Surgeons using the Weil osteotomy for plantar plate deficient MTP joints may consider adding a flexor tendon transfer to the procedure. Techniques to repair the torn plantar plate directly are needed.
The DTML is part of the natural static restraint to dorsiflexion or dorsal subluxation of the lesser MTPJ. Operative transection, injury, or degeneration of this ligament may predispose the adjacent MTPJ to instability.
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