In the world of minimally invasive surgery (MIS), innovation doesn’t always mean adding complexity. Sometimes, it’s about taking it away.
That’s the thinking behind Pecaplasty® Wires First, a jig designed to simplify one of the most technically challenging parts of bunion correction: wire placement.
“We call it Wires First because you throw the wires before you make the cut—and that changes everything.”
“We focused on solving the hardest part of the case and kept it simple. That’s what Pecaplasty Wires First is all about.”
As MIS adoption continues to grow, surgeons face increasing demands for efficiency, reproducibility, and consistency. Pecaplasty Wires First was built to meet those needs head-on, allowing surgeons to take control of the most critical step—placing the wires—before performing the osteotomy.
The Innovation Behind Pecaplasty Wires First
Traditionally, surgeons using MIS jigs have had to balance precision with time. Positioning a complex jig can take as long as the surgery itself. Pecaplasty Wires First changes that.
Dr. Amiethab Aiyer, who proudly calls himself a “former jigless surgeon,” describes how this guide solved the challenge he faced most often:
“I used to be completely jigless. I’d try other systems and end up free-handing because it was faster. But with Pecaplasty Wires First, I want to use it. When I don’t have it, it’s a sad face emoji.”
By enabling surgeons to place metatarsal wires first in a reproducible and efficient way, the guide streamlines one of the most critical and time-consuming steps in the procedure.
Why It’s Called Pecaplasty Wires First
The name says it all. Surgeons place the wires before the cut, gaining full control and maintaining alignment throughout the procedure.
“We call it Wires First because you throw the wires before you make the cut—and that changes everything.”
With the wires placed, surgeons can visualize the final trajectory of the metatarsal head before making the osteotomy, ensuring precision and stability at every stage. The aimed result: greater consistency, improved workflow, and less variability between cases.
Watch It in Action
Watch Dr. Aiyer break down the technique here. Tbd on video – visual is a conversation with Tabs and Shannon, can use the interview with Gary as another option
VIDEO
The Takeaway
Innovation isn’t always about reinventing the wheel. Sometimes it’s about refining the steps. Wires First is a clear example of how simplifying technique can lead to better reproducibility, faster cases, and more confident MIS outcomes.
At Enovis Foot & Ankle, we continue to Redefine Every Step—helping surgeons advance patient outcomes with technologies that deliver results.
Pecaplasty® Wires first is currently available in the US and will be available to international markets in 2026.
Dr. Aiyer is a paid consultant at Enovis.