Results of second toe amputation: for overriding second toe with asymptomatic hallux valgus and as a salvage procedure following failed hammer-toe surgery

Abstract

We assessed the results of second toe amputation retrospectively from January 1990 to December 1999 in terms of patient satisfaction following primary second toe amputation for asymptomatic hallux valgus (AHV) with overriding second toe or severe hammer-toe deformity, and in a second group as a salvage procedure following failed corrective surgery for hallux valgus and second hammer-toe. A total of 25 out of 39 patients returned to the outpatient clinic and was assessed using the Maryland Foot Score Profile (MFSP), a subjective assessment of pain, function, cosmesis and motion: 20 (80%) patients had an excellent result (score: 90–100); five (20%) patients had good result (score: 75–89). Our results clearly indicate that second toe amputation is valuable and psychologically atraumatic as a primary procedure in the 70-plus age group for AHV with severe second toe deformity and as a salvage procedure. Benefits include simplicity and applicability to the day case setting with reduced operative risk and recovery time and good patient satisfaction.