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