Uploaded May 2025 | Updated September 2026, 1 week ago
In this surgical demonstration, Dr. Jim McWilliam from White Plains, NY presents a precise and effective technique for Minimally Invasive Exostectomy to treat a Type 1 Tailor’s Bunion, also known as a bunionette. This condition involves a bony prominence on the lateral aspect of the fifth metatarsal head, often causing discomfort and shoe irritation.
Using the Redfern classification, Dr. McWilliam explains that a Type 1 bunionette is characterized by a simple exostosis, which can be corrected without osteotomy. The procedure begins with a small percutaneous incision just proximal to the bony bump, minimizing trauma and enhancing cosmetic outcomes.
Dr. McWilliam uses a sharp curved elevator to gently lift the periosteum, preserving soft tissue while exposing the bone. A pilot hole is created using a straight burr under fluoroscopic guidance, ensuring precise targeting of the exostosis. This pilot track guides the wedge burr, which is used to perform the actual exostectomy through rotational movements, reducing heat generation and preventing burr breakage.
Throughout the procedure, Dr. McWilliam emphasizes the importance of irrigation to prevent thermal necrosis and soft tissue injury. He demonstrates both integrated irrigation and manual flushing using a syringe and blunt needle to remove bone debris.
The final result is a clean removal of the exostosis with minimal incision and tissue disruption. The dorsomedial placement of the incision helps avoid lateral shoe pressure, improving post-operative comfort and healing.
This technique is ideal for patients seeking a less invasive solution to bunionette pain and deformity. Whether you're a foot and ankle surgeon, podiatrist, or patient exploring treatment options, this video offers valuable insights into modern approaches to Tailor’s Bunion correction.
👉 Watch now to learn how minimally invasive tools and techniques are transforming foot surgery.
💬 Comment below with your questions or experiences. Don’t forget to like, subscribe, and share with others interested in orthopedic innovation.
👇 Helpful Arthrex Reference Links:
arthrex.info/3EUACJt
arthrex.com/foot-ankle
👍 Like, subscribe, and comment if you’d like to see more patient success stories and innovations in minimally invasive orthopedic procedures.
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
In this surgical demonstration, Dr. Jim McWilliam from White Plains, NY presents a precise and effective technique for Minimally Invasive Exostectomy to treat a Type 1 Tailor’s Bunion, also known as a bunionette. This condition involves a bony prominence on the lateral aspect of the fifth metatarsal head, often causing discomfort and shoe irritation.
Using the Redfern classification, Dr. McWilliam explains that a Type 1 bunionette is characterized by a simple exostosis, which can be corrected without osteotomy. The procedure begins with a small percutaneous incision just proximal to the bony bump, minimizing trauma and enhancing cosmetic outcomes.
Dr. McWilliam uses a sharp curved elevator to gently lift the periosteum, preserving soft tissue while exposing the bone. A pilot hole is created using a straight burr under fluoroscopic guidance, ensuring precise targeting of the exostosis. This pilot track guides the wedge burr, which is used to perform the actual exostectomy through rotational movements, reducing heat generation and preventing burr breakage.
Throughout the procedure, Dr. McWilliam emphasizes the importance of irrigation to prevent thermal necrosis and soft tissue injury. He demonstrates both integrated irrigation and manual flushing using a syringe and blunt needle to remove bone debris.
The final result is a clean removal of the exostosis with minimal incision and tissue disruption. The dorsomedial placement of the incision helps avoid lateral shoe pressure, improving post-operative comfort and healing.
This technique is ideal for patients seeking a less invasive solution to bunionette pain and deformity. Whether you're a foot and ankle surgeon, podiatrist, or patient exploring treatment options, this video offers valuable insights into modern approaches to Tailor’s Bunion correction.
👉 Watch now to learn how minimally invasive tools and techniques are transforming foot surgery.
💬 Comment below with your questions or experiences. Don’t forget to like, subscribe, and share with others interested in orthopedic innovation.
👇 Helpful Arthrex Reference Links:
arthrex.info/3EUACJt
arthrex.com/foot-ankle
👍 Like, subscribe, and comment if you’d like to see more patient success stories and innovations in minimally invasive orthopedic procedures.
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
