Technique for arthrodesis of first metatarsophalangeal joint. A, Dorsal skin incision. B, Excision of metatarsal head. C, Fusion site placed in 15 to 20 degrees of valgus. D, Approximately 30 degrees of dorsiflexion in relation to metatarsal shaft or 10 to 15 degrees of dorsiflexion in relation to floor. E, Kirschner wire placed. F and G, Radiographs before and after plating, respectively. (From Mann RA, Coughlin MJ, eds: Surgery of the foot and ankle, ed 7, St. Louis, 1999, Mosby; C and D from Mann RA, Coughlin MJ: The video textbook of foot and ankle surgery, St. Louis, 1991, Medical Video Productions.) SEE TECHNIQUE 82.16.