Abstract
We sometimes perform further amputation of the great toe because of infected ulcerations associated with limited joint mobility and foot deformities that develop after great toe amputation. Here, we investigated any relationship between foot deformities and ulcerations after great toe amputation, as well as the relevancy of the level of amputation, on 28 patients who underwent the procedure at our hospital between December 2002 and May 2010. Eight patients developed new ulcerations, and seventeen developed deformities of the lesser toes. Foot deformity was frequently observed among the 92.8% of the patients who underwent amputation below the metatarsophalangeal joint. It is important, therefore, to conduct long-term follow-up and to customize insoles and shoes, and alignment of shoes, in order to reduce the risk of ulcer recurrence.
