case_images: PMC7700055_01
case_images: (a) Splay toe between 2nd and 3rd toe. (b) Dynamic analysis of the foot while weight bearing. (c) Plane X-ray of the foot showing Smillie stage V necrosis of the 2nd metatarsal head causing the splay toe deformity with a relatively long 3rd metatarsus.
case_images: CRIOR2020-8830166.001.jpg
case_images: PMC7700055_01_CRIOR2020-8830166.001.jpg
case_images: fig1
case_images: A 62-year-old female presented a metatarsalgia of the right mid- and forefoot with a splay toe two-to-three (Figure 1(a)). Walking analysis showed worsening symptoms of pain and deformity while weight bearing (Figure 1(b)). X-ray in the ap view showed the deformity weight bared (Figure 1(c)).  Figure 2(a) showed the deformity in the lateral view.
case_images: Lateral radiograph prior surgery and at three months follow-up.
case_images: CRIOR2020-8830166.002.jpg
case_images: PMC7700055_01_CRIOR2020-8830166.002.jpg
case_images: fig2
case_images: X-ray in the ap view showed the deformity weight bared (Figure 1(c)).  Figure 2(a) showed the deformity in the lateral view. X-rays were taken to evaluate radiological outcome in ap view (Figure 5(c)) and lateral view (Figure 2(b)).
case_images: Schematic chart of the surgical procedure for splay toe correction: Modified Weil's osteotomy with a lateral rotation of the metatarsal head. Extensor brevis tendon transfer from the second ray to the base of the proximal phalanx of the third toe.
case_images: CRIOR2020-8830166.003.jpg
case_images: PMC7700055_01_CRIOR2020-8830166.003.jpg
case_images: fig3
case_images: The operation is shown on the schematic chart in Figure 3.
case_images: Intraoperative X-ray after realignment performing Weil's osteotomy, extensor brevis transfer, and temporary arthrodesis of the second toe.
case_images: CRIOR2020-8830166.004.jpg
case_images: PMC7700055_01_CRIOR2020-8830166.004.jpg
case_images: fig4
case_images: K-wire was inserted in a temporary arthrodesis to keep the axis with partial weight bearing (Figures 4(a) and 4(b)). K-wire removal was performed after 6 weeks with subsequent return to full weight bearing (Figure 5(a)).
case_images: Results at the 3-month follow-up after removing the K-wire, with (a) photograph while weight bearing, (b) walking analysis, and (c) plane X-ray.
case_images: CRIOR2020-8830166.005.jpg
case_images: PMC7700055_01_CRIOR2020-8830166.005.jpg
case_images: fig5
case_images: K-wire was inserted in a temporary arthrodesis to keep the axis with partial weight bearing (Figures 4(a) and 4(b)). K-wire removal was performed after 6 weeks with subsequent return to full weight bearing (Figure 5(a)). Technical walking analysis was performed for the functional outcome (Figure 5(b)). X-rays were taken to evaluate radiological outcome in ap view (Figure 5(c)) and lateral view (Figure 2(b)).