A metatarsal correction procedure may be performed so as to minimize the length of the
surgical incision created during the procedure. A variety of different instruments and / or techniques and facilitate the
minimal incision procedure. In some examples, a technique involves making a comparatively small
surgical incision to access a tarsometatarsal joint. A metatarsal and a cuneiform separated by the tarsometatarsal joint can be prepared. In addition, the metatarsal can be moved relative to the cuneiform using a
bone positioning device having a metatarsal engagement member positioned in contact with the
skin of the patient on a
medial side of the metatarsal. After moving the metatarsal, a fixation device can be installed across the tarsometatarsal joint to cause fusion. In some examples, a plate holder is attached to a U-shaped
bone plate to facilitate plating across the joint through the comparatively
small incision.