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OptimalMTP® FOR SURGEONS
The Construct You Trust. The Incisions Your Patients Want.
Redefining 1st MTP fusion with the power of minimally invasive surgery.
Minimally Invasive MTP Fusion.
Built for Stability.
Why choose between MIS or the strength of the plate and screw construct?
OptimalMTP® enables surgeons to perform first MTP fusion using a minimally invasive approach with a plate-and-screw construct – bringing together trusted biomechanics and modern patient expectations.
Why Patients Are Choosing
a Minimally Invasive Approach
Published descriptions of open first MTP fusion commonly report incisions around 5–6 cm, with some open techniques using longer exposures depending on surgical approach and indication.
1,4
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This minimally invasive technique is performed through limited incisions, typically 8–10 mm over the dorsolateral metatarsal and approximately 5 mm at the dorsomedial proximal phalanx.³
Traditional first metatarsophalangeal (MTP) joint arthrodesis is commonly performed using open surgical approaches described in the literature.
OptimalMTP® is designed to provide stable fixation through a minimally invasive surgical technique utilizing small, targeted incisions, including ~8–10 mm over the dorsolateral metatarsal and ~5 mm at the dorsomedial proximal phalanx, as described in published technique literature.
Minimally invasive surgical approaches are intended to reduce soft tissue disruption relative to traditional open techniques.
4,5,6
2,3
1
Minimal Incision
3,4
Reduced soft tissue disruption
4,5,6
Early weight-bearing
protocols reported
9
Fixation construct differs
from traditional plating
7
The Evolution of First MTP Arthrodesis
Traditional
Open Surgery
Early MIS
(Screw-Only)
OptimalMTP®
Hybrid Construct
Large Incision Size
1,4
7
Gold Standard Plate & Screw Construct
Standard open dissection
required
1
Traditional non-weight-bearing postoperative protocol
9
Minimal Incision
2
Gold Standard Plate & Screw Construct
7
Designed for a minimally invasive surgical approach
2
May be compatible with early weight-bearing protocols per surgeon's clinical judgment
9 †
MIS preserves soft tissues and blood supply while minimizing unnecessary surgical trauma.
Dr. Holly Johnson (adapted from webinar remarks)
MIS preserves soft tissues and blood supply while minimizing unnecessary surgical trauma.
Dr. Holly Johnson (adapted from webinar remarks)
Our 3-Step MIS Workflow
OptimalMTP® is built around a simple, efficient procedural flow:
Step 1. Prep
Utilize Forma’s MIS Surface Matching joint prep technique to remove all cartilage and minimize shortening.
Rethinking MTP Fusion Around the Patient
MTP fusion doesn’t have a union-rate problem. It has a patient-experience problem. OptimalMTP® addresses both.
Gold-standard stability
Designed to deliver rigid fixation you already trust.
Minimally
invasive approach
Small incisions with reduced soft tissue disruption.
Continuum
of care
Improved patient experience
Eliminate the “open procedure gap” in forefoot workflows
May support earlier weight-bearing and reduced postoperative discomfort²
Hear What Surgeons Are Saying
Common Questions from Surgeons
Related Products
Extend your minimally invasive approach across the forefoot with systems designed for consistency, stability, and efficiency.
Sources:
1. Coughlin MJ, Shurnas PS. Hallux rigidus: grading and long-term results of operative treatment. J Bone Joint Surg Am. 2003;85(11):2072-88. PMID: 14630834
2. Duff JR, Alecxih AG, White CC, Doty JF. Minimally invasive first metatarsophalangeal joint arthrodesis with a low-profile hybrid locking plate and a beveled compression screw: a surgical technique. Foot Ankle Spec. 2025. DOI: 10.1177/19386400251331648
3. Bauer T. Percutaneous forefoot surgery. Orthop Traumatol Surg Res. 2014;100(1 Suppl):S191-204. DOI: 10.1016/j.otsr.2013.06.017
4. Bauer T, Lortat-Jacob A, Hardy P. First metatarsophalangeal joint percutaneous arthrodesis. Orthop Traumatol Surg Res. 2010;96(5):567-73. DOI: 10.1016/j.otsr.2010.01.011
5. Fanous RN, Ridgers S, Sott AH. Minimally invasive arthrodesis of the first metatarsophalangeal joint for hallux rigidus. Foot Ankle Surg. 2014;20(3):170-3. DOI: 10.1016/j.fas.2014.03.004
6. Sott AH. Minimally invasive arthrodesis of 1st metatarsophalangeal joint for hallux rigidus. Foot Ankle Clin. 2016;21(3):567-76. DOI: 10.1016/j.fcl.2016.04.009
7. Balu AR, Baumann AN, Tsang T, et al. Evaluating the biomechanical integrity of various constructs utilized for first metatarsophalangeal joint arthrodesis: a systematic review. Materials (Basel). 2023;16(19):6562. DOI: 10.3390/ma16196562
8. Carlucci S, Parise AC, Santini-Araujo MG, et al. Minimally-invasive hallux arthrodesis with endomedullary and a crossed screw fixation. Foot Ankle Surg. 2019;26(7):744-749. DOI: 10.1016/j.fas.2019.09.005
9. Crowell A, Van JC, Meyr AJ. Early weight-bearing after arthrodesis of the first metatarsal-phalangeal joint: a systematic review of the incidence of non-union. J Foot Ankle Surg. 2018;57(6):1200-1203. DOI: 10.1053/j.jfas.2018.05.012
† Individual results may vary.
Take the Next Step
Interested in learning more about OptimalMTP® or incorporating it into your practice? Connect with our team or request a demo below.
