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