Hammertoe Revision: Correcting Deformity and Restoring Foot Comfort
Hammertoes can be painful, frustrating, and limit your ability to wear shoes or stay active. While initial treatments may involve non-surgical options or even earlier surgical correction, some cases require a second look, this is where hammertoe revision surgery comes in. Whether due to recurrence, incomplete correction, or complications from a previous procedure, revision surgery aims to realign the toe, relieve pain, and improve function.
What Is a Hammertoe?
A hammertoe is a deformity in which one of the smaller toes bends abnormally at the middle joint, resembling a hammer. Over time, the toe may stiffen, develop corns, or cause discomfort in footwear. Causes include:
- Genetics or foot structure
- Tight or ill-fitting shoes
- Imbalance in toe muscles and tendons
- Trauma or arthritis
What Is Hammertoe Revision?
Hammertoe revision is a secondary surgical procedure performed when:
- A previous hammertoe surgery didn’t fully correct the deformity
- The toe has become rigid again or bent in a different way
- Pain, stiffness, or hardware problems persist after initial surgery
This procedure can involve removing or replacing hardware, correcting bone alignment, or addressing scar tissue and joint stiffness.
Why Is Revision Surgery Needed?
Revision surgery may be necessary for reasons such as:
- Recurrence of the hammertoe
- Improper alignment or overcorrection from a previous surgery
- Persistent pain or limited mobility
- Infection or complications involving surgical hardware
What Happens During the Procedure?
Depending on the specific issue, the surgeon may:
- Remove or adjust surgical hardware (pins, wires, screws)
- Realign the toe bones
- Lengthen or release tight tendons
- Fuse joints for long-term stability
- Repair soft tissue imbalances
The procedure is typically outpatient, and recovery varies depending on the complexity of the revision.
What to Expect After Surgery
- Recovery time may be slightly longer than an initial hammertoe correction
- Weight-bearing may be limited for several weeks, often with a special shoe
- Swelling and stiffness are normal but improve gradually
- Physical therapy may help regain strength and flexibility
Benefits of Hammertoe Revision
- Improved toe alignment and function
- Reduced pain and discomfort
- Better shoe fit and walking comfort
- Correction of failed or problematic prior surgery