Measurement of transverse forces between the first and second metatarsals: A cadaveric study

Viktor Feldman, Meir Nyska, Niv Marom, Omer Slavin, Yaron S. Brin, Uri Farkash, Ezequiel Palmanovich

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Background: This study was designed to measure transverse forces between the 1st and 2nd metatarsals after reducing the intermetatarsal angle (IMA) in normal and hallux valgus (HV) feet, during non weight-bearing and weight-bearing phases of gait. Methods: Four cadaver feet, three normal and one with hallux valgus, were used. A new suture button device (CyclaPlex™) composed of screw-type buttons connected with a wire was implanted at the mid-shaft of the 1st and 2nd metatarsals of all the feet. IMA was reduced using a tensioning device to pull the wire which was secured laterally at the 1st metatarsal. The 1st metatarsal was pulled laterally towards the 2nd metatarsal until an IMA of about 6° was achieved. The amount of force applied at this point was registered on the force indicator. Each foot attached to the tensioning device was placed in a special construct loaded with weights equal to the original body weight of the donor and positioned at 15° tilt (simulating propulsion phase of the gait cycle). The intermetatarsal force under load indicated on the tensioning device was recorded. Results: The average recorded transverse intermetatarsal force was 28.5N (SD 4.2N) during non weight-bearing phase; the mean increase in the measured force at weight-bearing and 15° tilt was 6N (SD 2.6N). Conclusions: We measured the transverse forces between the 1st and 2nd metatarsals with the use of a suture button device (CyclaPlex™). The data obtained from the measurements will provide a better understanding of foot biomechanics and may therefore also facilitate the development of new devices designed to decrease IMA in HV surgery.

Original languageEnglish
Article number121
JournalJournal of Orthopaedic Surgery and Research
Issue number1
StatePublished - 17 Oct 2016
Externally publishedYes


  • CyclaPlex™
  • Foot osteotomy
  • Hallux valgus
  • Intermetatarsal forces
  • Mini TightRope®

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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