The heavy labours have been using the safety shoes widespreadly in recent years and the incidence of the toe injuries have been significantly reduced largely due to the increased effectiveness of the steel toe cap in the safety shoes.

When heavy material fall over the foot dorsum wearing safety shoes, toe cap was rotated backward and tapped the proximal phalanx of the great toe, and so the displaced fracture of the proximal phalanx occurred largely by distraction.

We have reviewed 67 cases among 80 cases, which resulted in many complication such as delayed union, nonunion, and malunion etc...

So we suggest the method of treatment and the modification of toe cap in safety shoes.