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Second Toe Deformity Correction: A Treatment Algorithm

Curry, Eugene E. MD

Techniques in Foot & Ankle Surgery: June 2012 - Volume 11 - Issue 2 - p 75–83
doi: 10.1097/BTF.0b013e3182507b23
Special Focus: Treatment Algorithms for Foot and Ankle Disorders

Second toe metatarsophalangeal joint overload produces a spectrum of deformities, starting with metatarsalgia and synovitis, progressing to plantar plate and collateral ligament attenuation and rupture, leading finally to crossover toe deformity and joint subluxation and dislocation. Successful treatment of this problem requires careful preoperative assessment and selection of surgical techniques designed to address the individual biomechanical and anatomic factors contributing to the condition. This article presents an algorithm for sequential evaluation of the pathophysiology and a stepwise approach to the surgical correction of the deformity. Frequently, several procedures need to be combined to achieve a satisfactory outcome. The author's results showed improved patient satisfaction rate and fewer complications when combined techniques were used for the correction of difficult deformities over the use of a single procedure.

The Carrell Clinic, Dallas, TX

No funding was received for this work from any of the following organizations: National Institutes of Health (NIH); Wellcome Trust; Howard Hughes Medical Institute (HHMI); or other sources.

The author is a consultant for Arthrex Inc., Naples, FL.

Address correspondence and reprint request to Eugene E. Curry, MD, The Carrell Clinic, 9301 North Central Expressway, Suite 400, Dallas, TX 75231. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.