• Weight bearing evaluation and deformity 
• First MPJ Range of Motion 
• Sesamoid pathology 
• First Tarsometatarsal joint motion 
• Great toe position 
• Gastroc soleus complex motion

• Pain location and duration 
• Original and current activity level 
• Original and current shoe wearing habits 
• Family history

Intra-Operative Considerations 

• Skin Incision Placement 
  • Ex. Previous scar, Additional procedures 
• Osteotomy Placement 
  • Ex. Poor bone stock, Additional procedures 
• Fixation
  • Mechanical failure, technical failure