Correction of Hallux Valgus Deformity Using the Mini TightRope Device

The correction of the first intermetatarsal angle (IMA) has by and large relied on a distal or proximal osteotomy of the first metatarsal. In addition to being potentially technically challenging, these osteotomies are also prone to the complications of shortening, dorsiflexion angulation, delayed union, and nonunion. The use of fiberwire-attached metallic buttons to close and maintain the IMA provides an innovative alternative to the technical challenges and potential complications associated with traditional metatarsal osteotomies. This article describes the surgical technique for the correction of the IMA component of hallux valgus deformity.