Illustrations 1 & 2 • Stiffening of the first metatarsal joint
This common deformity of the small toes can easily be corrected, either in an isolated procedure or in combination with hallux valgus surgeries. A pin is used to stiffen the proximal interphalangeal joint of the toe. Severe deformities additionally require tendon stretching. The functional results of this procedure are very good; the claw function of the toe is not impaired. When healed up, full weight-bearing is possible and rolling off is free of pain.
This procedure is performed on an out-patient basis and lasts 15-30 minutes. With a special post-op shoe which offloads the forefoot, immediate weight-bearing is possible. The protruding pin is removed after four weeks.