Clinical Consideration of Plantar Plate Repair: What Have We Learned?

David Macias, MD (Columbus, MS), answers the question “Where are we now?” in the clinical and surgical treatment of lesser toe instability. Through the lens of clinical publications, Dr. Macias explores the foot and ankle surgeon’s journey from indirect repairs (osteotomies and softtissue reconstruction), where results ranged from mediocre to somewhat successful, to 8 years of clinical success with direct repair using Arthrex’s CPR™ system, as demonstrated by a reduction in pain and improved toe alignment.