Indications for Surgery

Hammer toe surgery is typically recommended when conservative treatment options fail to provide relief. These conservative treatments may include the use of orthotic devices, physical therapy, padding, or changes in footwear. Patients may also experience significant pain or develop corns, calluses, or other complications due to the abnormal positioning of the toes. Surgical intervention may be considered if the hammer toe is rigid, meaning it cannot be straightened manually.

Types of Hammer Toe Surgery

There are several surgical techniques to correct hammer toes, and the choice of procedure often depends on the severity of the deformity and the specific needs of the patient. Common surgical options include:

Tendon Release: This procedure involves cutting or releasing the tight tendons that are causing the toe to bend. This allows for increased mobility and realignment of the toe.

Osteotomy: In this procedure, a portion of the toe bone is removed or reshaped to correct the alignment. The bones are then stabilized using pins or screws, ensuring proper healing.

Joint Fusion: In cases where the joint is severely damaged or degenerated, the surgeon may opt for fusion, which involves permanently joining the two bones at the affected joint. This procedure can relieve pain but may result in limited mobility at that joint.

Exostectomy: This technique involves removing the bony prominence (exostosis) that can develop on the affected toe, which often contributes to discomfort and pain.

The Surgical Procedure

Hammer toe correction surgery is usually performed as an outpatient procedure, meaning that patients can go home the same day. It typically involves the following steps:

Anesthesia: The procedure begins with the administration of local anesthesia to numb the foot, although general anesthesia may be used in certain cases.

Incision: The surgeon makes an incision on the top or side of the affected toe to access the underlying structures.

Correction: Depending on the chosen technique, the surgeon will either release tendons, reshape bones, fuse joints, or remove bony growths.

Closure: Once the necessary corrections are made, the incision is closed with sutures or staples. A sterile bandage is applied to protect the area.

Recovery and Rehabilitation

Recovery time after hammer toe surgery can vary based on the specific procedure performed and individual healing rates. Patients are generally advised to keep the foot elevated and avoid putting weight on it for several days post-surgery. pediatric foot specialist near me Pain management may involve prescribed medications, and patients will be instructed on how to care for the surgical site to prevent infection.

Physical therapy may be recommended to improve flexibility, strength, and overall foot function. Most patients can return to normal activities within a few weeks, although complete healing may take several months.