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Henderson, KY
A 73-year-old female asked:

I have a large bunion and extreme hammertoe next to it. should i have bunionectomy or have hammertoe amputated?

7 doctor answers17 doctors weighed in
Dr. Jeffrey Kass
Podiatry 29 years experience
The choice is yours: Does the bunion hurt? Or is it only the hammer toe that is bothering you? If only the hammer toe is bothering you...Either treatment would be acceptable. The toe amp is definatively a quicker recovery.
Dr. Rudolf Zak
Podiatric Surgery 20 years experience
Bunion: If they r painful i would recommend surgery. But i would not recommend you electively amputate your toe.
Dr. Libby Putnam
Podiatry 13 years experience
Either. : This is up to you: amputating the toe will heal faster, usually with fewer complications. But it can also allow the bunion to get worse. Depending on your age, activity level, and how concerned you are with the appearance of your foot, having a bunionectomy with hammertoe correction may be too much. It's up to you and your surgeon!
Dr. Payam Rafat
Podiatry 23 years experience
Different options.: Although an amputation is an option, you have other choices. Amputating the second toe will more than likely cause the bunion deformity to increase. An experienced surgeon can correct the bunion and re-align the hammertoe for you.
Dr. Jeffrey Kass
Podiatry 29 years experience
It depends on your age and circumstance. I recently performed second toe amputates in two people. One was retiring and wanted a quick recovery. The advantage to the amputation is recovery is minimal. Stitches for 2 weeks, with virtually no pain. In a younger person I'd vote for the corrective surgery.
Mar 9, 2013
Dr. Payam Rafat
Dr. Payam Rafat commented
Podiatry 23 years experience
Provided original answer
I agree with Dr. Kass, for some and under certain cirumstances an amputation is an excellent option.
Mar 9, 2013
Dr. Thomman Kuruvilla
Podiatry 23 years experience
NO: An amputation is not necessary. With proper x-rays, the foot surgeon can evaluate and plan an aggressive bunionectomy with possible a hammertoe arthrodesis with mpj correction with the presentation that seems to be yours.
Dr. Steven Sheskier
Orthopedic Foot and Ankle Surgery 40 years experience
Amputation of a severe hammertoe associated with a bunion is reasonable especially if the bunion is severe but asymptomatic and the patient is eldery with medical or physical impairment and wants a quick surgery with little rehabiltation necessaryso they can fit into a shoe
Mar 30, 2013
Dr. Adam Ringler
Podiatry 19 years experience
Hammertoe Amputation: There are many variables in the bunion and a lot of that depends on the xrays. It would be very uncommon to have the toe amputation as a treatment because there are many other ways to treat this surgically. However, if you have poor circulation or other risk factors surgery may not be an option. See a foot and ankle specialist for an exam and get multiple opinions.
Dr. Dale Vancil
Podiatry 38 years experience
Correct if Painful: Since a bunion is a bony misalignment, it's not surprising that you have a "hammertoe next to it." these issues can be surgically addressed at the same time. Amputation is not the first treatment choice for you. As long as your circulation is good, have them both straightened. See your local board certified podiatrist.

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Last updated May 18, 2017


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