Salvage Mode Activated: Advanced MIS for Complex Limb Deformity

Salvage Mode Activated: Advanced MIS for Complex Limb Deformity is a surgeon-level deep dive into the evolving role of minimally invasive surgery in high-stakes foot and ankle reconstruction. This CME webinar moves beyond standard percutaneous bunion work and into true salvage territory—rigid multiplanar deformity, failed prior reconstruction, posttraumatic malunion, progressive Charcot collapse, and soft-tissue–compromised extremities. We will dissect patient selection criteria, deformity analysis strategies, and preoperative planning frameworks that allow surgeons to execute powerful corrections through limited incisions while preserving vascularity and biologic potential. Emphasis will be placed on osteotomy geometry, fixation strategy in constrained corridors, and maintaining mechanical alignment without sacrificing soft-tissue integrity.

The session integrates case-based discussion with technical pearls and complication avoidance strategies drawn from
real-world salvage scenarios. Topics include percutaneous realignment techniques, MIS arthrodesis in revision settings, fluoroscopic workflow optimization, and strategies for managing intraoperative and postoperative pitfalls unique to limited-exposure correction. We will also address the biomechanics behind achieving coronal, sagittal, and rotational correction through small incisions—because minimal exposure should never mean minimal correction. Attendees will leave with actionable algorithms, reproducible workflows, and a sharper framework for determining when MIS is an appropriate escalation strategy rather than simply a smaller incision.