Realignment of the Hindfoot: MIS Techniques in Fusions

Minimally invasive surgery (MIS) is expanding the toolkit for hindfoot realignment, allowing surgeons to correct complex deformities while minimizing soft tissue disruption. “Realignment of the Hindfoot” focuses on MIS fusion techniques for the subtalar, talonavicular, and calcaneocuboid joints, with an emphasis on restoring alignment in all three planes. The episode breaks down percutaneous joint preparation, deformity correction strategies, and fixation constructs that provide both stability and precision—without the morbidity of extensile exposures.

Beyond technique, the discussion centers on the decision-making that drives successful outcomes: when to fuse, which joints to include, and how to avoid under- or overcorrection. Special attention is given to weightbearing alignment, compensation at adjacent joints, and the limitations of indirect visualization. Whether addressing progressive flatfoot, cavovarus deformity, or post-traumatic arthritis, this episode highlights how MIS fusion can achieve powerful realignment with a lighter surgical footprint.