What is a hammertoe repair?

A hammertoe repair is a surgical procedure in which the doctor repairs a toe that is in a painful or awkward position. The repair is done by fusing, removing, and/or realigning the bones.

When is it used?

Reasons for doing this procedure are:

• Your toe has an abnormal shape and position that causes pain.

• One or more of the bones that make up your toe have become deformed. This may make it difficult or painful to walk. It may be hard to find shoes that are comfortable.

An example of an alternative is to choose to do nothing, recognizing the risks of your condition. You should ask your doctor about these choices.

How do I prepare for a hammertoe repair?

Plan for your care and recovery after the operation. Allow for time to rest and try to find other people to help you with your day-to-day duties.

Follow the instructions provided by the doctor. No special preparation is usually needed.

What happens during the procedure?

You may be given a local or regional anesthetic. Either type of anesthesia should keep you from feeling pain during the operation.

The doctor will make a cut over your toe and remove the cartilage between the bones of the toe. The doctor will try to fuse the bones together or remove one or more of the bones or parts of the bones. The doctor may realign the tendons to reposition your toe or fasten the bones with pins.

What happens after the procedure?

You can usually go home from the hospital the same day you have the operation. A dressing will be on your toe to keep it in its new position.

For several days you will need to walk less than you normally would. Your doctor may want you to use crutches or a special shoe after surgery.

Ask your doctor what steps you should take and when you should come back for a checkup.

What are the benefits of this procedure?

The deformed toe is in a better position than before the operation. This lessens the pain in your toe and makes it easier to find shoes that fit.

What are the risks associated with this procedure?

• A local or regional anesthetic may not numb the area quite enough and you may feel some minor discomfort during the surgery. Also, in rare cases, you may have an allergic reaction to the drug used in this type of anesthesia.

• The bones could go back to a painful or awkward position again.

• There is a risk of infection and bleeding.

• The nerves or arteries in the area may be damaged.

• The toe may be swollen after surgery for several months.

You should ask your doctor how these risks apply to you.

When should I call the doctor?

Call the doctor immediately if:

• You are in a lot of pain.

• You have a lot of swelling around the toe.

• You develop a fever.

• You have a lot of bleeding.

Call the doctor during office hours if:

• You have questions about the procedure or its result.

• You want to make another appointment.