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Joint sparing bunion correction using the Paragon28 PROMO Tri-Planar Correction System. The patent-pending PROMO™ Tri-planar Hallux Valgus System contains a series of custom jigs and implants designed to measure, construct and fixate an osteotomy on the proximal aspect of the first metatarsal. The osteotomy created is oblique and patient specific depending on the severity of IM angle and rotation angle. The oblique cut allows rotation of the distal aspect of the metatarsal to simultaneously correct metatarsal internal rotation and varus deformity with no wedge resection. The PROMO™ system comes equipped with specific PROMO™ plates sized and shaped around the oblique angulation of the osteotomy. PROMO™ also includes a PRECISION® guided system which enables the user to place a cross screw across the osteotomy while avoiding hardware collision with the plating construct. Design Rationale Paragon 28® designed the PROMO™ system with the understanding that a significant percentage of hallux valgus deformities contain a rotational deformity. This rotational deformity, if not corrected may play a role in higher recurrence rates. With a mission to create a streamlined and reproducible solution to correct all deformity parameters of hallux valgus, including rotation, PROMO™ came into existence ✔️ Learn More: https://paragon28.com/products/promo-... ✔️ Find a Paragon28 Sales Rep: https://paragon28.com/about/contact/f...