Pre-operative standing X-ray showing metatarsophalangeal angles (IMAs) of 27.9 and 33.7° and IMAs of 16.8 and 17.5° and severe metatarsosesamoid dissociations. Left second metatarsophalangeal joint was subluxated and right dislocated. Both MCJs were incongruent and subluxated, leaving large gaps between first and second metatarsal bases.