Big toe ectropion is treated conservatively for mild ectropion and surgically for severe ectropion.
1. Conservative treatment: choose moccasins with wider and deeper toes, or wear an orthopedic brace for ectropion and a big toe placeholder.
2. Surgical treatment: choose the appropriate operation according to detailed physical examination, X-ray examination and CT examination.
(1) Soft tissue surgery: mainly to correct the angle of valgus, represented by Mcbride’s surgery.
(2) Osteotomy: There are toe osteotomy and 1st metatarsal neck osteotomy.
(3) Medial osteotomy of the 1st metatarsal head: there is the Mayo procedure.
(4) Arthrodesis: 1st metatarsophalangeal joint fusion and 1st metatarsal cuneiform fusion.
(5) Arthroplasty: 1st metatarsophalangeal arthroplasty and 1st metatarsophalangeal joint prosthesis replacement.
If you have a big toe exostosis that needs to be corrected, it is important to go to the hospital at the first opportunity and choose the appropriate treatment based on the results of the examination.