Abstract
<jats:p>Relevance. There are cases when a rare deformity does not fit into any known algorithm and requires a personalized approach, setting the clinician the non-trivial task of finding a non-standard solution. Such cases include atypical idiopathic deformity of the toes, which is manifested by the varus-hammer-like position of the first, second, third fingers and the claw-like shape of the fourth finger. Case report. The article presents a clinical case of successful surgical treatment of a patient with an atypical combination of toes deformities, manifested by the varus-hammer-like position of the first, second, third fingers and the claw-like shape of the fourth finger. To correct each type of toe deformity, modern surgical methods were used, including original ones, including corrective osteotomies of the metatarsal bones, phalanges of the fingers, arthrodesis of the joints. The aesthetic and functional result obtained demonstrated the high effectiveness of the treatment. Conclusion. The use and correct choice of modern surgical techniques makes it possible to achieve good results, even in non-standard clinical cases.</jats:p>