Flexible Hammertoes & Tendon Release
You may be able to straighten the buckled joints, but flexible hammertoes will become rigid. Common symptoms include corns, pain and irrigation.
In order to treat the buckled joints, the bottom tendon can be repositioned to the top of the toe, called a flexor tendon transfer. The top or bottom tendon can also be released only; this is called tenotomy.
Rigid hammertoes are just that—rigid and inflexible. In fact, you cannot straighten the affected buckled joints. Loss of function, pain and corns may be more severe than in the case of flexible hammertoes.
Arthroplasty is where part of the rigid toe joint is straightened, sometimes using a pin. The benefit of arthroplasty is that you can bear weight on your foot immediately after surgery. Arthroplasty causes the bones to connect via scar tissue, producing a flexible toe.
Curled Fifth Toe
Curled fifth toe is oftentimes genetic. The fifth toe curls in and moved under the neighboring toe. The nail of the curled toe then begins to turn outward, causing you to mostly bear weight on the side of your toe. This condition can result in corns and painful nails.
For the case of curled fifth toe, skin and a section of bone are removed in order to straighten the toe. The bones become connected through the process of scarring that occurs during healing. The advantage of derotation arthroplasty is that you can bear weight on your foot directly after surgery.
Often occurring at the base of the third and fourth toes, this condition is when the two metatarsal bones are pressed together, causing a pinched nerve. This pinched nerve can be painful and swollen; walking or standing enhances the pain.
When the neuroma is removed, the enlarged section of the inflamed nerve is removed. A small area may feel numb following the surgery. A benefit of neuroma removal is that you can usually bear weight on your foot following surgery.
Plantar callus occurs when a metatarsal is lower or larger than the other metatarsals, pressing on the skin and making a callus. The callus can cause irritation and pain.
For plantar callus condition, the metatarsal bone is cut and then aligned with the other metatarsal bones, held in place by pins or screws. The plantar callus then goes away over time. You may need to wear a surgical shoe for several weeks following surgery.
Toe Spur: Minimal Incision Surgery
For toe spur, a small skin incision is made and a file is then used to smooth the bone. You should be able to walk on your foot immediately after surgery, but may need to wear a surgical shoe for several weeks following surgery.