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How To Address Complications Of Hammertoe Surgery

By Molly Judge, DPM | 69,617 reads | 0 comments | 06/03/2007

Residual MPJ subluxation. Neuritis. Flail toe. Hypertrophic scars. These are just some of the complications that can occur with hammertor surgery.

The Top Eleven Pearls For Hammertoe Surgery

By Michael D. Dujela, DPM, James L. Chianese, DPM, James R. Holfinger, DPM, and Richard J. Zirm, DPM | 38,633 reads | 0 comments | 04/03/2002

Digital contractures are among the most common deformities we see in podiatric practice. McGlamry described three etiologies for hammertoes: flexor stabilization, flexor substitution and extensor substitution.1 While each entity may exist independently, it is more likely you will see co-existing etiologies, particularly when you’re dealing with more complex deformities.

Figure 1. This fifth toe had multiple "hammertoe surgeries." The patient’s pain was mostly on the nail bed. She also had her nail removed to try to address the problem. Nothing would work short of getting the toe to purchase the ground when weightbearing.

Secrets To Navigating Hammertoe Surgery On The Fifth Toe

William Fishco DPM FACFAS | 27,456 reads | 3 comments | 11/09/2010

This blog is dedicated to the ultimate podiatry oxymoron: a simple hammertoe surgery of the fifth toe.

When it comes to foot surgery, we all got our start working on toes. In school, we all learned the three etiologies of hammertoes: extensor substitution, flexor substitution and flexor stabilization. Based on those theories, we learned a surgical algorithm. Once we got into residency, we learned that nobody really used the "textbook" for making a decision on what to do surgically.

Can Stabilization Rods Provide A Viable Alternative In Hammertoe Correction?

By Anthony Leone, Special Projects Editor | 5,489 reads | 0 comments | 07/03/2006

   While many surgeons may opt for traditional arthroplasty, those who are looking for improved stability may want to consider the use of Interphlex Flexible Stabilization Rods.    Comprised of 80-durometer medical grade silicone, the Interphlex rods help maintain toe length by stabilizing and preserving the joint space, according to the product’s manufacturer OsteoMed, Inc. The company notes the stiffness of the rods addresses toe migration while the spacer provides stability of the joint space.    OsteoMed says the Interphlex rods are indicated for the correction of hammertoes.

When Second MPJ Overload Occurs Without Hammertoe Deformity

By Babak Baravarian, DPM | 82,627 reads | 0 comments | 11/03/2005

   It is not uncommon to see one patient every day on my practice schedule who has pain and inflammation of the second metatarsophalangeal joint (MPJ). While there are cases that involve a hammertoe associated with metatarsophalangeal joint pain, what are the options for treating patients who have pain in the second metatarsophalangeal joint but do not have a hammertoe deformity?    When it comes to cases of so-called “capsulitis of the second MPJ,” we try all kinds of different therapy with little consideration of a proper diagnosis and diagnostic testing.

New Implant Offers Viable Alternative For Hammertoe Surgery

Lauren Grant, Editorial Assistant | 11,272 reads | 0 comments | 02/26/2009

   For podiatric surgeons looking to reduce complications, improve outcomes and facilitate less postoperative pain for patients, a new implant may prove to be more beneficial than K-wire fixation in correcting hammertoe deformities.

Photo 1. Here one can see a straightforward hammertoe of the second digit. The deformity was only in the sagittal plane. A buried intramedullary K-wire technique works great for this condition.

The Art Of Dealing With The Challenges Of Hammertoe Surgery

William Fishco DPM FACFAS | 29,516 reads | 1 comments | 01/29/2010

Hammertoe surgery is a mainstay in every podiatrist’s office. I have personally found that hammertoe surgery is among the most challenging surgery we perform. Although the surgery is seemingly simple, the results are not as predictable as other surgeries that we do. When we look at each toe individually, there are inherent challenges that each one possesses.

Current And Emerging Insights On Hammertoe Correction

Christopher F. Hyer, DPM, FACFAS, and Ryan T. Scott, DPM | 78,669 reads | 4 comments | 01/25/2012

Given the risks and patient concerns associated with K-wire fixation, these authors discuss the use of emerging hammertoe implants, absorbable pins and cannulated screws, and share a couple of illuminating case studies.

Is The InterPhlex A Viable Option In Hammertoe Surgery?

By Kerry Zang, DPM | 18,370 reads | 0 comments | 01/03/2007

      One of the most common conditions that the foot and ankle surgeon will encounter is the hammertoe deformity. Surgeons have used multiple procedures for more than 60 years to deal with this condition. These have included amputation of the digit, arthrodesis of the interphalangeal joints, soft tissue releases, arthroplasty (removal of bone, partial or complete), tendon transfers, implants and/or a combination of the above. The most popular procedure during this time has been the arthroplasty with resection of the head of the proximal phalanx.

The new Smart Toe™ Intramedullary Memory Implant (MMI-USA, Inc.) reportedly obviates the need for K-wires and facilitates adequate correction for hammertoe arthrodesis.

Can A New Implant Lead To Easier Hammertoe Arthrodesis?

By Brian McCurdy, Senior Editor | 7,221 reads | 1 comments | 02/03/2008

Patients having hammertoe arthrodesis have had to undergo fixation with K-wires that can cause complications including pin tract infection. However, a new implant may obviate the need for K-wires and provide adequate correction. The Smart Toe™ Intramedullary Memory Implant was specifically developed for hammertoe arthrodesis and is composed of nitinol (Memometal® Alloy Ti-Ni), according to the manufacturer MMI-USA, Inc. Since the implant is one piece, no connection is required. There is no post-op implant exposure and no disruption of healthy joints.