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Minimally Invasive Surgery


How did Minimally Invasive foot surgery start?
Minimally invasive or percutaneous foot surgery was first described by Dr Polokoff in 1945. In the 1960′s and 1970′s, this technique began to be taught at University levels in the United States. In the 1980′s, an American surgeon, D. Isham, was the first to develop surgical techniques for the treatment of bunions and deformities of the lesser toes among other conditions. In the late 1990’s, the procedure became very popular in Europe thanks to Dr de Prado. In 2002, the MIFAS (Mini Invasive Foot and Ankle Society) was founded by a group of European surgeons with Dr Isham and Dr de Prado. Currently, it is an international society which is dedicated to teach and develop new techniques across the world.


What is Minimally Invasive Surgery?
Typically, open surgical techniques require large incisions and more aggressive techniques to effectively resolve the different foot deformities. This leaves a greater section of tissue to heal and thus, larger scars.
Minimally Invasive surgery (MIS) or percutaneous surgery, allows for interventions to be performed through smaller skin incisions without direct exposure of the surgical field. This generates minimal injury to the adjacent tissues, therefore decreasing healing time and achieving the best cosmetic result. Radiographic visualization of the surgery guides the surgical manoeuvres and helps to achieve the best possible outcome.
A few or no stitches are used to close the surgical cut and a small bandage protects the area. The patient leaves the Hospital walking on the same day in most of the cases.
Patients to undergo this type of technique are selected case by case. Dr Di Nallo will offer this to you if he believes you will benefit from this surgical option.