Abstract

We describe a 17-year-old male patient with bilateral postaxial polydactily and traumatic plantar dislocation of the right first metatarsophalangeal joint which was untreated for three months. He had discomfort on the lateral side of both forefoots and a painful deformation on the right great toe. The patient was treated with amputation of both supernumerary toes and open reduction of the first metatarsophalangeal joint by means of medial and dorsal first web space insicions and intramedullary K-wire fixation. A short leg walking cast was applied to the right limb. After six weeks, the cast and the K-wire were removed and physiotherapy of the joint was started. Twenty months after surgery no instability but mild osteoarthritic changes were encountered at the joint.

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