BACKGROUND: Dislocated metatarsophalangeal joints from clawed or hammer toes can 
be a disabling consequence of several conditions. The Cobb-Stainsby forefoot 
arthroplasty combines partial phalangectomy (Stainsby) with extensor tendon 
transfer to the metatarsal head (Cobb). We present a retrospective, three 
surgeon case series of 215 toes in 126 patients.
METHODS: Early results and complications were gathered from the medical charts 
of 126 patients who met the inclusion criteria. Seventy-five patients were 
contactable by phone with a follow up range of 12-82 months (median follow up 45 
months). Primary outcome measures were improvement of pain and function, 
reduction in plantar callosities and cosmetic improvement of the deformity.
RESULTS: Pre-operatively all patients presented with pain and shoe wear 
problems. Post-operatively seventy-two patients (96%) were satisfied, 72 (96%) 
reported pain relief, 55 (73%) were happy with toe control, 61 (81%) were 
pleased with cosmesis and 56 (75%) reported unlimited daily activities. 
Superficial wound infections were observed in 13 of the 126 patients (10%) and 
two in 75 patients (2%) developed recurrent clawing.
CONCLUSION: Our case series demonstrates improved outcomes over alternatives 
such as the Weil's osteotomy.