Abstract: A graft-harvesting instrument and MTP fusion device are disclosed to allow for easy and safe removal of a section of the calcaneus to be used as autograft in the fusion of the MTP joint. The graft-harvesting instrument allows a surgeon to place a barrier between the saw and the vital anatomy on the medial side of the calcaneus. The MTP fusion device allows for the exact placement of the autograft into the MTP joint. The graft-harvesting instrument allows for a very consistent piece of autograft to be harvested. The graft-retaining sleeve component of the MTP fusion device positions that autograft in place for optimum fusion of the MTP joint.

Abstract: An MTP joint fusion device is disclosed which stabilizes the fusion site without the use of a fusion plate. Further, the MTP joint fusion device comprises an MTP head replacement component placed over the distal end of the first metatarsal. This portion of the device contains the bone ingrowth matrix. An intramedullary screw is driven through the distal central portion of the device into the base of the proximal phalanx of the hallux. At least two metatarsal screws are driven radially through the device into the metatarsal neck area. This secures the MTP head replacement component to the metatarsal at a specifically determined angle. Thus, the MTP joint fusion device provides for a more secure fusion environment, increased capacity for bone ingrowth, less potential for irritation from retained hardware, and earlier weight bearing as compared to traditional methods.