Introduction–Congenital hallux varus of secondary type is associated with polydactyly, syndactyly or other congenital deformities of the foot. Such congenital deformities can be addressed in childhood with soft tissue reconstructive procedures. In adulthood, treatment of these deformities is challenging because of soft tissue contractures and rigid bony deformities. To our knowledge, this is the rare case report demonstrating the management of neglected secondary congenital hallux varus in young.

Case Report– We present here a case of a 17 years old male patient who presented to us with untreated congenital hallux varus of secondary type. Patient had an extra great toe (polydactyly) with syndactyly. We have treated this patient in two stages. First stage consisted of excision of the extra great toe and k wire fixation of  MTP joint . After 10 days k wire removed and gradual correction of great toe by distractor. We have follow up of this case for more than 6 month.

Conclusion: Severe neglected congenital deformities presenting in adulthood  have  unique problems of softtissue contractures and permanent bony deformities. Congenital neglected hallux varus with polydactyly and syndactyly is a rare deformity. Its correction was challenging as patient presented to us in  adolescence. A staged approach consisted of excision of the extra great toe and gradual correction  of  great toe by distractor has resulted in satisfactory aesthetic and functional outcome