S3.E15 - Simplifying MIS in the Midfoot with Dr. Corine Creech

In this episode of MIS Adventures, hosted on InHouseCME.com, Dr. Jeff Dikis and Dr. Corine Creech delve into the intricacies of minimally invasive surgery (MIS) for the midfoot. They focus on procedures like the Lapidus, midfoot osteotomies, and midfoot fusions. They explore how these advanced techniques compare to traditional open surgeries, emphasizing the benefits of MIS in reducing soft tissue disruption and enhancing patient recovery. Dr. Creech shares insights on the critical role of preoperative planning, anatomical awareness, and mastering surgical techniques to ensure safety and optimal outcomes. The conversation also touches on the flexibility of MIS, which can be combined with open techniques for tailored treatment approaches.The episode further examines the literature on MIS, noting comparable long-term results with open surgery, particularly in recurrence rates and functional outcomes, while early postoperative benefits favor MIS. Dr. Creech provides technical pearls, such as starting with small burrs and protecting soft tissues, to enhance surgical precision and safety. The importance of assessing joint stability through clinical tests and radiographic evaluations is underscored, influencing procedure selection. The discussion also covers the evolution of postoperative protocols, encouraging quicker weight-bearing in MIS patients and meticulous hardware placement to prevent complications. Overall, the episode offers a comprehensive look at the advancements in MIS for midfoot surgery, providing valuable insights for both surgeons and patients.