Set It and Forget It: MIS Ankle Fusion and Reconstruction

Minimally invasive surgery (MIS) is reshaping ankle arthrodesis and reconstruction, allowing for reliable deformity correction and joint stabilization with less soft tissue disruption. “Set It and Forget It” dives into modern MIS ankle fusion techniques, including percutaneous joint preparation, biologic augmentation, and fixation strategies that promote immediate stability and durable union. The focus is on patient selection, alignment, and avoiding pitfalls like nonunion, malalignment, and wound complications.

The episode also explores MIS approaches to complex ankle reconstruction, from post-traumatic arthritis to revision cases. With an emphasis on efficiency, reduced morbidity, and evolving evidence, this discussion highlights why MIS is increasingly becoming a preferred approach—delivering reproducible outcomes while respecting the biology and biomechanics that ultimately determine success.