Hammertoe Surgery – Can I Avoid It?


What are Hammertoes?

Hammertoes occurs when toes are curled as a result of a bend in the middle joint of the toe. It usually happens at the second, third or fourth toes and is sometimes referred to as contracted toe or rotated toe, or misnamed as claw toe, which is a different condition. It usually happens as the tendons at the top and bottom of the toes become imbalanced and pull the toe(s) into the hammer position. When the toes are bent in this way, the result resembles a hammer shape, giving the name hammertoe. A variety of biomechanical issues in the feet can cause tendon imbalance.

People with hammertoes may have corns and calluses form on the top of the middle joint of the toe, or on the tip of the toe. There can be swelling and redness around the toes and stiffness can make it difficult to walk. Individuals with hammertoe may feel constant pain when on their feet. Hammertoe surgery may be required to relieve this pain.

Hammertoes can be flexible or rigid. Flexible hammertoe can be manually corrected and may respond to conservative treatment like foot orthotics to correct biomechanical insufficiencies. Rigid deformity would require hammertoe surgery for correction. However, accommodation of the deformity may be possible using appropriate footwear or foot orthotics.

Hammertoe Surgery: What is the Process?

There are several types of surgeries used to correct hammertoes. Some surgeries may require general anaesthetic while others are completed safely under local anaesthetic. In most cases, hammertoe surgery can be done during the day and you will not have to stay overnight at the hospital. The foot and prepared and a small incision is made. Your surgeon will be using small tools to work in this delicate area of the foot.

Types of Hammertoe Surgery

The most common types are:

 

  • Tendon transfer
  • Arthrodesis
  • Arthroplasty

 

Tendon transfer involves re-routing the tendon from under your toe to the top of the toe to correct the position. This surgery is often chosen if the toe is mobile. Otherwise, it can be used in combination with the following procedures.

Digital arthrodesis involves straightening the toe and fusing the joint completely. The surgeon inserts a wire into the toe that extends past the end of the toe to hold it in place for around 3-6 weeks. top surgery

Implant arthroplasty, or joint replacement is the third option. Here an implant made of silicon, rubber or metal is inserted in the toe to act as a replacement for the removed bone.

What to Expect After Hammertoe Surgery

After having hammertoe surgery, you can expect to have some swelling, stiffness and limited mobility. For some it can take as long as 8-12 weeks to be walking normally again while others can walk immediately after surgery. According to the surgeon, which surgery they performed and the way they did it, instructions after hammertoe surgery will differ…so follow the surgeon’s instructions to the letter. A typical recommendation could involve restriction of weight bearing for 24 hours after surgery, a splint for 2-4 weeks, and continued wear of appropriate footwear. Exercises to increase the strength in the foot and toe muscles may also be suggested.

What Are The Risks of Hammertoe Surgery?

There is a risk of infection with any surgery. Your toes may swell for long periods following hammertoe surgery. Nerve injury, numbness, limited range of motion, or extended periods of pain may occur. There is also no guarantee that the procedure will work in every case and the deformity could return.

 


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