Treatments of the Big Toe

Chevron Osteotomy

A bunion (also known as hallux valgus) is a misalignment of the knuckle of the big toe. This misalignment causes the big toe to turn toward the smaller toes. It often creates a bump at the base of the big toe.

Correcting a Failed Bunion Repair

Most bunions can be treated without an operation, but sometimes surgical procedures are needed to relieve pain and deformity. Unfortunately, in some cases bunion repairs fail and the pain or deformity returns. There are multiple factors that can contribute to this challenging scenario.

First MTP Cheilectomy

The first MTP, also called the first metatarsophalangeal joint, is the big toe joint. A first MTP cheilectomy is a surgical procedure that removes bone spurs on the top surface of the big toe joint. Bones spurs develop due to arthritis of the big toe, also known as hallux rigidus.

First MTP Joint Fusion

The first MTP, also called the first metatarsophalangeal joint, is the big toe joint. A first MTP joint fusion is a surgical procedure to treat arthritis of the big toe. This condition can cause pain and swelling and lead to difficulty walking, running, and wearing shoes.

First MTP Joint Interposition Arthroplasty

The first MTP, also called the first metatarsophalangeal joint, is the big toe joint. A first MTP joint interposition arthroplasty is a surgical procedure to treat arthritis of the big toe.

First MTP Joint Replacement

The first MTP, also called the first metatarsophalangeal joint, is the big toe joint. A first MTP joint replacement treats arthritis of the big toe. The bone on either side of the joint is partially removed and replaced with metal, plastic or a combination of both.

First MTP Joint Resection Arthroplasty (Keller Procedure)

The first MTP, also called the first metatarsophalangeal joint, is the big toe joint. A first MTP joint resection arthroplasty treats arthritis of the big toe. This procedure stops pain by preventing the surfaces of the big joint of the big toe from rubbing together. 

First MTP Medial Capsulorrhaphy

First MTP medial capsulorrhaphy is a procedure that tightens the soft tissue on the inner side of the big toe joint. This procedure is done along with other procedures to help correct a bunion deformity. It should not be performed alone due to the likelihood of the bunion returning.

Flexor Hallicus Longus Tendon Transfer to the Proximal Phalanx of the Big Toe

A flexor hallicus longus (FHL) tendon transfer to the proximal phalanx of the big toe is used to treat clawing of the big toe.

Flexor Hallicus Longus to Peroneus Brevis Transfer

The flexor hallicus longus (FHL) is the primary flexor muscle of the big toe. It originates at the back of the leg, transitions into a long tendon as it enters the foot and attaches on the bottom of the big toe.