The case histories and outcomes presented here are for general information only and do not replace the advice of a health professional. You should always consult a health professional who can take your own particular circumstances into account and advise you on that basis.
History: A 75-year-old female presented to us with severe bunions and overlapping of her 2nd toes. She reported that feet have bothered her for many years and she is very restricted in footwear choices. Walking barefoot was “agony”, particularly the pressure under the ball of her foot.
Objective: On examination, she had severe bunion (Hallux Abductovalgus) deformities, with severe overlapping 2nd toes. All remaining lesser toes (3rd-5th) had hammertoe deformities. There was pain when palpating the ball of her foot.
Diagnosis: Bilateral (left and right) Bunions with overlapping of her 2nd toes, and hammer toe deformities.
Treatment: After painful feet for so many years, she decided to have surgery to her left foot. This involved the surgical correction of her bunion and all hammertoes. A metatarsal osteotomy was performed on the 1st, 2nd and 3rd, with joint reconstructions and fusions of the 2nd, 3rd and 4th toes. The 5th toe tendon was released (tenotomy). She recuperated well post-operatively and attended regular review appointments.
Outcome: This new ‘marvelous’ foot is pain free. She can comfortably walk wearing normal footwear. After the success of her left foot operation, she has now had her right foot operated. She is extremely pleased with the outcome of her surgeries and continues to progress well.