New Clinical Insight: From Open Surgery to Minimally Invasive Foot and Ankle Surgery

Dear Colleagues,

Minimally invasive surgery, in its various forms—percutaneous, arthroscopic, or minimally invasive—has seen incredible growth over the last 10 years, especially after being demonized in the 1980s and 1990s. Pioneers of this type of surgery have continued to study the techniques, and as is well known, some of them, such as Stephan Isham, Mariano De Prado, Pau Golano, in the United States and Spain, gave initial impetus to a movement that has now led to the creation of national societies for the study and development of minimally invasive surgery, foremost among them the French school, Grecmip, which later became the International Society for Minimally Invasive Surgery (MIFAS) and has reached every corner of the globe. Moreover, this movement does not stop at the professional level.

In an age where media pressure is increasingly strong and patients have access to all kinds of information, orthopedic surgeons are increasingly exposed to demands for minimally invasive procedures. Also, although some aspects of minimally invasive surgery offer clear advantages, especially the fact that it requires only small incisions, a surgeon accustomed to traditional surgery may wonder whether it is worth starting to practice techniques that, although similar, have different technical aspects and often do not allow the result to be visually verified, something that is possible in open surgery.

These and other aspects mean that many surgeons are still skeptical today, and the literature does not clarify the benefits of one technique over another in some respects.

The purpose of this Special Issue is to identify aspects that still require clarification and to try to fill the knowledge gaps in the transition from open to minimally invasive surgery.

This Special Issue addresses the aforementioned advances in orthopedic trauma surgery based on a combination of original research and review papers.

Dr. Enrique A. Testa
Dr. Daniel Poggio
Guest Editors

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