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Hammer toe occurs when there is a shortening of the tendon that controls toe movement. This causes the middle joint of the toe to be bent upward and the outer joint downwards. The misshapen toe resembles a hammer. A hammer toe correction is done to correct a toe deformity called a
Several surgical options are available for hammer toe correction. Some corrections can be made with changes to soft tissue. Others need to be made to the bone or joint.
This is usually best in patients under 30, with limited toe deformity. A cut is made in the skin and the tendon is released. Sometimes it is reattached to a different area of the bone. The changes in soft tissue will allow the toe to relax and eliminate the deformity.
Two common methods of hammer toe correction on the bones themselves are joint arthroplasty and joint fusion. The type of procedure used depends on the deformity. A combination of procedures may be needed. In both cases, a cut in the skin is made over the toe joint.
During an arthroplasty, part of the bones on both sides of the middle toe joint may be removed. This will allow the toe to uncurl.
During a fusion, the ends of the toe bones are removed. The bones are then repositioned. The repositioning is usually held together with a pin placed within the bone. The pin may be removed after 3-4 weeks. Other changes to the anatomy of the foot due to the hammer toe may also be corrected at this time.
The incision will be closed with stitches. Dressings will be applied to hold the toe in proper position.
During the first couple of days, keep your foot elevated most of the time.
Limit standing and walking, and stay off your foot as much as possible.
Use crutches or wear a special open-toed, wooden-soled shoe, as
directed by your doctor.
Ask your doctor about when it is safe to shower, bathe, or soak in water.
The corrected toe may be slightly longer or shorter than before surgery. The toe will not move as much as a normal toe. Expect some swelling and redness, which may last for several months. Your dressing may need to be adjusted as swelling decreases. If it appears that the deformity may recur, your doctor may choose to continue with dressings for another 2-4 weeks.
Select shoes with plenty of space for your toes. Poorly fitting shoes contribute to hammer toe development.
6/2/2011 DynaMed's Systematic Literature Surveillance
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Smoking cessation reduces postoperative complications: a systematic review and meta-analysis.
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