Correction of Overlapping Fifth Toe Deformity with Combination of Z-Plasty and Transposition Skin Flap

Overlapping fifth toe is a congenital deformity and is characterized by an external rotation of the toe so that it overrides the adjacent fourth toe. Treatment of this condition aims to permanently reposition the fifth toe and includes conservative and surgical techniques. Here we present a case of severe overlapping fifth toe deformity treated with a combination of Z-plasty and a unilobed transposition skin flap technique over a limited surgical area, associated with low morbidity.