Combined intramedullary-extramedullary bone stabilization and alignment system

A method to re-align and stabilize a patient's metatarsal bone comprising:

• assessing of a deformity to be remedied, including an intermediate or final translational and rotational correction;
• making an incision to expose the metatarsal bone;
• creating an osteotomy in the metatarsal bone behind the sesamoids thereby separating a metatarsal head from a metatarsal shaft of the metatarsal bone;
• creating a surface on the metatarsal head for affixing an extramedullary portion of an implant device;
• translating the metatarsal head laterally and rotating the metatarsal head to the intermediate or final position in all planes;
• placing a guide wire into the shaft of the metatarsal bone for locating the metatarsal head into the intermediate or final position;
• wherein the implant device is comprised of:
• an elongated framework including an intramedullary portion and the extramedullary portion,
• the extramedullary portion including at least one transverse fastener aperture disposed to transversely receive at least one bone fastener to affix the extramedullary portion to the surface on the metatarsal head;
• the intramedullary portion including at least one transverse fastener aperture disposed to transversely receive at least one bone fastener to affix the intramedullary portion to the shaft of the metatarsal bone;
• and
• a contiguous wire aperture axially through the intramedullary portion;
• placing the intramedullary portion over the guide wire and into the shaft of the metatarsal bone;
• affixing the extramedullary portion to the metatarsal head with at least one bone fastener;
• attaching a drill guide over the guide wire and fastening the drill guide to the extramedullary portion;
• evaluating and adjusting the alignment of the metatarsal head relative to the shaft of the metatarsal bone to achieve a final angle there-between through the utilization of an implant adjustment tool;
• drilling at least one proximal fastener aperture in the shaft of the metatarsal bone;
• and
• placing at least one bone fasteners into the shaft of the metatarsal bone and through the at least one transverse fastener aperture in the intramedullary portion.