First metatarsophalangeal joint (MPJ) arthrodesis has been studied extensively since its inception in 1852. The procedure primarily aims to relieve pain, restore length, and stabilize the medial column of the foot. This in turn helps re-establish the foot’s weight-bearing pattern, contributing to a balanced foot tripod. Despite its long history and effectiveness, MPJ arthrodesis is not without complications, the most notable of which is non-union. By Patrick DeHeer, DPM FACFAS, FFPM RCPS (G...