PMC6727446_01
Clinical photo showed the flexion deformity of the hallux exaggerated by ankle dorsiflexion.
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F1
With the ankle held in dorsiflexion, it was not possible for the patient to actively or passively fully extend any of the toes (Figs. 1 and 2).
Clinical photo showed the flexion deformity of the hallux corrected by ankle plantar flexion.
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F2
With the ankle held in dorsiflexion, it was not possible for the patient to actively or passively fully extend any of the toes (Figs. 1 and 2).
An inter-operative photo demonstrating the flexor hallucis longus tendon.
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F3
The tendon of FHL was identified (Fig. 3).
An inter-operative photo demonstrating the full correction of the great toe flexion deformity after z-plasty of the flexor hallucis longus tendon.
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F4
Subsequent z-plasty of FHL tendon gave a full correction of the great toe flexion contracture (Fig. 4).
A photograph 3 months post-surgery demonstrating the full correction of the great and lesser toes.
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F5
The patient made an uncomplicated post-operative recovery and after final review, 3 months post-surgery had maintained the full range of movement in all toes (Fig. 5).
Weight-bearing photograph before surgery.
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F6
Weight-bearing photograph is also shown before surgery (Fig. 6) and after surgery (Fig. 7).