HAT-TRICK MTP Joint Repair

beforeandafterYour Metatarsophalangeal joint (MTP) connects your phalanges (bones of the toes) to the longer metatarsal bones in your foot. This joint forms the ball of the foot. Deformities of the lesser toes (all but the big toe), can cause the MTP joint to become unstable, causing the second toe to either cross over the big toe or push against the third toe in a sweeping effect. Either of these situations can result in a condition known as hammertoe, one of the most common deformities. Hammertoe causes difficulty and pain in walking and can cause the joint to stiffen if left untreated.

If your MTP joint requires surgical intervention, the HAT-TRICK MTP Joint Repair System offers a state-of-the art approach to treatment that may help reduce some complications common in standard toe surgery:

The HAT-TRICK MTP Joint Repair System provides a complete repair of the lesser MTP joint that is less invasive and more anatomically correct than current surgical standard of care techniques.

Less Invasive

Traditional MTP surgery requires a metatarsal osteotomy. This means bone (“osteo”) removal (“otomy”) in order to shorten the metatarsal bone and re-align your toe. The bone removal is held in place with screws and wires that cause additional pain and discomfort during the healing process. Complications from this surgery range from stiffness and pain to floating toe, where the ligaments contract and bend your toe upward.3

Anatomically Correct

The HAT-TRICK MTP Joint Repair uses special instruments and techniques to reattach ligaments and bones in their proper alignment without removing bone, avoiding permanent bone modification and unnecessary ligament and joint cutting.4

For more information about the HAT-TRICK MTP Joint Repair System, please contact your surgeon.


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.