HAT-TRICK◊ MTP Joint Repair
Metatarsophalangeal instability is commonly present with lesser toe deformities. Current standard of treatments often lead to complications like floating toes, loss of ROM, stiffness and residual pain.1, 2
The HAT-TRICK MTP Joint Repair System provides a complete repair of the lesser MTP joint that is less invasive and more anatomic than standard of care techniques.
- Allows for controlled tensioning of both plantar plate and collateral ligaments.
- No required metatarsal osteotomy
- No screw fixation required
- No release of the plantar plate from the metatarsus
- Anatomic reattachment of collateral ligaments
- Anatomic distal reattachment of plantar plate
- Maintains the biomechanical axis, which can be lost when performing a metatarsal osteotomy
DART SUTURE PASSER◊ - DART (Direct Anterior Repair Technique) SUTURE PASSER allows for access to plantar plate without an osteotomy
Offset Drill Guide - Short and long offset drill guides allow for drilling of two bone tunnels that do not intersect
Suture Tensioner and PEEK Interference Wires - Allows for controlled tensioning of the ligament repair
1. Barg A, Courville XF, Nickisch F, Bachus KN, Saltzman C. Role of Collateral Ligaments in Metatarsophalangeal Stability: A Cadaver Study. Foot Ankle Int 2012; 33:877-882.
2. Myerson M, Jung HG. The Role of Toe Flexor-to-Extensor Transfer in Correcting Metatarsophalangeal Joint Instability of the Second Toe. Foot Ankle Int 2005; 26: 675-679.
3. Angirasa AK, Barrett MJ, Silvester D. Smart Toe® Implant Compared with Kirschner Wire Fixation for Hammer Digit Corrective Surgery: A Review of 28 Patients. J Foot Ankle Surg 2012; 51:711-713.
4. Saltzman C. “The Development of a Novel Repair Technique for Metatarsophalengeal Instability Utilizing Cadaver Validated Computer Modeling: A Comparison with Current Techniques”
International Foot & Ankle Conference. 2012 Sydney, Australia.
5. Internal testing