Hammertoes pp 355-363 | Cite as

Hammertoe Correction in the Neuropathic Patient

  • Barry Rosenblum
  • Christopher P. TveterEmail author


Hammertoe deformities in the presence of sensory neuropathy have the potential to cause increased skin irritation and ulcer formation. If not diagnosed and treated properly, this can become complicated by infection, need for antibiotics, inpatient admission, and/or amputation. Goals of surgery in these types of patients are to reduce bony prominences at risk for ulceration, restore alignment and stability to the digit, and allow for functional ambulation [1–3].


Hammertoe Contracture Ulcer Diabetic Neuropathy Surgery Arthroplasty Amputation Tenotomy 


  1. 1.
    Armstrong DG, Lavery LA, Stern S, Harkless LB. Is prophylactic diabetic foot surgery dangerous? J Foot Ankle Surg. 1996;35(6):585–9.CrossRefGoogle Scholar
  2. 2.
    Giurini JM, Rosenblum BI. The role of foot surgery in patients with diabetes. Clin Podiatr Med Surg. 1995;12:119–27.PubMedGoogle Scholar
  3. 3.
    Bus SA, Maas M, de Lange A, et al. Elevated plantar pressures in neuropathic diabetic patients with claw/hammer toe deformity. J Biomech. 2005;38(9):1918–25.CrossRefGoogle Scholar
  4. 4.
    Roukis TS. A 1-piece shape-metal nitinol intramedullary internal fixation device for arthrodesis of the proximal interphalangeal joint in neuropathic patients with diabetes. Foot Ankle Spec. 2009;2(3):130–4.CrossRefGoogle Scholar
  5. 5.
    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
  6. 6.
    Kim JY, Kim TW, Park YE, Lee YJ. Modified resection arthroplasty for infected non-healing ulcers with toe deformity in diabetic patients. Foot Ankle Int. 2008;29(5):493–7.CrossRefGoogle Scholar
  7. 7.
    Boffeli TJ, Abben KW, Hyllengren SB. In-office distal Symes lesser toe amputation: a safe, reliable, and cost-effective treatment of diabetes-related tip of toe ulcers complicated by osteomyelitis. J Foot Ankle Surg. 2014;53(6):720–6.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Beth Israel Deaconess Medical Center, Division of Podiatry, Department of SurgeryHarvard Medical SchoolBostonUSA

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