Small Toe Deformities

Deformities of the lesser toes such as Hammer and Clawing toes are commonly seen and may be associated with other forefoot deformities such as bunions. The toe deformities initially remain flexible and correctable and may respond to non-operative measures such as toe spacers and insoles. Most-often, these deformities require surgical correction consisting of soft tissue of bony procedures. The soft tissue procedures are usually performed for flexible deformities and involve releasing and re-aligning of the soft tissues around the toes. The bony procedures are generally required for rigid deformities and include excision and fusion of joint and shortening osteotomy of the toe metatarsal (Weil’s osteotomy). A Pin may be used to fix the toes in corrected position and is usually removed in clinic at 4-6 weeks.

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