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Dislocations or subluxations of the metatarsophalangeal joints are rare, and open reduction is necessary in exceptional cases. In this case report, we present the case of a 30-year-old man who had chronic dislocation of the fifth metatarsophalangeal joint after a motorcycle accident. Stiffening of the joint capsule prevented closed reduction; therefore, the patient underwent surgery. After performing a Gauthier-type osteotomy, the joint was stabilized by Kirschner wire. The patient had an excellent recovery with no new dislocation episodes.