Metatarsophalangeal release and extensor brevis reconstruction. A, Second metatarsophalangeal joint after plantar plate release (arrow), but before extensor digitorum brevis reconstruction. B, Path of extensor digitorum brevis tendon: through proximal phalanx (1), under soft tissue dorsal to transverse ligament on lateral side of joint (2), and through neck of second metatarsal (3). C, Extensor digitorum brevis tendon has been passed through proximal phalanx and metatarsal. Position of toe before (C) and after (D) tensioning shows correction of second toe varus. D, Arrow below nonabsorbable suture shows vector of tensioning used before reconstruction is secured to screw post in metatarsal shaft. (From Ellis SJ, Young EM, Endo Y, et al: Correction of multiplanar deformity of the second toe with metatarsophalangeal release and extensor brevis reconstruction, Foot Ankle Int 34:792, 2013.) SEE TECHNIQUE 84.5.