A Case of a 55-Year-old Woman with a Severe Deformity of Great Toe

Recently, a middle-aged woman visited Dr.Ratnav Ratan, a highly experienced orthopedist in Gurgaon with a deformity in her great toe and 2^nd toe.

Background

The 55-year-old woman had a deformity in her great toe and 2^nd toe. She had difficulty in walking, wearing shoes, which resulted in back and neck pain. The deformity was also causing recurrent ulceration over the bunion.

Diagnosis

The great toe deformity is known as Hallux Valgus or Bunion, and the 2nd toe deformity is known as Hammertoe. The prominent bone end of the bunion had become painful, making it difficult for her to walk for a long distance. The patient was also evaluated for her awkward gait, back and neck pain.

Management

Preoperative planning was done to calculate the extent and location of the deformity. Angular calculations were done and matched with normal values.

After careful preoperative planning, the toes deformity was corrected using a special kind of bone cut and joint reconstruction.

We did a scarf osteotomy of 1st metatarsal(bone behind the great toe),akin osteotomy of the proximal phalanx,lateral soft tissue release for the bunion. Duvriesarthroplasty was done to correct the Hammertoe deformity. 

Follow Up

At follow up the patient was satisfied and without any pain. She is now able to wear her shoes; her walking has improved as well. Furthermore, she is minimally symptomatic at threemonths follow up.

Before and After