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Thermann Hajo M.D.; Krettek, Christian M.D.; Tscherne, Harald M.D.; von Glinski, Sabine M.D.
Techniques in Orthopaedics: September 1999
Minimally Invasive Orthopaedics: Articles: PDF Only


Minimally invasive surgery in foot trauma is defined as a surgical intervention by using minimal portals and minimal hardware. The compromised soft tissue is treated carefully with blunt dissection with bridges of soft tissue envelope. Small tools are used for reduction procedures and the hardware is inserted percutaneously. This article gives an overview of the techniques and indications for minimally invasive surgery in foot trauma. The indication is always given when we are able to improve the outcome prognosis of an injury treated conservatively in cases in which open surgery is impossible. Most of the cases are severe soft tissue trauma (acute or when presented delayed), polytraumatized patients, and elderly patients with soft tissue problems resulting from general diseases (diabetes, vascular diseases). Other indications are injuries with dislocations in which an anatomic reduction with a minimally invasive osteosynthesis is possible. We are not able to provide outcome results because we still have small numbers and a short period of follow up.

© 1999 Lippincott Williams & Wilkins, Inc.