To combat this, Paragon 28® developed the plates to match the corrected metatarsal position as well as curvature, thus following the principles of a “bent plate technique” to limit the adductory force applied to the metatarsal. In addition, a medial wall plate is better positioned to prevent plantar gapping while avoiding the insertion of the tibialis anterior plantarly. The anatomic plate construct is designed to help reduce soft tissue irritation in an area where ample soft tissue coverage can be a concern in situations with a poorly designed plate construct.
These features were incorporated into all 18 Lapidus Arthrodesis plating options: standard, graft-spanning and medial wall step-off.
A Precision™ Guide Lapidus screw guide is provided in the system to allow for placement of a lag screw across the Lapidus Arthrodesis while missing all other screws in the construct.