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aims study report clinical radiological outcomes pre central postaxial polydactyly resection children tertiary referral centre children underwent resection supernumerary toe 2001 2013 prospectively enrolled invited single reassessment clinical parameters several dedicated outcome scores visual analogue scale vas paediatric outcomes data collection instrument podci activities scale kids ask american orthopaedic foot ankle society score aofas obtained radiographs operated nonoperated feet along pedobarographs 39 children 52 feet mean followup 72 years 31 130 included study resection duplicated great toe performed ten children central polydactyly four postaxial polydactyly 26 mean postoperative vas 07 0 7 ask 937 642 100 aofas range 859 890 indicated excellent outcomes among cohort podci global functioning scale 957 755 100 satisfactory significant differences found regarding outcomes pre versus postaxial patients radiological toe alignment operated nonoperated sides minor complications observed six children 15 seven surgical revisions 18 six preaxial patients groups operation area reduced mean maximum force observed changes hindfoot region detected based prolonged contact time reduced force preaxial group excellent midterm results expected foot polydactyly resection childhood however parents care children need counselled regarding higher risk subsequent revision surgery preaxial patients also within study period plantar pressure distribution operated part foot return completely normal cite article bone joint j 2021103b2415420