Abstract
1. Thirty-eight patients with sixty-two forefoot arthroplasties have been followed up from two to thirteen years after the operation. Eleven were free of pain, thirty-eight had some pain but were improved, and the rest were worse.
2. Patients over the age of fifty or with rheumatoid arthritis did best.
3. Kirschner wire fixation of the great toe often caused late painful stiffness of the metatarsophalangeal joint.
4. Previous interphalangeal fusion of a lesser toe was often the cause of metatarso-phalangeal dislocation of that toe and callous formation.
5. Arthrodesis of the metatarso-phalangeal joint of the great toe gave a high proportion of painless feet, apparently because it prevented both painful stiffness at that joint and dislocation of the same joint of the lesser toes.
