How Pecaplasty, Centrolock and Tarsoplasty work
The Pecaplasty Wires First or Centrolock and Tarsoplasty Bunion Correction procedures avoid the great toe joint, resulting in patients typically having less stiffness than as seen with open techniques. These procedures allow patients to bear weight immediately following the surgery.
In addition, due to smaller incisions and less soft tissue damage, patients experience less pain and a faster recovery. Your surgeons will utilize either one Centrolock implant or a combination of PECA implants to correct and stabilize the bunion correction.

What are my Treatment Options?
The surgical procedure to correct your bunion will be determined by its severity and your lifestyle.
Several surgical procedures allow surgeons the ability to perform a 3D (Tri-Planar) bunion correction. Whether the procedure is surgically guided or manually corrected, there is always a potential risk of complications such as: infection, delayed or non-union (does not heal), implant failure and recurrence of the bunion.

Traditional 2D Correction
A Traditional 2D correction is referred to as a Chevron Osteotomy. A 1-2cm incision is made near the big toe joint allowing the surgeon access to the bones in your foot. A bone cut in the shape of a >*** is made behind your big toe (first metatarsal). The bone is than pushed toward the second toe to correct the bunion. A single screw is implanted to fasten the bones together during the healing process.
***The Chevron is commonly used to treat patients with mild bunion deformities.
Tarsoplasty
Tarsoplasty signifies the next generation of lapidus correction by seamlessly integrating the clinical advantages of percutaneous surgery with controlled anatomical alignment, ensuring consistent and predictable outcomes.
Pecaplasty Wires First Bunion Correction
Pecaplasty Wires First is a surgically guided 3D, or commonly referred to as a Tri-Planar, correction. Several 2mm incisions are made behind the big toe joint. The bone is then cut through the 2mm incision, and the Pecaplasty Wires First is applied to correct the deformity and accurately place the implants to hold the correction during the healing process.
This procedure is indicated for mild to severe bunions, obtaining 3D tri-planar correction without disrupting mobility in the joint by fusing the midfoot.
NO OPEN SURGERY
TINY INCISIONS
CENTROLOCK IMPLANT
PECA IMPLANTS
TARSOPLASTY IMPLANTS
*Pecaplasty Wires First is indicated for patients with mild to severe bunion deformities. However, if arthritis is present or your bunion is too severe, your surgeon may determine a fusion is the best option for your recovery.
| Pecaplasty Wires First |
Tarsoplasty | Lapidus | 2 Plane Correction |
|
|---|---|---|---|---|
| Less pain & Rapid Recovery | — | — | ||
| Keyhole Incision, Decreased scarring & cosmetic appearance | — | — | ||
| Tri-planar correction (3D) | — | |||
| Immediate weight bearing after surgery in a surgical shoe | — | — | — | |
| Immediate weight bearing Surgical Boot | — | — | — | |
| Fuses a Healthy Joint to Correct Deformity | — | — |
Tell Me About Bunion Surgery Recovery
First Weeks
Immediate full weight bearing is possible immediately after surgery in athletic shoe wear or in a rigid flat orthopedic shoe, depending on your surgeon’s recommendation.
Next 4 – 6 Weeks
Transition to your own supportive shoe wear. You may begin stationary biking, walking for exercise, and elliptical.
At 3 Months
You may begin running and wearing heels, if desired.
At 4 – 6 Months
Resume most activities & return to normal shoe wear.