Overcorrection may follow excessive bone correction, over-tightening of medial tissues, excessive lateral release, sesamoid imbalance or postoperative displacement. The deformity may be flexible early and become stiff with time.
Management depends on severity, flexibility, symptoms and joint condition. Early recognition may allow splinting or soft-tissue management; established painful deformity can require reconstruction or, when the joint is damaged, fusion.
Balanced correction is more important than making the toe perfectly straight.
Dressings and splints should be used exactly as directed.
A progressive inward deviation of the big toe should be reported early.
Is a very straight toe always a better result?
No. The goal is functional alignment with a congruent, stable joint. Overcorrection can be as problematic as residual deformity.