Plantar Plate Repair

The majority of plantar plate injuries are treated with traditional lesser MTPJ rebalancing procedures, including sequential release of soft tissue, tendon transfers, metatarsal osteotomies, and temporary MTPJ pinning. These approaches, while quick and inexpensive, do not address the underlying issues of loss of toe purchase and the high incidence of reoccurrence often associated with performing an indirect repair. Direct repair of the plantar plate with Arthrex’s family of solutions delivers improved patient outcomes and higher patient satisfaction scores.

Arthrex’s continuous evolution in plantar plate repair has led to the development of a family of products capable of addressing any stage of lesser toe instability, from a partial plantar plate tear with mid-dorsal plane instability to a complete rupture and attenuation of the plantar plate with a crossover toe deformity. Below is the summary of our current offerings:

  • CPR™ System With the Mini Scorpion™ and Pigtail Lasso Suture Passer
  • CPR System With the Viper™ Suture Passer
  • CPR System With the Forefoot InternalBrace™ Repair
View More

The majority of plantar plate injuries are treated with traditional lesser MTPJ rebalancing procedures, including sequential release of soft tissue, tendon transfers, metatarsal osteotomies, and temporary MTPJ pinning. These approaches, while quick and inexpensive, do not address the underlying issues of loss of toe purchase and the high incidence of reoccurrence often associated with performing an indirect repair. Direct repair of the plantar plate with Arthrex’s family of solutions delivers improved patient outcomes and higher patient satisfaction scores.

Arthrex’s continuous evolution in plantar plate repair has led to the development of a family of products capable of addressing any stage of lesser toe instability, from a partial plantar plate tear with mid-dorsal plane instability to a complete rupture and attenuation of the plantar plate with a crossover toe deformity. Below is the summary of our current offerings:

  • CPR™ System With the Mini Scorpion™ and Pigtail Lasso Suture Passer
  • CPR System With the Viper™ Suture Passer
  • CPR System With the Forefoot InternalBrace™ Repair
View More

Educational Resources and Products

CPR™ Complete Plantar Plate Repair System

Surgical Technique Guides | English | 10/08/2020 | LT1-0458-EN E

CPR™ Complete Plantar Plate Repair

Michael J. Coughlin, MD
Surgical Technique Animations | 02:31 | English | 02/10/2014 | AN1-0458-EN E
CPR Viper™
Michael J. Coughlin, MD
Surgical Technique Animations | 04:13 | English | 11/21/2014 | AN1-00089-EN A
Plantar Plate Repair of Lesser Metatarsophalangeal Joints
Michael J. Coughlin, MD
Surgical Technique Videos | 08:15 | English | 02/10/2014 | VID1-1458-EN B
Clinical Consideration of Plantar Plate Repair: What Have We Learned?
David Macias
Case Presentation Videos | 07:34 | English | 04/20/2022 | VID1-002972-en-US A
Continuum of Care: Plantar Plate Deformity
Ryan B. Rigby, DPM
Case Presentation Videos | 05:47 | English | 12/21/2021 | VID1-002944-en-US A
Videos
(16)
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Documents
(5)
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English
(22)
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Languages

Surgical Technique Videos (5)

Plantar Plate InternalBrace™ Ligament Augmentation Procedure
Andrew J. Rosenbaum, MD
03:09 | English | 11/24/2021 | VID1-000800-en-US B
Extensor Digitorum Brevis Tendon Transfer With the InternalBrace™ Ligament Augmentation Procedure
Dane K. Wukich, MD
06:56 | English | 11/02/2021 | VID1-00589-en-US B
Lesser Metatarsal Instability Without Osteotomy CPR™ Featuring the CPR Viper™ Suture Passer
Edward S. Holt, MD
09:37 | English | 10/06/2015 | VID1-00456-EN A
Plantar Plate Repair of Lesser Metatarsophalangeal Joints
Michael J. Coughlin, MD
08:15 | English | 02/10/2014 | VID1-1458-EN B
Dorsal Approach - Anatomic Repair of the Plantar Plate, combined with a Weil Osteotomy
Lowell Weil, DPM
19:21 | English | 02/25/2013 | VID1-2458-EN A

Surgical Technique Animations (3)

CPR Viper™
Michael J. Coughlin, MD
04:13 | English | 11/21/2014 | AN1-00089-EN A
CPR™ Complete Plantar Plate Repair
Michael J. Coughlin, MD
02:31 | English | 02/10/2014 | AN1-0458-EN E

Surgical Technique Guides (2)

Forefoot InternalBrace™ Repair
English | 09/21/2021 | LT1-00073-EN D
CPR™ Complete Plantar Plate Repair System
English | 10/08/2020 | LT1-0458-EN E

Brochures (1)

Case Presentation Videos (4)

Clinical Consideration of Plantar Plate Repair: What Have We Learned?
David Macias
07:34 | English | 04/20/2022 | VID1-002972-en-US A
Continuum of Care: Plantar Plate Deformity
Ryan B. Rigby, DPM
05:47 | English | 12/21/2021 | VID1-002944-en-US A
Simplifying the Plantar Plate Repair
Kaitlin C. Neary, MD
11:44 | English | 12/03/2021 | VID1-002904-en-US A
CPR™ Implant System, Plantar Plate Repair Post-op Recovery Techniques
Michael J. Coughlin, MD
04:14 | English | 03/03/2017 | VPT1-00779-EN A

Patient Education Animations (1)

Toe Dislocation Repair with CPR™ Implant System
02:00 | English | 10/19/2017 | PAN1-0458-EN D

Presentation Videos (3)

Plantar Plate Repair Panel Discussion
Troy S. Watson, MD | Lowell Weil, DPM | Chris Ortiz, MD
25:08 | English | 05/22/2014 | VID1-00055-EN A

Product and Technique Highlights (5)

Tray Lists (1)

Mini Scorpion™ DX CPR Instrument Set (AR-8690S)
English | 06/13/2019 | DOC1-000082-en-US A