Salvage of Lesser Toes Deformities: “Revision Forefoot”

Abstract

Deformity of the digits and lesser metatarsals is a common surgical problem presenting to the foot and ankle surgeon. Although elective operative management is usually straightforward, even the most routine cases carry the risk of surgical complication, spanning from the simple to the devastating. Most often, it is difficult to determine the exact cause of failure in surgical treatment of lesser toe deformities. Some possibilities are: inadequate surgical procedure; choosing inadequate surgical technique; complications related to the surgical procedure; underestimation of the inherent risks and unrealistic expectations. This paper describes the authors’ approach to failed lesser toes surgical treatment. It presents a particular view of the problems resulting from lesser toes surgery, and an emphasis on revision operative procedures. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.