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Minimally invasive foot surgery (MIS)

What does ist mean ?

Minimally invasive foot surgery (MIS – Minimal Incision Surgery) describes all the surgical methods for correcting malpositions of the foot, which are carried out via very small skin incisions. 


Instead of using a saw, the surgeon can use specially developed instruments (burrs) to correct the position of the bones without damaging the tissue. Thanks to the small skin incisions, it is possible to effectively protect the vessels, tendons and nerves, which are usually more strongly affected by the conventional technique. The wounds heal very quickly, the suture material does not have to be removed. The fixation material used (4mm thick titanium screw) was specially developed for the MIS technique and does not have to be removed later either.

What am I in for ?

Advantages of the method

Important information

What am I in for ?

After careful preparation for the operation, the corrective surgery is performed via 3-4 skin incisions. This usually takes no longer than 30 minutes. The result is checked with the help of an X-ray image. The skin suture is self-soluble and does not have to be removed.

Advantages of the method

This special technique offers the possibility to operate precisely and gently at the same time. It can also be described as a „keyhole technique“ of foot surgery. Due to the minimal soft tissue damage, both the risk of post-operative swelling and pain are reduced.  Wound healing disorders and infections practically no longer occur. In most cases you are allowed to put full weight on the foot after the operation.

Important information

Since the minimally invasive technique is also a surgical procedure, the general surgical complications: bleeding, infection, thrombosis and embolism are possible.

The risk is negligible in comparison to conventional operations !

Your surgeon

Dr. Pawel Chomej has been using the minimally invasive (MIS) technique to correct foot deformities for 8 years now. He is a pioneer of this surgical technique in Saxony and has successfully performed over 3500 operations to date.

He is recognized by both German foot surgery societies (D.A.F. and GFFC) as a specialist in the field of minimally invasive foot surgery and promotes the technique as an instructor and speaker at national and international surgery courses and congresses.

On the right picture you can see the result of a minimally invasive hallux valgus correction surgery on the first postoperative day.

On the picture you see yellow circles around the skin incisions of the MIS technique. These are no longer visible after a few weeks.

The blue lines show skin incisions as they would have been used in conventional surgery.

Minimalinvasive Fußchirurgie Schnittführung
Fuß vor der Operation mit Hallux valgus und einer Hammerzehe.

Lont-term results

In general opinion and also in the technical literature there are repeated reports about the reappearance of the hallux valgus malposition after an operation.

In medical jargon, this phenomenon is referred to as a reoccurrence. 

The risk of reoccurrence is significantly lower with the minimally invasive technique compared to conventional methods. However, it is not always possible to completely exclude this risk.

Fuß nach minimalinvasiver Fußoperation.

Do you have any questions ?

All questions concerning the operation will be answered in a detailed informative conversation. We are looking forward to you !