In contrast to minimally invasive techniques in other
locations in Germany, minimally invasive foot operations
are not yet widespread. These techniques were developed
and promoted in Spain in particular. For some years now,
however, the minimally invasive techniques of foot surgery have been increasingly used in German centers and are part of the training concepts of the German foot societies.
The surgical method allows multiple malpositions to be
operated on the foot at the same time. Although the
operation is only performed through stab incisions, the
procedures should be performed in a hospital. Whether the OP then performed on an outpatient or inpatient basis
depends on the extent of the deformities to be corrected. In most cases, regional anesthesia (numbing) of the foot is
sufficient. Targeted stab incisions are used to remove bonesusing special reamers. The bone axis is also corrected using special milling tools (osteotomies). This is done under
X-ray control in the operating room. The introduction of
metal implants (wire, screw, plate) is not necessary for
most of the corrections. Accordingly, there is no need for a
second intervention to remove the implants. Larger
corrections, however, can make it necessary to insert screwsor wires even with minimally invasive surgical techniques.
The small stab incisions in the skin must not hide the fact
that the basic principle involved here is the same operation as with the open procedure. This is expressed in the fact
that even after minimally invasive operations there is a
tendency for the foot to swell. Although this tends to be lesspronounced than with open techniques, it is nevertheless
Correct follow-up treatment is an essential part of the
surgical procedure. A special reducing bandage is applied inthe operating room to keep the foot and toes in the
corrected position. In addition, a special shoe is adapted.
Full weight bearing is allowed immediately in this shoe.
Depending on individual needs, crutches can also be used
for a few days. The first dressing change takes place after a week. The threads are pulled and a special splint is put on, which keeps the foot and toes in the correct position.
Overall, this splint must be worn day and night for a total of6 weeks after the operation. For a further 6 weeks, the
splint should then only be worn at night. During all this
time, a full load on the foot is permitted and desirable.