forefoot deformities

Forefoot pain is a common complaint heard at Savannah Orthopaedic Foot & Ankle. Often, patients describe their pain in vague and generic manners. Therefore, the pathologies associated with the varying diagnosis range from acquired orthopedic deformities to overuse problems and traumatic injuries. These clinical problems, encountered daily by our staff, typically involve the lesser toes and metatarsals and their respective joints. Our routine forefoot services include surgery, minimally invasive surgery, and non-operative treatment of digital deformities, bunions, bunionettes; and trauma conditions. 



Digital deformities (hammertoes) are among the most common forefoot disorders encountered by foot and ankle surgeons. These deformities may be either congenital or acquired, with the incidence of digital deformities greater among females than males in almost all age groups. Whereas biomechanical dysfunction is usually introduced as the primary cause of digital deformities, pathologies also may be caused by a variety of other conditions. The proper identification of the deforming forces and resultant tendon and capsuloligamentous imbalance is critical in determining the treatment plan. Digital deformities may occur as an isolated entity or as a component of other foot and ankle conditions. Please contact our staff to receive more information.



Your big toe is the hardest-working toe. Every time your foot pushes off the ground, this toe supports most of your body’s weight. Because the big toe is so critical to movement, any problem with it can make walking or even standing painful. A bunion (excess or misaligned bone in the joint) is one of the most common big toe problems. In addition to causing pain, a bunion changes the shape of your foot, making it harder to find shoes that fit. But you don’t have to hobble for the rest of your life. Bunions can be treated….with our help, your feet can feel and look better.

Tailor’s bunion (also called bunionette) involves deformity of the fifth metatarsophalangeal joint (little toe) and typically involves deformity with lateral prominence, or jutting out, of the fifth metatarsal head. Numerous factors can contribute to the development of a tailor’s bunion. Structural causes include a prominent lateral condyle, a plantarflexed fifth metatarsal, a splay foot deformity, lateral bowing of the fifth metatarsal, or a combination of these deformities. In addition, there may be hypertrophy of the soft tissues over the lateral aspect of the metatarsal head. Other contributing factors may include a varus fifth toe, hallux valgus with abnormal pronation of the fifth metatarsal, hindfoot varus, and flatfoot. 

Correction of Arthritis with Cartiva

Arthritis of the great toe, also known as Hallux Rigidus, is a common problem. It can now be treated with a unique implant called Cartiva. Five year results have shown 90% success.  Please contact our staff to see if the Cartiva treatment is right for you. For more information on the Cartiva Implant, please click on the link below: