Special Focus: Revision Forefoot Surgery – How to Improve?Lesser Metatarsal Complications After MIS SurgeryKhazen, Gabriel MD*; Wagner, Pablo MD†; Wagner, Emilio MD†Author Information *Clinicas Caracas Hospital (foot and ankle surgeon), Av Panteón, San Bernardino, Caracas, Venezuela †Santiago German Clinic (foot and ankle surgeon), Universidad del Desarrollo,Vitacura, Santiago, Chile The authors declare no conflict of interest. Address correspondence and reprint requests to Gabriel Khazen, MD, Hospital de Clinicas Caracas, Av Panteón, San Bernardino, Caracas 1050, Venezuela. E-mail: firstname.lastname@example.org. Techniques in Foot & Ankle Surgery: March 2017 - Volume 16 - Issue 1 - p 28-33 doi: 10.1097/BTF.0000000000000147 Buy Metrics Abstract Minimally invasive surgery (MIS) for lesser metatarsals is performed through percutaneous incisions, with minimal scar formation. Nevertheless, MIS can have significant complications that may result in poor outcomes, forefoot pain, and metatarsalgia requiring further complex open revision surgery. These complications occur after inappropriate or poor surgical technique, lack of surgeon’s experience, and poor patient selection. The most frequent complication is metatarsalgia that occurs secondary to metatarsal malunion or nonunion. MIS is a technique that has to be carefully chosen for specific morbidities and performed only under experienced hands. Level of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.