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 hammer toe.
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A hammertoe correction is considered when:
Complications are rare, but no procedure is completely free of risk. If you are planning to have the correction, your doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
Your doctor will likely do the following:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to 1 week before the procedure.
The day of the procedure:
Local anesthesia is often used. It will numb the area. Spinal anesthesia may also be used. This anesthesia will make your lower body numb.
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.
2 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.
This depends on the procedure and the number of toes corrected.
Anesthesia prevents pain during the surgery. You will be given medication to manage pain after the surgery.
Right after the procedure, you will be in a recovery room where your blood pressure, pulse, and breathing will be monitored. Recovery may also include pain medications.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
When you return home, take these steps:
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.
Contact your doctor if your recovery is not progressing as expected or you develop complications such as:
In case of an emergency, call for emergency medical services right away.
The American Orthopaedic Society for Sports Medicine
Ortho Info—American Academy of Orthopaedic Surgeons
Canadian Podiatric Medical Association
Nurses Entrepreneurial Foot Care Association of Canada
Hammer toe. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00160. Updated September 2012. Accessed February 11, 2016.
6/2/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
Last reviewed February 2016 by Warren A. Bodine, DO, CAQSM Last Updated: 3/1/2013