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Revision Surgery for the Failed Hammer Toe

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Revision Surgery of the Foot and Ankle

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Abstract

Hammer or claw toe surgery may require a proximal interphalangeal joint (PIP) or distal interphalangeal joint (DIP) fusion or resection arthroplasty. This may result in a malunited, non-united stiff toe or a deformed, unstable floppy toe. All elements of the deformity require addressing for success, including performing releases of the MTP, EDL, and proximal phalanx or metatarsal bone osteotomies. Treatment requires revision fusion and realignment of the toe(s). At the time of revision fusion, the edges of the bone are meticulously resected preserving maximal bone stock. Bone graft dowels harvested from either the iliac crest or calcaneus are packed into the voids. One to three intramedullary K-wires or a screw are used for fixation. The wires are left in for 6 weeks, while the patient avoids rolling through ball of the foot.

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Author information

Authors and Affiliations

  1. Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Department of Orthopaedic Surgery, Bangkok, Thailand

    Jakrapong Orapin

  2. Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA

    Lew C. Schon

  3. Georgetown School of Medicine, Washington, DC, USA

    Lew C. Schon

  4. Johns Hopkins University, Baltimore, MD, USA

    Lew C. Schon

  5. Fischell Literati Faculty, University of Maryland, Fischell Department of Bioengineering, College Park, MD, USA

    Lew C. Schon

Authors
  1. Jakrapong Orapin
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  2. Lew C. Schon
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Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH, USA

    Mark J. Berkowitz

  2. Florida Orthopaedic Institute, Temple Terrace, FL, USA

    Michael P. Clare

  3. Department of Orthopedic Surgery, Oakland University William Beaumont, Royal Oak, MI, USA

    Paul T. Fortin

  4. Medstar Union Memorial Hospital, Baltimore, MD, USA

    Lew C. Schon

  5. Florida Orthopedic Institute, Temple Terrace, FL, USA

    Roy W. Sanders

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Orapin, J., Schon, L.C. (2020). Revision Surgery for the Failed Hammer Toe. In: Berkowitz, M., Clare, M., Fortin, P., Schon, L., Sanders, R. (eds) Revision Surgery of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-030-29969-9_4

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  • DOI: https://doi.org/10.1007/978-3-030-29969-9_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29968-2

  • Online ISBN: 978-3-030-29969-9

  • eBook Packages: MedicineMedicine (R0)

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