S3.E19 - MIS Achilles: Zadek, Haglund's and Rupture with Dr. Tyler Gonzalez

S3.E27 - Minimally Invasive Ankle Joint Fusions with Dr. Ettore Vulcano, MD

MIS-Adventures is originally hosted on InHouseCME.com For the full video episode, visit: https://inhousecme.com/programs/186 Most surgeons shy away from minimally invasive ankle fusion because they think it’s too hard Dr. Volcano flips that narrative on its head, revealing how mastering MIS approaches can actually simplify your workflow, reduce complications, and elevate patient care—once you understand the nuances. If you're tired of wading through complex open procedures that often lead to wound issues or prolonged recovery, this episode is your game-changer. You’ll discover why preserving the joint’s vascular envelope during MIS can lead to a higher fusion rate—contrary to the myth that open surgery offers better visualization. Dr. Volcano explains the critical role of tactile feedback with the burr, the importance of avoiding thermal injury, and how to systematically prep the joint in quadrants for cleaner, faster results. He shares insider tips on choosing the right burrs, leveraging ankle motion instead of distraction, and confidently navigating the learning curve through open procedures—without cadavers. We break down practical steps from patient positioning to portal placement, from gauging completion with tactile cues to verifying fuse success with post-op CT scans at three months. Expect insights into managing deformities, optimizing screw orientation, and using biologics effectively to prevent non-unions. Whether you’re a seasoned surgeon curious about expanding into MIS or a newbie seeking a confident entry point, this episode empowers you with real-world strategies that make MIS anesthesia-safe, efficient, and repeatable.In a broader context, embracing MIS for ankle fusions isn’t just innovative—it’s essential to stay competitive in a patient-driven market demanding less invasive, more predictable outcomes. Don’t get left behind doing things the old way when the future of ankle surgery is already here.Perfect for orthopedic surgeons ready to elevate their minimally invasive skills, this episode demystifies the technique, answers your toughest questions, and inspires confidence to incorporate MIS ankle fusion into your practice. Tune in, level up, and see how small portals can make a big difference.

S3.E26 - Don’t Let a Company Steal Your Idea: Patents, Prototypes, & Protection with Dr. Rob Amiot, DPM

This Episode is Brought To You By: www.PodiatryGrowth.com/PodPatrol In this episode, Dr. Rob Amiot shares his firsthand experience navigating the complex journey of developing and protecting medical device innovations, especially for surgeons interested in entrepreneurship. He breaks down the realities of bringing an idea to market, including how to protect intellectual property, build prototypes, and think strategically about commercialization so you can avoid common mistakes and move forward with more confidence. The conversation covers the myth of overnight success, the importance of filing a provisional patent early, how to work with engineers and gather honest feedback, and what it really takes to get a product through FDA approval and into hospitals. Dr. Amiot also explains why pivots matter, how to identify unmet needs in surgery, and why surrounding yourself with the right people is essential when building something new.

S3.E25 - Minimally Invasive Ankle Fracture Techniques with Dr. Brian Burgess, DPM

In this episode, Dr. Jeff Dikis and Dr. Brian Burgess delve into the latest advancements in minimally invasive ankle fracture management. They discuss the benefits of fibular nails, offering practical tips for reduction and fixation while emphasizing the importance of soft tissue preservation. This conversation provides surgeons with valuable insights into optimizing patient outcomes through innovative techniques. Listeners will gain an understanding of the evolution of MIS ankle fracture techniques, key considerations in fibular nail selection, and strategies for balancing anatomic reduction with soft tissue care. The episode also highlights patient-centered decision-making and early mobilization strategies, making it a must-listen for those aiming to enhance their surgical practice.

S3.E24 - Under Pressure: Surgical Offloading Tricks with Dr. Haywan Chiu, DPM

In this episode, Dr. Haiwan Chu delves into innovative offloading techniques in limb salvage, focusing on practical strategies to enhance healing in complex diabetic foot ulcers. He shares insights on minimally invasive procedures like medial band plantar fasciotomy and discusses the role of social media in spreading surgical innovations. Dr. Chu provides a step-by-step guide to percutaneous medial band release and highlights criteria for patient selection, emphasizing the importance of biomechanical considerations and vascular health in ulcer management. Listeners will gain valuable knowledge on managing complications such as transfer ulcers and the limitations of MRI in diagnosing osteomyelitis. Dr. Chu also explores the evolving role of AI and social media in clinical decision-making and training, offering a comprehensive view of current and future trends in limb salvage surgery. This episode is a must-listen for those looking to expand their surgical toolbox with evidence-based approaches that improve patient outcomes.

S3.E23 - MIS Complex Limb Deformity Correction with Dr. Kelsey Millonig

Full Video Episode is hosted at InHouseCME.com In this episode of "MIS Adventures," Dr. Jeff Dikis and Dr. Kelsey Millonig delve into the intricacies of minimally invasive surgery (MIS) for complex limb deformities and hind foot salvage. Dr. Millonig shares her expertise in managing challenging cases, emphasizing the importance of understanding soft tissue release and muscular imbalance in deformity correction. They explore various surgical techniques, including calcaneal osteotomy and tendon transfers, providing practical insights for surgeons looking to enhance their MIS skills. The discussion also covers the management of complex Charcot cases, combining MIS with open approaches for optimal outcomes. Dr. Millonig highlights the significance of thorough preoperative planning, intraoperative assessment, and the use of external fixation for limb lengthening and stabilization. This episode offers valuable guidance for surgeons and trainees aiming to refine their approach to MIS, blending technical mastery with strategic planning for improved patient care.