Toe-shortening surgery is typically performed using one of two methods:
Bone Resection
Bone resection is a surgical procedure designed to remove a portion of the bone from one of the small toe joints, typically to address deformities or conditions like hammertoes, bunions, or other foot-related issues. This procedure aims to shorten the toe and restore proper alignment, improving both the function and appearance of the foot.
Procedure:
Preoperative Preparations: The patient is typically administered a local anesthetic to numb the area around the foot, though general anesthesia may be used in more extensive cases. The surgical site is cleaned and sterilized to prevent infection.
Incision: A small incision is made on the affected toe or foot to access the joint.
Bone Removal: The surgeon removes a portion of the bone from the affected joint to shorten the toe and correct the deformity. In some cases, this may also involve the removal of any abnormal growth or spurs that may have formed due to the deformity.
Realignment and Closure: After resection, the remaining bone is repositioned to ensure proper alignment. If necessary, the bones may be stabilized with pins or screws. The incision is then closed with sutures, and a bandage is applied to protect the site.
Postoperative Care: The patient is advised to keep weight off the foot during the initial healing period to ensure the bone heals properly. Depending on the complexity of the procedure, a post-operative shoe or splint may be used to keep the foot in a favorable position for healing. Follow-up visits are scheduled to monitor the healing process and check for complications such as infection or misalignment.
Bone Repair
Bone repair involves the complete removal of a small joint in the toe, followed by the healing of the remaining bones together. This procedure is more invasive than bone resection and is typically used for more severe deformities that cannot be corrected with simple resection alone.
Procedure:
Preoperative Preparations: Similar to bone resection, the patient is administered anesthesia (either local or general) and the surgical area is sterilized to reduce the risk of infection.
Incision and Joint Removal: A larger incision is made to access the affected joint in the toe. The surgeon removes the entire small joint, including any bone spurs or irregularities that may be present, to ensure proper alignment during healing.
Bone Healing: The bones at the joint are carefully aligned so they can heal together. In some cases, the bones may be fixed using internal hardware such as pins, plates, or screws to ensure proper positioning during the healing process.
Closure and Bandaging: Once the joint is removed and the bones are aligned, the incision is closed with sutures. A sterile dressing or bandage is applied to the site.
Postoperative Care: Similar to bone resection, the patient is advised to avoid putting weight on the foot for an extended period, typically several weeks. The surgeon may prescribe pain management options and advise the patient to follow up for regular check-ups to ensure the bones are healing correctly. In some cases, physical therapy may be recommended to help improve mobility and strength once healing has progressed.
The procedure generally takes around three hours, and after the excess bone and tissue are removed, the incision is closed with stitches. The surgery is minimally invasive, ensuring a faster recovery time and reduced risk of complications.