{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:49:50Z","timestamp":1782398990235,"version":"3.54.5"},"reference-count":14,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T00:00:00Z","timestamp":1655856000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>Minimally invasive surgery (MIS) is a growing technique that favors faster recovery and cosmetic results. We propose a recommended osteotomy position or \u201cMIS Sweet Spot\u201d to make the procedure more reproducible and lessen the learning curve to improve outcomes. A total of 211 patients from 3 surgeons between 2 different study centers were included in a retrospective radiograph measurement analysis and a cadaveric dissection to confirm the safety of nearby anatomical structures. An average distance of 2.2 cm proximal from the first metatarsophalangeal joint was found as the \u201cSweet Spot\u201d to perform the transverse osteotomy. At this distance, neurovascular and tendinous structures were unharmed and the osteotomy remained extracapsular. Furthermore, an average of 10.7\u00b0 of intermetatarsal angle reduction and a reduction of tibial sesamoid position of 3 points were achieved. A predictable and measurable distance for osteotomy placement will help to provide more confidence in producing the bunionectomy osteotomy with the specialized tools used in MIS and can help to reduce operative time and improve results.<\/jats:p>\n                  <jats:p>Level of Clinical Evidence (LOCE): 3<\/jats:p>","DOI":"10.1177\/19386400221101950","type":"journal-article","created":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T05:40:46Z","timestamp":1655876446000},"page":"358-364","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Radiographic and Cadaveric Analysis of Minimally Invasive Bunionectomy Osteotomy Position\u2014\u201cMIS Bunion Sweet Spot\u201d"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8700-0385","authenticated-orcid":false,"given":"Rikhil","family":"Patel","sequence":"first","affiliation":[{"name":"Family Foot and Leg Center, Naples, Florida"},{"name":"FFLC Reconstruction and Limb Salvage Surgical Fellowship Program, Naples, Florida"},{"name":"Annapolis Foot and Ankle Center, Annapolis, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9280-250X","authenticated-orcid":false,"given":"Noman","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Rubin Institute for Advanced Orthopaedics, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Dreyer","sequence":"additional","affiliation":[{"name":"Family Foot and Leg Center, Naples, Florida"},{"name":"FFLC Reconstruction and Limb Salvage Surgical Fellowship Program, Naples, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Lam","sequence":"additional","affiliation":[{"name":"Family Foot and Leg Center, Naples, Florida"},{"name":"FFLC Reconstruction and Limb Salvage Surgical Fellowship Program, Naples, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineela","family":"Ayyagari","sequence":"additional","affiliation":[{"name":"DVA Maryland\/Sinai Rubin Institute for Advanced Orthopaedics Residency Program, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandru","family":"Onica","sequence":"additional","affiliation":[{"name":"Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6,22]]},"reference":[{"key":"bibr1-19386400221101950","first-page":"508","volume":"2","author":"Reverdin J.","year":"1881","journal-title":"Trans Int Med Congr"},{"key":"bibr2-19386400221101950","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2009.01.007"},{"key":"bibr3-19386400221101950","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2019.03.021"},{"key":"bibr4-19386400221101950","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.06.027"},{"key":"bibr5-19386400221101950","unstructured":"Lam K, Patel R, Merrill T. Minimally Invasive Bunionectomy: The Lam Modification of the Traditional Distal First Metatarsal Osteotomy Bunionectomy. Podiatry Today. 2017:3-6. http:\/\/www.podiatryinstitute.com\/pdfs\/Update_2017\/Chapter2_final.pdf. Accessed November 6, 2018."},{"key":"bibr6-19386400221101950","doi-asserted-by":"crossref","unstructured":"de Prado M, Ripoll PL, Golan\u00f3 P. Minimally Invasive Surgery. Barcelona: AYH Publisher; 2009:3-123.","DOI":"10.1007\/978-1-84996-417-3_1"},{"key":"bibr7-19386400221101950","first-page":"23","volume-title":"Textbook of Bunion Surgery","volume":"1981","author":"Hass M."},{"key":"bibr8-19386400221101950","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2014.08.010"},{"key":"bibr9-19386400221101950","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400405"},{"key":"bibr10-19386400221101950","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2016.11.004"},{"key":"bibr11-19386400221101950","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2019.04.012"},{"key":"bibr12-19386400221101950","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(02)80017-5"},{"key":"bibr13-19386400221101950","doi-asserted-by":"publisher","DOI":"10.7547\/15-038"},{"key":"bibr14-19386400221101950","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2017.05.004"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19386400221101950","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19386400221101950","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19386400221101950","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:31:54Z","timestamp":1777411914000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19386400221101950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,22]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1177\/19386400221101950"],"URL":"https:\/\/doi.org\/10.1177\/19386400221101950","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,22]]}}}