S3.E31 - MIS Hindfoot Fusion Techniques with Dr. Tyler Gonzalez, MD

Dr. Jeff Dikis and expert guest Tyler Gonzalez reveal how minimally invasive techniques can revolutionize complex hindfoot fusions. Discover why even your most challenging cases—like calcaneal osteotomies and subtalar fusions—are ripe for a less invasive approach that lowers complication rates and accelerates recovery.

In this episode, Tyler Gonzalez MD, shares his insights on mastering MIS in the hindfoot. You'll learn: the step-by-step setup for MIS subtalar and TN joint fusions, including portal placement and anatomical landmarks; how to assess joint prep effectively with fluoroscopy and nanoscopes; and the critical importance of proper fixation versus meticulous joint preparation—arguing that the latter may be most vital for union success.

We break down specific tips to avoid common pitfalls, like bone over-resection and skin burns, emphasizing soft tissue preservation over traditional open techniques. Tyler reveals his preferred biologic grafting strategies—combining autograft and allograft for optimal union—and discusses his postoperative protocols that promote faster healing with fewer wound complications. The conversation even covers how to adapt MIS principles for severe deformities, including flat feet and severe hindfoot valgus, making high-level reconstruction accessible to skilled surgeons.

If you're ready to expand your surgical "armamentarium" with safe, effective MIS techniques for complex hindfoot cases, this episode delivers the proven methods and expert insights to transform your practice.