Round Table Discussion of MIS of the Foot and Ankle
Mark Easley: I have invited several of the contributing authors to participate in a roundtable discussion of minimally invasive surgery (MIS) for the foot and ankle. I am pleased to share the thoughts and expertise of Juha Jaakkola, Brad Lamm, Nicola Maffulli, Martinus Richter, Robert Rozbruch, and Steve Shapiro. While all of our contributing authors provide valuable insights to MIS in their respective chapters, I anticipate that this roundtable discussion will provide the reader with an important overview of current concepts in MIS as they pertain to the management of foot and ankle disorders.
While several techniques for the management of foot and ankle pathology have traditionally been performed with limited incisions, for example fixation of fifth metatarsal fractures, the concept of minimally invasive surgery for the foot and ankle has only recently gained appreciable attention. In my opinion, the evolution of MIS for the foot and ankle lags behind that for the knee, hip, spine, shoulder, and trauma surgery. Nicola, what is your view of the apparent lag of MIS in foot and ankle surgery?