60 year old male with severe forefoot deformity and pain due to Rheumatoid Arthritis. He had intractable calluses on the bottom of his foot for years making walking difficult despite custom shoes and orthotics. I performed a Clayton Hoffman procedure (ie, 1st MTP fusion, 2-5 metatarsal head resections), he is now 2 months from his procedure. He is back to walking, even last week was doing house work on a ladder, without any pain and wearing normal shoes!

Painful calluses have disappeared!

Final Radiographs at 5 months!

Walking pain free at 5 months!