HAT-TRICK MTP Bilateral Repair

Smith & Nephew’s newest installment into the interactive educational series is the MTP joint stabilization (Plantar plate repair and collateral ligament repair). Flexor tendon transfers and Weil osteotomies often lead to loss of ROM, stiffness, and residual pain.The HAT-TRICK MTP System provides a complete repair of the lesser MTP joint that is less invasive and more anatomic than standard of care techniques. Benefits of the HAT-TRICK System include (1) Anatomic reattachment of collateral ligaments (2) Anatomic distal reattachment of the plantar plate (3)  Preservation of the biomechanical axis, which can be lost when performing a metatarsal osteotomy (4) Elimination of the need to release the plantar plate from the metatarsus (5) Controlled tensioning of collateral ligaments and plantar plate.


This system may be used in conjunction with the complete HAT-TRICK Lesser Toe Repair System, which also includes the HAT-TRICK PIP Fusion system (for hammertoe repair) and the HAT-TRICK Metatarsal Osteotomy Guide. 


This technique guide was prepared under the guidance of several physicians. It is provided for educational and informational purposes only. It contains a summary of medical techniques and opinions based upon the surgeon’s training and expertise in the field, along with his knowledge of Smith & Nephew's Extremities portfolio of  products. Smith & Nephew does not provide medical advice and this technique guide is not intended to serve as such. It is the responsibility of the treating physicians to determine and utilize the appropriate products and techniques according to their own clinical judgment for each of their patients. For more information on the products in this surgical technique, including indications for use, contraindications, effects, precautions and warnings, please consult the products' Instructions for Use (IFU).