Revision Hammer Toe Surgery

Based in the heart of NY, Advance Foot and Ankle Solutions offers the best facility for performing revision hammer toe surgery, while catering to all other various foot and ankle problems. Look no further when you can have direct access to the globally acclaimed specialist team of foot and ankle surgeons, supervising & managing your revision hammer toe surgery with diligence and dedication.

Advance Foot and Ankle Solutions support team is absolutely attentive to your requirements related to revision hammer toe surgery. Call & book an appointment right away for professionally diagnosed, treated and empathetically cured foot and ankle issues, to lead a wholesome, enviable lifestyle.

Revision Hammer Toe Surgery: Overview Of The Procedure

Hammertoes are quite common deformities and do not always cause pain that require surgical intervention. Repairing this condition can be a challenging task, especially in the presence of a severe deformity. Complications may occur during the post-operative recovery phase after a surgical correction and the ways of addressing these problems differ from one individual to another. However, when complications arise surgeons must address them in a proper and timely fashion.

Unluckily, not all hammer toe surgeries result in a painless, nicely aligned toe. There are many reasons for a hammer toe surgery to fail, including new structural problems, lack of precautionary measures, stiffness of the joints and persistent pain. The fine news is that Advance Foot & Ankle Solutions qualified podiatrists can lend you a helping hand in deciding the best treatment to correct your problem, keeping in mind that revision of hammer toe surgery is one of the most difficult prospects to cure.

In majority of cases there has been so much amount of bone removal that there is not enough solid mass left to enable any further correction of the deformed toes. And in some cases, there is sufficient bone but the bone cut made is incorrect resulting in poor toe alignment. Most cases of hammer toe deformity can be re-corrected. The corrections are performed with the use of special pins and/or bone graft to correct the length and alignment of the toes.

Revision Hammer Toe Surgery: Features Leading To It

Malpractice in hammertoe surgery typically involves mistakes in diagnosis as to the:

  • Cause Of The Hammer Toes
  • The Type Of Surgery Selected
  • Sloppy & Inadequate Surgery

This type of surgical approach may often lead to:

  • Twisted, Distorted & Shortened Toes
  • Toes Which Are Cocked Up, Hovering Over The Other Toes
  • Toes Which Are Stiff Or Difficult To Move
  • Toes Which Are No Longer Functional
  • Toes Which Do Not Touch The Ground

Revision Hammer Toe Surgery: Requirements For An Ideal Operative Process

It is imperative for foot and ankle surgeons to gain a detailed understanding of digital anatomy as well as a solid conceptualization of the biomechanical forces acting on the digits. Perhaps the reason surgical outcomes of hammer toe procedures are so unpredictable is not because the toes are so intricate or complicated, but is more due to a lack of an adequate physical examination.

Without a thorough inspection, one cannot evaluate or identify the deforming forces and thus, cannot appropriately plan surgery. It is essential to approach digital surgery with an attention to detail, an accurate knowledge of anatomic structures and the means in which biomechanical function and forces are transmitted, distributed and disrupted with surgical modification.

There are several functional considerations that must be explored in order to develop accurate and appropriate surgical planning or salvage if hammer toe surgery fails.

  • A Pertinent Elementary Coverage On Digital Anatomy And Physiology
  • Understanding The Biomechanics Of Hammer Toe Deformities
  • Assessing The Nature Of The Deformity
  • Determining Appropriate Surgical Goals

Revision Hammer Toe Surgery: Surgical Repair Of A Previously Failed Attempt

Every hammer toe complication is variable and requires special evaluation of patient’s medical history, x-rays and physical examinations. When repairing a hammer toe deformity arising out of a failed surgery, two basic procedures are performed after initial presentation, as highlighted beneath:

  • Arthroplasty whereby a portion of the joint is removed producing a straighter joint, but maintaining flexibility at this level. This allows for possible recurrence.
    • Associated Complication
      • Flail Toe whereby the toe becomes “floppy” because too much bone was removed
    • Treatment Mode
      • Removing the opposing joint surface and fusing the joint with implant or pin
    • Associated Complication
      • Return Of Flexed Position of toe
    • Treatment Mode
      • Removing the opposing joint surface and fusing the  joint with implant or pin
  • Arthroplasty with Joint Fusion wherebyopposing cartilage from both sides of the joint is removed and the joint allowed to fuse/heal together. If complete fusion occurs, the joint cannot bend at this level again and deformity cannot return.
    • Associated Complication
      • Nonunion whereby the opposing bones do not join and the space fills with inflamed scar tissue which is often intensely painful
    • Treatment Mode
      • Removal of unhealed bone and previous implant, then repeating previous fusion procedure
    • Associated Complication
      • Toe Is Not Straight, i.e. toe is angled up, down, left or right due to poor alignment at fusion site
    • Treatment Mode
      • Removal of implant if present, and removal of angled bone at the joint level. A pin or implant is placed in the toe to maintain stability during healing.
    • Associated Complication
      • Joint Pain In The Ball Of Foot Behind Affected Toe characterized by a contracted toe that is caused by a long metatarsal bone behind the toe. Prolonged contracture can also cause joint damage on the bottom of foot called a plantar plate tear that requires repair
    • Treatment Mode
      • The metatarsal bone needs to be shortened and fixated with screw(s) while it heals. This allows the toe to be straightened and also permits inspection of joint surface for tearing which can be repaired at this time

Revision Hammer Toe Surgery: Recovery & Resumption Of Routine

In most revision surgery cases, the duration of recovery is similar to the original failed surgery. Most hammer toe procedures permit patients to resume full normal activity in about 6-8 weeks, but every patient’s recovery is slightly different from the other.

Typical recovery periods from revision hammer toe procedure is as follows:

  • 4-6 weeks in a stiff-soled surgical shoe, while clinical evaluation of post-operative pain and healing extent determines timing of transition into an athletic shoe
  • Athletic shoes are worn for 2-4 weeks while final healing is underway
  • Pain at surgical site gets typically better at 8 weeks after surgery than it was priorly, and gradually improves over a period of about six months