Table 1.

Pearls and Pitfalls for Implant Procedure

Pearls	Pitfalls	Complications
Debride native footprint of medius to expose bleeding bone and aid healing.	Be sure to resect sufficient bursa to allow visualization of the tendon.	Implant may tear during implantation, requiring additional staples for fixation.
Place 3 staples along proximal end, and 2 placed on the sides.	Make sure staples are at least 3 mm in from the border, and 5 mm apart.
Apply slight tension to implant when stapling to bone to ensure good contact with tendon.	Keep instrument in place after removing bone punch to maintain hole alignment.