S3.E27 - Minimally Invasive Ankle Joint Fusions with Dr. Ettore Vulcano, MD

MIS-Adventures is originally hosted on InHouseCME.comFor the full video episode, visit: https://inhousecme.com/programs/186Most surgeons shy away from minimally invasive ankle fusion because they think it’s too hard. Dr. Volcano flips that narrative on its head, revealing how mastering MIS approaches can actually simplify your workflow, reduce complications, and elevate patient care—once you understand the nuances. If you're tired of wading through complex open procedures that often lead to wound issues or prolonged recovery, this episode is your game-changer. You’ll discover why preserving the joint’s vascular envelope during MIS can lead to a higher fusion rate—contrary to the myth that open surgery offers better visualization. Dr. Volcano explains the critical role of tactile feedback with the burr, the importance of avoiding thermal injury, and how to systematically prep the joint in quadrants for cleaner, faster results. He shares insider tips on choosing the right burrs, leveraging ankle motion instead of distraction, and confidently navigating the learning curve through open procedures—without cadavers.We break down practical steps from patient positioning to portal placement, from gauging completion with tactile cues to verifying fuse success with post-op CT scans at three months. Expect insights into managing deformities, optimizing screw orientation, and using biologics effectively to prevent non-unions. Whether you’re a seasoned surgeon curious about expanding into MIS or a newbie seeking a confident entry point, this episode empowers you with real-world strategies that make MIS anesthesia-safe, efficient, and repeatable.In a broader context, embracing MIS for ankle fusions isn’t just innovative—it’s essential to stay competitive in a patient-driven market demanding less invasive, more predictable outcomes. Don’t get left behind doing things the old way when the future of ankle surgery is already here.Perfect for orthopedic surgeons ready to elevate their minimally invasive skills, this episode demystifies the technique, answers your toughest questions, and inspires confidence to incorporate MIS ankle fusion into your practice. Tune in, level up, and see how small portals can make a big difference.