Surgical Correction Following Foot Trauma: A Case Study

Patient Background

• 63-year-old male

• History of motorcycle accident

• Significant trauma to right foot and leg

• Presenting issues:

  • Downward-hanging 2nd toe causing trips

  • Upward-pointing 1st toe

  • Difficulty with footwear

  • Deformed 1st toenail

Clinical Assessment

• Evidence of extensive prior trauma

• Right 1st toe hyperextension

• Right 2nd toe claw deformity

• Suspected tendon damage

• Footwear fitting challenges

Diagnosis

• Post-traumatic tendon damage resulting in:

  • Toe misalignment

  • Functional impairment

  • Mobility issues

  • Footwear complications

Surgical Intervention

• Corrective surgery performed on both toes:

  • 1st toe osteotomy with k-wire fixation

  • 2nd toe fusion

  • Stabilisation against 3rd toe

Treatment Outcome

• Successful recovery at 8-month follow-up

• Patient reported high satisfaction

• Improved footwear fitting

• Resumed daily hour-long walks

• Return to normal footwear use