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Technique Tips: Fixation of the Proximal First Metatarsal Crescentic Osteotomy with the Small Cannulated Screw System

The purpose of this article is to bring attention to the existence of a small-fragment cannulated screw system which can be used in fixation of the first metatarsal crescentic osteotomy for hallux valgus correction. Most technical descriptions of the first metatarsal osteotomy fixation stabilize the osteotomy with a large, smooth Steinmann pin, a series of K-wires, or a smallfragment noncannulated screw. Potential complications with these techniques include pin irritation, pin tract infection, inadequate fixation preventing early weightbearing, or the technical difficulty experienced with attempted standard screw placement. The authors present their technique and experience with the A 0 3.5-mm small cannulated screw system.