13 year old poss foot deformity

My 13 year old daughter has been treated since age 2 for internal tibial torsion and femoral anteversion (tib and femoral osteotomies were performed, the last one being 3 years ago,)and she has been doing fairly well, but I still notice sometimes her gait is awkward, with her slapping her feet harder than I think normal. I recently noticed that the smallest toe on each foot is situated very far back (the tip of the toe only comes up to where the next to starts) I had not noticed this before and I’m assuming that as she’s grown it’s placement hasn’t kept up with the rest of her foot (?). I’m thinking of taking her back to Gillette Childrens Hospital in St. Paul MN for a gait study at some point.
She doesn’t seem too bothered by it at the moment, but I’m wondering if the toe placement might have an effect on her gait or balance. (She also tends to lean forward more the faster she walks/runs.) Any information you’d have would be appreciated. Patti McArdell