Alternative methods in fixation for capital osteotomies in hallux valgus surgery.

The surgical correction of hallux valgus has evolved since it was first described. Many osteotomies and fixation methods have been described and results have improved. Innovative new fixation methods include the Mini TightRope, new absorbable implants, and plating options. This article discusses the evolution of capital osteotomies as well as the evolution of fixation. Also presented is a case study of a novel method of achieving solid fixation across an osteotomy using a high-frequency sonic device to insert a bioresorbable pin.