1 or 2 Screw Fixation for MIS Bunions?

Would you jump from a plane with only one parachute & no reserve parachute?! Not me. 

Similarly, I’m traditionally a 2-screw fixation surgeon for my first metatarsal during MIS bunion surgery. Maybe 1 screw could get the job done in certain situations & you could get lucky, but why take the risk & have to deal with potential complications if that 1 screw fails?

Steps made simple:
1. Place reference wire at osteotomy site.
2. Targeter places wires in perfect position.
3. Make transverse osteotomy.
4. Employ “crow-bar” for 3D deformity correction.
5. Advance wires & place fixation.

Do you use a reserve parachute?
 

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