Minimally Invasive Bunion Surgery for Hallux Valgus: A surgical Technique

Hallux valgus is one of the most common foot pathologies. More than a hundred procedures have been described in treating hallux valgus deformity. Minimally invasive (MIS) hallux valgus surgery has a growing interest among foot and ankle surgeons due to its potential advantages over open surgeries, including smaller incisions, less postoperative pain, and improved cosmetics. Although MIS bunion surgery has been described in the past, early techniques were complicated by inadequate or poor fixation and complications related to the devices used for osteotomy. Recent technological advances and improved surgical techniques have led to a reemergence of MIS hallux valgus correction. 3rd generation MIS techniques have demonstrated promising results in short and midterm follow-up clinical studies. In this technique report, we aimed to describe preoperative evaluation, surgical technique, and postoperative management of MIS hallux valgus surgery.