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Doctor insights on: Hammertoe Amputation

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Dr. Payam Rafat Dr. Rafat
Podiatry
18 years in practice
New York College of Podiatric Medicine
1

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

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

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.

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Dr. Marlis Gonzalez fernandez
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Amputation (Definition)

Amputation is the removal of a body part due to disease or trauma. Most commonly it involves one of the limbs ...Read more


Dr. Ellen Wenzel Dr. Wenzel
Podiatry
10 years in practice
Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University
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What's involved in a hammertoe correction?

What's involved in a hammertoe correction?

Depends: This depends on the severity and flexibility of the hammertoe and any other joint contractures. Examples include: simple transecting of a tendon on the underside of the toe, cutting of bone to resect a portion of the contracted joint to reduce the deformity with possible creation of a surgical fusion. Other procedures may be required to address other joint contractures. Pins may be needed.

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Dr. Jeffrey Kass Dr. Kass
Podiatry
24 years in practice
4

4
Can you please tell me about hammertoes surgery?

Can you please tell me about hammertoes surgery?

There are two: Basic kinds, one where a piece of bone is removed at the joint or fused at the joint. Your doc will ell you decide which is best for you.

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Dr. Jeffrey Cohen Dr. Cohen
Podiatry
42 years in practice
Pennsylvania State University College of Medicine
5

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What is the definition or description of: hammertoe correction?

What is the definition or description of: hammertoe correction?

Repair of bent toes: Hammertoe correction refers to many different procedures, all intended to correct for a contracted toe which is causing pain and difficulty in shoewear. The procedures range from soft tissue procedures involving tendon and capsule work to arthroplasty which is a remodeling of the bone structure to a fusion of the toe to maintain corrected position. Which procedure is used is by physician choice.

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Dr. Libby Putnam Dr. Putnam
Podiatry
8 years in practice
Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University
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Has anyone had hammertoe correction; how well does the result look?

Has anyone had hammertoe correction; how well does the result look?

Pretty good!: Depending on how a person scars, the results can vary, though. If you know you form keloids (very thick, ropey scars), there is a possibility you'll end up with heavy scarring to your toes. Otherwise most incisions fade away within one year, and while some people do stay swollen for several weeks to months, the toe generally looks quite straight and normal once you've healed!

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Dr. Payam Rafat Dr. Rafat
Podiatry
18 years in practice
New York College of Podiatric Medicine
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Can you provide some advice for someone who's had hammertoe correction?

Follow instructions: For optimum results follow your doctors advice. Rest, elevate, keep the bandage dry and clean and follow up as recommended.

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Dr. Jeffrey Kass Dr. Kass
Podiatry
24 years in practice
8

8
What to do about my hammertoes?

What to do about my hammertoes?

Conservative tx: Is to find appropriately fitting shoes or wear silicone toe protectors, surgical tx is to fix them.

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Dr. Rolando Melendez Dr. Melendez
Podiatry
7 years in practice
Kent State University College of Podiatric Medicine
9

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What can I do about my hammertoes?

What can I do about my hammertoes?

Surgery/ palliative: The surgical correction of Hammertoes is reserve for people that have tried different conservative treatment and they have failed. This surgery and recuperation is very easy when done with the right technique. Swelling is the most common complain after surgery, and is easily treated with compression and/or a steroid injection. This surgery is not as bad as people think.

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Dr. David Tobin Dr. Tobin
Podiatry
34 years in practice
Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University
10

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Hammertoe repair, when could I drive?

Hammertoe repair, when could I drive?

Ask you surgeon: It is important to communicate with your surgeon, not friend, family or the nurse down the road.

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Dr. Payam Rafat Dr. Rafat
Podiatry
18 years in practice
New York College of Podiatric Medicine
11

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I had a hammertoe repair, when can I drive?

I had a hammertoe repair, when can I drive?

It depends: Depends on the type of procedure and which foot it was performed on. Discuss it with your surgeon. They will be able to tell you when you are ready.

