The Lapidus arthrodesis is an effective surgical procedure for treating patients with painful hallux valgus and other foot pathology. Majority of the patients have successful outcomes with this procedure, however, complications may occur. Nonunion is a complication that can occur with any arthrodesis procedure. Reported nonunion rates for Lapidus arthrodesis have been reported from 3% to 12%. There is a subset of patients who are considered “high risk” for osseous healing of an arthrodesis site such as patients who are nicotine users, have diabetics, and other comorbidities. This article describes a fixation technique that may reduce the risk of nonunion in this subset of patients.