ruptures of the Achilles tendon by percutaneous tenorraphy. Rev Chir Orthop Reparatrice Appar Mot 78(6):404–407
Maes R, Copin G, Averous C (2006) Is percutaneous repair of the Achilles tendon a safe technique? A study of 124 cases. Acta Orthop Belg 72(2):179–183
McCormack R, Bovard J (2015) Early functional rehabilitation or cast immobilisation for the postoperative management of acute Achilles tendon rupture? A systematic review and meta-analysis of randomised controlled trials. Br J Sports Med 49(20):1329–1335. https://doi.org/10.1136/bjsports-2015-094935
Carvalho FA, Kamper SJ (2016) Effects of early rehabilitation following operative repair of Achilles tendon rupture (PEDro synthesis). Br J Sports Med 50(13):829–830. https://doi.org/10.1136/bjsports-2016-096093
Davies H, Agrawal Y, Blundell C, Davies MB (2017) Outcome following use of the Achillon jig for the repair of acutely ruptured Achilles tendons. Injury 48(3):781–783. https://doi.org/10.1016/j.injury.2017.01.018
Kolodziej L, Bohatyrewicz A, Kromuszczynska J, Jezierski J, Biedron M (2013) Efficacy and complications of open and minimally invasive surgery in acute Achilles tendon rupture: a prospective randomised clinical study—preliminary report. Int Orthop 37(4):625–629. https://doi.org/10.1007/s00264-012-1737-9
Ahn JH, Ahn CY, Byun CH, Kim YC (2015) Operative treatment of Haglund syndrome with central Achilles tendon-splitting approach. J Foot Ankle Surg 54(6):1053–1056. https://doi.org/10.1053/j.jfas.2015.05.002
Vernois J, Redfern D, Ferraz L, Laborde J (2015) Minimally invasive surgery osteotomy of the hindfoot. Clin Podiatr Med Surg 32(3):419–434. https://doi.org/10.1016/j.cpm.2015.03.008
Lin C, Ma L, Chen W, Tao X, Yuan CS, Zhou BH, Tang KL (2017) A comparative study of the calcaneal closing-wedge calcaneal osteotomy versus posterior–superior prominence removal in both sides with Haglund syndrome. Zhonghua Yi Xue Za Zhi 97(35):2733–2736. https://doi.org/10.3760/cma.j.issn.0376-2491.2017.35.004
Jarde O, Quenot P, Trinquier-Lautard JL, Tran-Van F, Vives P (1997) Haglund disease treated by simple resection of calcaneus tuberosity. An angular and therapeutic study. Apropos of 74 cases with 2 years follow-up. Rev Chir Orthop Reparatrice Appar Mot 83(6):566–573
Jerosch J (2015) Endoscopic calcaneoplasty. Foot Ankle Clin 20(1):149–165. https://doi.org/10.1016/j.fcl.2014.10.004
Jerosch J, Nasef NM (2003) Endoscopic calcaneoplasty—rationale, surgical technique, and early results: a preliminary report. Knee Surg Sports Traumatol Arthrosc 11(3):190–195. https://doi.org/10.1007/s00167-003-0365-8
Leitze Z, Sella EJ, Aversa JM (2003) Endoscopic decompression of the retrocalcaneal space. J Bone Joint Surg Am 85-A(8):1488–1496
Lohrer H, Nauck T, Dorn NV, Konerding MA (2006) Comparison of endoscopic and open resection for Haglund tuberosity in a cadaver study. Foot Ankle Int 27(6):445–450. https://doi.org/10.1177/107110070602700610
Ortmann FW, McBryde AM (2007) Endoscopic bony and soft-tissue decompression of the retrocalcaneal space for the treatment of Haglund deformity and retrocalcaneal bursitis. Foot Ankle Int 28(2):149–153. https://doi.org/10.3113/FAI.2007.0149
Rak V, Matonoha P, Otahal M, Masek MM (2007) Vascularization of the lateral heel in relation to extensive skin incisions in osteosynthesis of calcaneal fractures. Rozhl Chir 86(9):483–488
Andermahr J, Helling HJ, Rehm KE, Koebke Z (1999) The vascularization of the os calcaneum and the clinical consequences. Clin Orthop Relat Res 363:212–218
Bauer T (2016) Percutaneous Hindfoot and Midfoot fusion. Foot Ankle Clin 21(3):629–640. https://doi.org/10.1016/j.fcl.2016.04.008
Probe R (2016) In situ subtalar arthrodesis for posttraumatic arthritis of the calcaneus. J Orthop Trauma 30(Suppl 2):S45–S46. https://doi.org/10.1097/BOT.0000000000000609
Roster B, Kreulen C, Giza E (2015) Subtalar joint arthrodesis: open and arthroscopic indications and surgical techniques. Foot Ankle Clin 20(2):319–334. https://doi.org/10.1016/j.fcl.2015.02.003
Tuijthof GJ, Beimers L, Kerkhoffs GM, Dankelman J, Dijk CN (2010) Overview of subtalar arthrodesis techniques: options, pitfalls and solutions. Foot Ankle Surg 16(3):107–116. https://doi.org/10.1016/j.fas.2009.07.002
Neufeld SK, Uribe J, Myerson MS (2002) Use of structural allograft to compensate for bone loss in arthrodesis of the foot and ankle. Foot Ankle Clin 7(1):1–17
Lapidus PW (1960) The author’s bunion operation from 1931 to 1959. Clin Orthop 16:119–135
Clark HR, Veith RG, Hansen ST Jr (1987) Adolescent bunions treated by the modified Lapidus procedure. Bull Hosp Jt Dis Orthop Inst 47(2):109–122
Cottom JM, Baker JS (2017) Comparison of locking plate with interfragmentary screw versus plantarly applied anatomic locking plate for Lapidus Arthrodesis: a biomechanical cadaveric study. Foot Ankle Spec 10(3):227–231. https://doi.org/10.1177/1938640016676341
Plaass C, Claassen L, Daniilidis K, Fumy M, Stukenborg-Colsman C, Schmiedl A, Ettinger S (2016) Placement of plantar plates for lapidus arthrodesis: anatomical considerations. Foot Ankle Int 37(4):427–432. https://doi.org/10.1177/1071100715619607
Simons P, Frober R, Loracher C, Knobe M, Gras F, Hofmann GO, Klos K (2015) First tarsometatarsal arthrodesis: an anatomic evaluation of dorsomedial versus plantar plating. J Foot Ankle Surg 54(5):787–792. https://doi.org/10.1053/j.jfas.2014.12.028
Roth KE, Peters J, Schmidtmann I, Maus U, Stephan D, Augat P (2014) Intraosseous fixation compared to plantar plate fixation for first metatarsocuneiform arthrodesis: a cadaveric biomechanical analysis. Foot Ankle Int 35(11):1209–1216. https://doi.org/10.1177/1071100714547082
Gutteck N, Wohlrab D, Zeh A, Radetzki F, Delank KS, Lebek S (2015) Immediate fullweightbearing after tarsometatarsal arthrodesis for hallux valgus correction—Does it increase the complication rate? Foot Ankle Surg 21(3):198–201. https://doi.org/10.1016/j.fas.2014.11.010
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Stiglitz, Y., Cazeau, C. Minimally invasive surgery and percutaneous surgery of the hindfoot and midfoot. Eur J Orthop Surg Traumatol 28, 839–847 (2018). https://doi.org/10.1007/s00590-018-2179-x
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DOI: https://doi.org/10.1007/s00590-018-2179-x