Problemas de Pie en Español

Hammertoe Surgery

The specific components of hammertoe surgery are determined by the severity of the deformities found on examination.  The bony components of the corrections may include bone removal, bone fusion, or no bone work at all.  The soft tissue components of the correction may involve removal of corns, rebalancing of joints, and cutting, lengthening, or relocation of tendons.  In rare cases, implants may be used.

Goals

  • Reduce or eliminate pain associated with the hammertoe and/or under the ball of the foot.
  • Improve the alignment of the toe.
  • Reduce or eliminate corn or callus formation.

Possible Alternatives to Surgery

  • Orthotics
  • Orthopedic shoes or other shoe modifications
  • Pads, shields, or splints
  • Medications
  • Physical Therapy (R.I.C.E.)
  • Trimming of corns

Potential Complications/Risks

Stiffness; Prolonged swelling; prolonged pain; Delayed healing or non-healing of skin, soft tissue, or bone;  Circulation disturbance of skin, soft tissue or bone;  Infection of soft tissue or bone; Nerve injury or numbness; Tendon injury or tendonitis; Unsightly or painful scar; Mal-alignment of the toe;  Recurrence of deformity; Over-correction; Under-correction; Regrowth of bone prominence; Incomplete relief of pain; Arthritis;  Weakness of the toe; Poor toe to ground contact; Shortening of the toe;  Hyper mobility of the toe;  Corn or pain at a different portion of the toe; Intolerance or breakage of the fixation pin; implant fatigue, failure, or intolerance; Change in shoe size; Hematoma or bleeding complication; Phlebitis; Mild to life threatening reaction to medications and/or anesthesia.

Usual Post-Operative Care/Recovery

Walk in a special surgical shoe immediately after surgery with crutches or other assistive device; use elevation, rest, water-tight ice packs, and prescribed medications for pain and swelling control; keep bandages dry and in place for approximately two weeks; sutures are removed in approximately two weeks; pins (if used) are removed in 3 to 6 weeks and the foot is kept dry during this time; utilize anti-swelling and anti-stiffness physical therapy for one to six months; return to loose shoes or sneakers in approximately 2 to 8 weeks;  return to fashionable shoes in one to four months; return to sedentary activities and/or occupation in one to six weeks; return to demanding activities and/or occupation in one to four months; possible use of orthotics long-term.

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