Minimally invasive foot surgery has revolutionized the way we treat many common foot deformities and conditions. By using small incisions (usually 2 to 5 mm) and specialized instruments, this technique allows for precise corrections with minimal trauma to the surrounding tissues. As a result, patients experience less postoperative pain, faster recovery, and minimal scarring compared to traditional open surgery.
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Dr Borgi
Qualified in Orthopedic Surgery for about 30 years, Dr. R. Borgi has been practicing ankle and foot surgery for more than a decade. He has published several articles and numerous books, one of which was prefaced by Professor R. Merle d’Aubigné and the other by Dr. J. Judet.
- C.E.S: Certificate of Special Studies in Sport Medicine and Biology and kinesiology
- Higher Education: Certificate of Higher Education in Biomechanics of the Musculoskeletal System and Kinesiology.
- Books of Dr Richard Borgi
Most common diseases
Hallux Valgus
Hallux valgus, commonly known as a bunion, is a painful deformity. It can make wearing regular shoes difficult and, in the early stages, the pain may become unbearable.
Learn more about Hallux Valgus
Quintus Varus
This condition affects the fifth toe, the smallest one. Symptoms begin with pain and stiffness. Over time, a hyperkeratosis (thickened skin) develops on the dorsal part of the toe.
Claw Toe
This condition affects one or more toes. In the initial stage, the deformity is reducible, but over time, it progresses to stiffness.
Anterior Round Forefoot
This deformity involves the distal metatarsal epiphysis. The physiological architecture of the metatarsal heads forms a concave curve.
Hallux Rigidus & Hallux Limitus
This condition is more common in men. It manifests as pain and/or stiffness in the big toe. It can sometimes cause limping and difficulty wearing shoes. The shoe becomes uncomfortable to wear and causes friction against the bone.
Morton's neuroma
It's the formation of a neurologically derived swelling, 4 to 8 mm in diameter, originating from an interdigital plantar nerve located in the metatarsal space. Mechanically induced, neuroma is exacerbated by tight footwear and is more common in women. It may regress spontaneously.
Achilles Tendons
It is the largest and longest tendon in the body. Essential for walking, it has a propulsive effect and therefore must be very powerful. Also called the calcaneal tendon, it extends from the calf muscle and inserts into the calcaneus. It spans two joints: the knee and the ankle. It connects the triceps muscle to the heel.
Ankle Arthroscopy
It is a surgical procedure performed through percutaneous methods (2 to 3 puncture incisions), using an optic and camera to visualize the various compartments, thereby allowing a systematic exploration for diagnostic confirmation and therapeutic interventions.
Ingrown Toenail
It's a wound caused by a fragment of the nail penetrating the surrounding skin, which can vary in inflammation and infection levels, manifesting as redness, pain, and varying degrees of serous or purulent discharge. This condition commonly affects the big toe nail and can occur on the side or front of the nail.
Flatfoot
It's a foot with a widened footprint. Clinically, the inner arch is less pronounced, or even absent. Radiographic assessment shows normal axes, and in some advanced cases, there may be a misalignment of the bones of the first ray with the talus, the first cuneiform, and the navicular bone, with a downward collapse of the line on the profile.
Minimally Invasive Foot Surgery Techniques for the Forefoot
Minimally invasive foot surgery is an advanced surgical technique that uses very small incisions—typically 1 to 2 cm—to perform procedures that would otherwise require larger, more invasive approaches. This method has two key implications. First, the surgeon has limited direct visual access to the surgical site. Second, the procedure requires the use of specialized, ultra-precise instruments specifically designed for minimally invasive and percutaneous forefoot surgery. To overcome visual limitations, the surgery is performed with real-time imaging guidance, using a type of radiographic system similar to televisual X-ray. This advanced technology allows the surgeon to monitor every movement and anatomical correction live, ensuring maximum precision in areas that cannot be seen directly. This approach minimizes trauma to surrounding tissues, supports faster recovery, and offers excellent functional and aesthetic results—especially for procedures like hallux valgus correction.What is minimally invasive foot surgery?
Limited approaches (10%)
Few tissue detachments,
Faster healing, quicker recovery,
Lower complication rates:
Including fewer infections, less neuro-algodystrophy (or Complex Regional Pain Syndrome = CRPS),
Less precision, requiring television radiography
Increased risk of radiation for healthcare providers,
Paradigm Shift:
Mini-invasive and percutaneous surgery in foot surgery is to visceral surgery what Laparoscopy is to Visceral Surgery,
Mini-invasive and percutaneous surgery is to Meniscectomy what Arthroscopy is.
Who?
In young individuals
In the elderly:
In major deformities
In minor deformities
By whom?
Orthopedic surgeons skilled in MIS techniques.
How?
In a dedicated setting with appropriate instruments and adequate training, along with a low radiation amplifier.
Dedicated equipment for minimally invasive foot surgery.
Learn more ...
Minimally Invasive Approaches to Hallux Valgus Recurrence
Hallux valgus, commonly known as a bunion, is a frequent forefoot deformity, affecting mainly women. It is characterized by the deviation of the big toe
How to prevent Hallux Valgus and slow its progression
Hallux valgus, more commonly known as a bunion, is a progressive deformity of the big toe that is often painful and unsightly. It primarily affects
Hallux Valgus and Index Minus
This article is intended for both patients and healthcare professionals. It focuses on the relationship between hallux valgus and index minus—two often-associated yet not always
The pathologies described and the treatments indicated in various paragraphs of this site are merely indicative. Only a professional can advise you and a surgeon specialist explain to you during a consultation your pathology and choose, if necessary, with you, the appropriate treatment and the most adapted to your own organization and your own particular case.
It is now accepted that smoking increases the risk* (skin and bone) in the case of foot surgery by a factor of 2 to 10. Smoking thus leads to a disruption of the natural vascular phenomenon* of wound healing ( = Scarring), which can lead to a disunion of the scar, or even a cutaneous necrosis* to which is added a risk of delay or even lack of consolidation of the bone. Therefore, it is strongly recommended to stop smoking 6 weeks* before surgery and 6 weeks after.
* These risks are: a higher rate of post-operative complications, including disorders of wound healing (incisions). Cicatrization is the natural phenomenon, which allows surgical incisions to heal by closing and which tobacco obstructs or even disturbs. If there is a risk of post-operative edema (varicose veins, varicosities, venous disturbances, and in particular any disorder in the return of blood to the veins), then the risk associated with smoking is increased by blood stagnation In the operated areas and by the appearance of prolonged edema, which by pulling on the sutures of the incisions, slows down the normal process of scarring.
This information does not replace a medical consultation.