Hammertoes pp 181-196 | Cite as

Tendon Lengthening Procedures

  • Mark GilheanyEmail author


Tendon lengthening procedures are a common component of surgical algorithms utilised in the reduction of lesser toe deformity [1–6]. These algorithms most commonly involve bone and joint surgery with decompression and/or balancing of soft tissues which may include the skin, ligament, joint capsule and/or tendon. Patient factors such as age, co-morbidities, stage and extent of presenting deformity, flexibility of presenting deformity and expectations of both the patient and the surgeon all impact upon decision-making in respect to these algorithms.


  1. 1.
    Ellington K. Hammertoes and clawtoes: proximal interphalangeal joint correction. Foot Ankle Clin. 2011;16:547–58.CrossRefGoogle Scholar
  2. 2.
    Thomas JL, et al. Diagnosis and treatment of forefoot disorders. Section 1: digital deformities. J Foot Ankle Surg. 2009;48(2):230–8.CrossRefGoogle Scholar
  3. 3.
    Coughlin M. Chapter 7: Lesser toe deformities. In: Coughlin M, Saltzman MR, editors. Surgery of the foot and ankle. 8th ed. Philadelphia: Mosby; 2007.Google Scholar
  4. 4.
    McGlamry ED, et al. Chapter 9: Lesser ray deformities. In: Banks A, Downey M, Martin D, Miller S, editors. Foot and ankle surgery. 3rd ed. Philadelphia: Lippincott; 2001.Google Scholar
  5. 5.
    Isham S, Nunez O. Isham hammertoe procedures for the correction of lesser digital deformities. In: Maffuli N, Easly M, editors. Minimally invasive surgery of the foot and ankle. London/Dordrecht/Heidelberg/New York: Springer; 2011. p. 171–83.Google Scholar
  6. 6.
    Dockery G. Chap. 25: Digital procedures. In: Dockery G, Crawford M, editors. Lower extremity soft tissue & cutaneous plastic surgery: Saunders. ISBN: 9780702049514.Google Scholar
  7. 7.
    Molloy A, Shariff R. Mallet toe deformity. Foot Ankle Clin. 2011;16:537–46.CrossRefGoogle Scholar
  8. 8.
    Solan MC, Davies MS. Revision surgery of the lesser toes. Foot Ankle Clin. 2011;16:621–45.CrossRefGoogle Scholar
  9. 9.
    Roukis TS, Schade VL. Percutaneous flexor tenotomy for treatment of neuropathic toe ulceration secondary to toe contracture in persons with diabetes: a systematic review. J Foot Ankle Surg. 2009;48(6):684–9.CrossRefGoogle Scholar
  10. 10.
    Kearney TP, Hunt NA, Lavery LA. Safety and effectiveness of flexor tenotomies to heal toe ulcers in persons with diabetes. Diabetes Res Clin Pract. 2010;89:224–6.CrossRefGoogle Scholar
  11. 11.
    van Netten JJ, Bril A, van Baal JG. The effect of flexor tenotomy on healing and prevention of neuropathic diabetic foot ulcers on the distal end of the toe. J Foot Ankle Res. 2013;6(1):3.CrossRefGoogle Scholar
  12. 12.
    Tamir E, Vigler M, Avisar E, Finestone AS. Percutaneous tenotomy for the treatment of diabetic toe ulcers. Foot Ankle Int. 2014;35(1):38–43.CrossRefGoogle Scholar
  13. 13.
    Joost CM, Schrier JCM, Verheyen C, Louwerens JW. Definitions of hammer toe and claw toe. an evaluation of the literature. J Am Podiatr Med Assoc. 2009;99(3):194–7.CrossRefGoogle Scholar
  14. 14.
    Schrier JC, Louwerens JW, Verheyen CC. Opinions on lesser toe deformities among Dutch orthopaedic departments. Foot Ankle Int. 2007;28(12):1265–70.CrossRefGoogle Scholar
  15. 15.
    Barakat MJ, Gargan MJ. Deformities of the lesser toes – how should we describe them? The Foot. 2006;16:16–8.CrossRefGoogle Scholar
  16. 16.
    Caselli MA, George DH. Foot deformities: biomechanical and pathomechanical changes associated with aging, Part I. Clin Podiatr Med Surg. 2003;20(3):487–509.CrossRefGoogle Scholar
  17. 17.
    Coughlin MJ. Operative treatment of the mallet toe deformity. Foot Ankle Int. 1995;16(3):109–16.CrossRefGoogle Scholar
  18. 18.
    Myerson MS, Jung HG. The role of toe flexor-to-extensor transfer in correcting metatarsophalangeal joint instability of the second toe. Foot Ankle Int. 2005;26:675–9.CrossRefGoogle Scholar
  19. 19.
    Sarrafian SK. Anatomy of the foot and ankle. Descriptive topographic functional. 2nd ed. Philadelphia: Lippincott; 1993. p. 283–03 & 551–8.Google Scholar
  20. 20.
    Dreyfus JN, Schnitzer TJ. Pathogenesis and differential diagnosis of the swan-neck deformity. Semin Arthritis Rheum. 1983;13(2):200–11.CrossRefGoogle Scholar
  21. 21.
    Bauer T. Percutaneous forefoot surgery. Orthop Traumatol Surg Res. 2014;100:191–204.CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Foot Ankle SpecialistsTraralgonAustralia

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