J Korean Foot Ankle Soc.  2024 Dec;28(4):139-145. 10.14193/jkfas.2024.28.4.139.

Minimally Invasive Bone Surgeries Using the Shannon Burr for Midfoot and Hindfoot Problems: A Literature Review

• Choi JY
• Park CH
• Suh JS

• KMID: 2562450
• DOI: http://doi.org/10.14193/jkfas.2024.28.4.139

Abstract

Since the mid-2010s, the use of Shannon burrs for osteotomies and other bony procedures has facilitated the widespread adoption of minimally invasive surgery (MIS) in forefoot surgeries, particularly for conditions such as hallux valgus. This review extends the discussion by exploring the application of MIS techniques in midfoot and hindfoot bone surgeries, as presented in the literature. The midfoot conditions reviewed included Charcot neuroarthropathy, while hindfoot conditions encompassed hindfoot malalignment and the management of intractable insertional Achilles tendinopathy associated with a Haglund deformity. The key considerations for achieving optimal surgical outcomes and the essential precautions to mitigate postoperative complications are discussed. This review provides valuable insights for advancing MIS approaches in midfoot and hindfoot surgeries.

Keyword

Midfoot; Hindfoot; Minimally invasive surgery; Percutaneous surgery; Shannon burr

Figure

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  Figure 1 Shannon burr set used in the surgical procedure. The set includes various sizes and types of burrs designed for precise cutting and shaping during minimally invasive surgeries.

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  Figure 2 Minimally invasive calcaneal osteotomy for Haglund deformity. Minimally invasive dorsal closing wedge calcaneal osteotomy with cannulated screw fixation may serve as an excellent alternative to open surgery for managing intractable insertional Achilles tendinopathy associated with Haglund deformity.

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