Introduction: Mirror foot is an extremely rare type of foot malformation and is characterized by the duplication of toes and metatarsals around a centrally located hallux toe. It can be part of a generalized congenital dysplasia or an isolated one. The central type is the less frequent form of the mirror foot.

Case report: We present an isolated type of central mirror foot with eight toes, seven metatarsals, and four cuneiforms. The isolated toe was medially located. The child presented no other deformities. Surgical management was performed at the age of 1 year, consisting of central-ray removal, using a dorsal and plantar incision. The approximation of the remaining metatarsals was reinforced using a suture that enwrapped the bones. We achieved an appropriate reduction in the width of the foot. A year after the procedure, the foot had a normal shape.

Conclusion: Our manuscript presents the case of a central mirror foot that was treated surgically with adequate restoration of the proximity of the remaining rays.

Figure 1 Initial picture of the foot, at 6 months of age.

Figure 2 X-ray of the foot, with seven metatarsals. The medial floppy toe (1st), has two ossification centers.

Figure 3 X-ray of both feet, showing the different number of ossification centers of midtarsal bones.

Figure 4 X-ray of the legs, with a normal configuration of tibia and fibula bilaterally. There is a marginal proximal increase in the length of the right fibula. There is no LLD.

Figure 5 Dorsal and plantar view of the feet, at the time of surgical procedure.

Figure 6 Picture of the foot at the removal of the K-wire. Note the reduced width of the foot.