Use a ball-ended anterior cruciate ligament reamer to protect patella tendon during minimal access tibial nailing

Akin osteotomy is a common component of hallux valgus surgery. Holding the osteotomy in good position with a well placed staple can prove difficult. To aid this, a marker pen is used to apply ink to the tip of the proximal limb of the staple (Fig 1). A hole is drilled in the distal bone and the non-inked staple limb is inserted while the osteotomy is held in the desired position. This causes transfer of ink from staple to bone surface (Fig 2), thereby marking the appropriate site to drill and insert the proximal staple limb. Figure 1 A marker pen is used to apply ink to the staple tip.