Minimal Incision Surgery (MIS) for Bunions

When most people think of the words “bunion surgery,” they imagine it’s a single type of procedure.

But actually, there are currently more than 100 different techniques used by surgeons worldwide to address this common problem, ranging from simply shaving down the pronounced portion of bone to complex procedures to cut, realign, and sometimes even fuse bones. Each type of procedure has its own pros and cons, and may be more or less ideal to use depending on the unique circumstances.

At Texas Foot & Ankle Center, our physicians specialize in a variety of different state-of-the-art surgical techniques so that we may select a procedure that makes the best sense for your bunion and your lifestyle. And for many people with mild-to-moderate bunions, a minimally invasive or minimal incision surgery (MIS) will be at or near the top of the list.

What Is Minimally Invasive Bunion Surgery?

As the name suggests, minimal incision surgery for bunions requires much less cutting of the skin and tissues than other types of surgical approaches.

With a traditional open surgery procedure, a surgical incision of anywhere from 3 to 5 inches is usually required in order to “open up” the skin and tissue surrounding the deformity. This allows a surgeon to work using conventional surgical tools.

With a minimal incision procedure, only one or few very small incisions are required. The surgeon will make use of specialized tools to perform the necessary work without requiring a large, open incision.

What Are the Advantages of Minimally Invasive Bunion Surgery?

There are several significant potential advantages of minimally invasive bunion surgery when compared to most traditional types of procedures:

  • Less post-surgical pain.
  • Earlier return to weight-bearing activity in most cases.
  • Shorter overall recovery time and lower requirements for post-surgical rehab in most cases, since there’s less collateral damage to otherwise healthy tissues.
  • Lower risk of infection or other complications.
  • Less visible scarring.
  • General anesthesia is typically not necessary (although some may prefer it).
  • Often lower cost, especially if it allows you to avoid a trip to the hospital.

It is important to clarify that even “minimally invasive bunion surgery” is not a single type of procedure, but a category of different types of procedures we may pursue. And as with any type of surgery, individual results will vary, and success will also depend partly on how faithfully you follow through on your post-surgical care instructions at home.

Minimally Invasive Procedures Available at Texas Foot & Ankle Center

Some of the specific procedures we specialize in include:

  • Lapiplasty. While traditional bunion surgery only “shifts” a displaced metatarsal bone along a 2D plane, most bunions are actually displaced in three ways—outward, upward, and rotationally. Lapiplasty uses a small incision and positioning tool to rotate the metatarsal into place before any cuts to bone are made, then uses low-profile plates to stabilize the misaligned joint. It allows rapid weight bearing (usually within a few days of surgery), and bunions corrected via Lapiplasty have a significantly lower risk of recurring than bunions corrected via conventional surgeries. Learn more here.
  • DynaBunion. Similar to Lapiplasty, this is a relatively minimal incision procedure that also uses a specialized set of instruments to realign the metatarsal bone in all three dimensions, compress and hold the bones together in proper alignment during and after the surgery, and use low-profile hardware to stabilize the joint and keep bones from “drifting” in the years after surgery. Learn more here.
  • Novastep miFoot. This is the least invasive approach we offer, and requires only a few tiny incisions that bypass the joint at the base of the toe entirely. Because soft tissue damage is relatively minimal, this option tends to have the least post-surgical pain, the least scarring, and allows an immediate return to full weight bearing. Learn more here.

Is Minimally Invasive Surgery Right for Me?

Our experts will help determine whether you are a good candidate for a minimal incision surgery, or if a more traditional open incision would likely have better long-term results. For older patients with severe bunions or arthritis, an open procedure followed by fusing or removing the joint may be more appropriate.

Furthermore, if you have not yet fully exhausted non-surgical care options, such as footwear modifications or orthotics, we may recommend you pursue those first. Sometimes the need for any surgery can be delayed or prevented entirely.

In general, though, minimal incision surgery is often a great choice for people with mild-to-moderate bunions, those who work on their feet or have active hobbies, and those wanting a long-term solution that will impose the minimum amount of disruption in their daily life.

Stop Your Bunion Pain: Come See Us Today!  

Regardless of your situation, however, the best decision you can make about your bunion is always to come see us as soon as possible. The longer you wait, the worse your bunion will get—and the fewer effective treatment remedies will be available to you. To request an appointment with us at our office in the Lake & Garden District of East Dallas, reach out online or call us at (214) 660-0777.


Doctor's Professional Building 1

1151 N. Buckner Boulevard, Suite 201

Dallas, TX 75218

(214) 660-0777


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