Hammer toe surgery

NewsBot · Jun 18, 2025

Z-type shortening osteotomy of the proximal phalanx: a novel and safe joint sparing intervention to shorten lesser toes with good short-term outcome
Philipp Friederichsen et al
Foot and Ankle Surgery 18 June 2025

Background
Overlength of the lesser toes can lead to pain at the distal toe end and painful hammer and claw deformities. Fusion or resection of proximal interphalangeal joints are commonly used to address overlength, while sacrificing joint mobility. A Z-type shortening osteotomy of the proximal phalanx (SOPP) was developed as a joint-sparing alternative.
Methods
We outline this novel technique and retrospectively analyzed preliminary data from 13 patients (including 9 women) with a mean age of 42 years who underwent Z-type SOPP. Patients rated their postoperative satisfaction and assessments of radiographs and complications were made up to 1-year post-SOPP.
Results
Of 29 toes in total, mean postoperative shortening was 6.4 mm (range, 4 to 11 mm) and all showed complete union at 1 year. All patients were satisfied with the surgery and only two reported limited joint mobility. There were no reports of infection and delayed wound healing.
Conclusion
Z-type SOPP appears to be an effective and safe joint sparing treatment for lesser toe overlength in the short term.
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NewsBot · Jul 3, 2025

Influence of the presence or absence of the second hammertoe on clinical effect of hallux valgus
Jing Tian et al
Zhongguo Gu Shang. 2025 Jun 25;38(6):553-8.

Objective: To compare clinical effect of Ludloff operation on the clinical efficacy of patients with hallux valgus combined with hammertoe of the second toe.

Methods: The clinical data of 66 patients with hallux valgus treated with Ludloff surgery from July 2015 to July 2022 were retrospectively analyzed. According to exclusion criteria, 33 patients with hallux valgus combined with hammertoe were finally included as case group, and 33 patients with simple hallux valgus were paired as control group. There were 11 males and 22 females in case group, aged from 24 to 62 years old with an average of (33.6±12.7) years old;body mass index (BMI) ranged from 19 to 25 kg·m-2 with an average of(21.7±3.1) kg·m-2;17 patients on the left side and 16 patients on the right side;hallux valgus angle (HVA) ranged from 25° to 47° with an average of (36.3±10.2) °;the intermetatarsal angle (IMA) ranged from 13° to 21° with an average of (16.9±3.2) °. There were 12 males and 21 females in control group, aged from 22 to 61 years old with an average of (32.2±10.9) years old;BMI ranged from 18 to 26 kg·m-2 with an average of (22.0±4.2) kg·m-2;15 patients on the left side and 18 patients on the right side;HVA ranged from 26° to 46° with an average of (37.2±9.3) °;IMA ranged from 12° to 21° with an average of (17.3±4.7) °. HVA, IMA, American Orthopaedic Foot and Ankle Society (AOFAS) forefoot scores and visual analogue scale (VAS) were compared at 3, 6 and 12 months after operation between two groups.

Results: Both groups were completed 1 year postoperative follow-up. Postoperative cutaneous margin necrosis occurred in 2 patients of case group and incision rupture occurred in 1 patient of control group. There was no significant difference between two groups (χ2=0.058, P>0.05). Both groups were achieved bone union at stageⅠat 12 weeks after opertaion, and no recurrence of bunion was observed during follow-up. Three months after operation, AOFAS forefoot function score of case group was (73.4±8.6), which was lower than that of control group (82.1±10.3), and the difference was statistically significant (P<0.05). There were no significant differences in HVA, IMA, AOFAS and VAS between two groups at 6 and 12 months after operation (P>0.05).

Conclusion: Ludloff surgery for the treatment of bunions with malleform toe of the second toe is slow in the early postoperative functional recovery, but it did not affect the long-term clinical outcome of the patients.
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NewsBot · Jul 5, 2025

EFFICACY OF PERCUTANEOUS SURGERY FOR DIGITAL DEFORMITIES IN OLDER PATIENTS WITH COMORBIDITIES
A. Herrera-Rodríguez et al
Foot and Ankle Surgery 3 July 2025

Introduction
Percutaneous forefoot surgery is a minimally invasive surgical technique with the advantages of lower morbidity and earlier recovery by allowing immediate weight bearing. These benefits represent an ideal indication for older patients with high comorbidity. This study presents the functional outcomes of this surgical technique in a series of patients with these characteristics at a tertiary-level university hospital.
Methodology
A retrospective observational study of a case series of patients who underwent this minimally invasive technique between 2022 and 2023. Epidemiological variables were collected, and the outcomes were analysed based on three parameters: resolution of ulcers, disappearance of keratoses, and the ability to wear shoes. The complete resolution of all three parameters evaluated was considered satisfactory, two resolved was acceptable, and the persistence of two or more was unsatisfactory. Given the characteristics of the series collected, only clinical follow-up was performed, with no radiological follow-up in any case.
Results
The first 30 cases operated on were collected. They had a mean age of 82.8 years and an average follow-up of 6.57 months, sufficient to evaluate medium-term postoperative results. The results were satisfactory in 83% of cases. Half of the patients had two or more comorbidities—type 2 diabetes mellitus being the most prevalent—and the higher the number of comorbidities, the greater the risk of an unsatisfactory outcome. Surgical complications were few and mostly mild, affecting only 33% of patients (10 cases). Those with ulcers before surgery presented the worst outcomes.
Conclusions
Percutaneous forefoot surgery for severe digital deformities in older patients with high comorbidity is an ideal minimally invasive technique with good functional outcomes and an acceptable percentage of complications.
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Hammer toe surgery

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Hammertoe Surgery

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Hammer toe surgery

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Hammertoe Surgery

hammertoe surgery

Hammertoe Surgery

hammer toe surgery

Hammertoe surgery??!!

Hammertoe Surgery

Surgery For Hammertoes?? to do or not?

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