The average age at surgery was 14.9 years with a mean follow-up of 35.2 months. Common indications for surgery were pain and deformity. The most frequent surgical fixation methods were retrograde cannulated screws (24 cases) and Kirschner wire (7 cases). A total of 55 concomitant procedures were performed on 21 feet (68%) for additional foot/toe deformities. Successful fusion was achieved in 30 of 31 toes. Significant improvement in the IP angle (P < 0.001), with minimal change in hallux valgus angle (P = 0.24) and intermetatarsal angle (P = 0.03). High patient satisfaction (94.1%) due to improved toe position and reduced pain. The most common complication was hardware-related issues, particularly with screws, which may require hardware removal.