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surgeons solve this challenging and recurrent issue. We have classified the causes of iatrogenic transfer metatarsalgia based on a multiplanar assessment of the alignment of the operated first ray. According to the type of malalignment, we present a
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lead to transfer metatarsalgia. A rigid pulley system is created during toe-off phase of gait due to which the intrinsic and extrinsic muscles of the foot act efficiently, which has been proven by electromyographic studies. 21 Hence, in
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demonstrated effective pain relief, complications include weakness with toe-off, transfer metatarsalgia and cock-up deformity of the great toe. 19 , 20 This profile makes this procedure a less desirable option for most patients. Love et al prospectively
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-articular pain, the presence of transfer metatarsalgia and the presence of associated deformities including clawtoes, dislocation of the lesser MTP joints, flatfoot, etc. Radiological attention should be focussed on the congruence or incongruence of the first MTP
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% MTPJ reduction rate at final follow-up. Similarly, the metatarsal parabola should be borne in mind when performing a shortening osteotomy on a single metatarsal, and neighbouring metatarsals may also need to be shortened to prevent subsequent transfer