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Dr. Jeffrey Kass Dr. Kass
Podiatry
24 years in practice
12

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Is it okay to drive after hammertoe repair?

Is it okay to drive after hammertoe repair?

Not advisable: Immediately. You would want to wait until you are at minimum out of the post op shoe and bandages are off the feet. Individual wrapping of toes would be okay. You must consider the foot needs to operate quickly for sudden stops etc. If you are in an accident and your in a post op shoe, I would imagine your liability would increase.

Dr. David Tobin Dr. Tobin
Podiatry
34 years in practice
Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University
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Hammertoe repair, when can I drive after the procedure?

Hammertoe repair, when can I drive after the procedure?

Surgeons choice: Every doctor has different protocol after surgery. Ask your surgeon. I typically let patients drive 3 days after surgery-short distances with automatic transmission.

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Dr. Afraz Adam Dr. Adam
Urgent Care
27 years in practice
University of Sydney Faculty of Medicine
14

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Can hammertoe surgery still hurt at 8 weeks?

Yes: It can take up to 12-16 weeks for postoperative pain to completely subside. If there is any signs of an infection such as redness, swelling, pus or fevers, see your doctor.

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Dr. Corinne Kauderer Dr. Kauderer
Wound care
32 years in practice
15

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Could I rid of hammertoe blisters?

Could I rid of hammertoe blisters?

Hammertoe blisters: Hammertoes are bony deformities due to excessive flex ion of the toes due to the overpowering of the flexor tendons over the extensor tendons. It may be genetic, but tight shoes usually is the culprit causing painful blisters. Try to avoid wearing narrow shoes and heels that put too much pressure on the digits. They will return if you don't change your shoe gear.

Dr. Scott Shields Dr. Shields
Podiatry
25 years in practice
The Ohio State University College of Medicine
16

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How long after hammertoe surgery is post op appointment?

Hammer toe surgery: I see my patients in 6-9 days after surgery. If they have any concerns they come in earlier. Some doctors will see their patients at some point longer that a week. If you have concerns ask your doctor about them.

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Dr. David Tobin Dr. Tobin
Podiatry
34 years in practice
Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University
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Today my surgeon released the tendons on two hammertoes. When will I be able to drive again?

Today my surgeon released the tendons on two hammertoes. When will I be able to drive again?

Ask your doctor: It is important to communicate with your surgeon, not friend, family or the nurse down the road.

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Dr. Darrell Latva Dr. Latva
Podiatry
38 years in practice
University of Illinois College of Medicine
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When you have the pins removed after hammertoe surgery should you have an X-ray before or after?

When you have the pins removed after hammertoe surgery should you have an X-ray before or after?

USUALLY BEFORE: I usually do it before. If that one looks ok and you're doing well; no pain, I probably don't need a post pin removal xray.

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Dr. Darrell Latva Dr. Latva
Podiatry
38 years in practice
University of Illinois College of Medicine
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I had hammertoe surgery 3 month, s ago and there's excessive swelling! What else can I do or take other than ice and elevation?

I had hammertoe surgery 3 month, s ago and there's excessive swelling! What else can I do or take other than ice and elevation?

SWELLING.: Your PA may be contributory. Also, talk to your surgeon about the complication of a "sausage toe", which is usually a prolonged swollen and sometimes red toe. Compression wraps w/ Coban and an acetate steroid injection might help. Are the x-rays ok? Finally, did you follow the surgeon's post-op orders?

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Dr. Thomas Inwood Dr. Inwood
Podiatry
31 years in practice
The Ohio State University College of Medicine
20

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If I were to have tenotomy surgery for the repair of hammertoes, would I be able to resume rigorous physical activity, such as running?

If I were to have tenotomy surgery for the repair of hammertoes, would I be able to resume rigorous physical activity, such as running?

Tenotomy: Yes - however you do have to give the toes a time to heal. Skin or incision healing time is typically 2-3 days, but the toe (s) may still be sore. So give yourself some time to heal and you should be fine. Good luck!

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