Hello all
I would appreciate you comments re 2nd toe amputation for hammer toe
deformity.
The reason that I ask is that a Podiatric Surgeon was showing me pre an
post op pics of a total 2nd toe amputation, in an active patient, I don't
know their age, but approx in their 60's. His justification was that
amputation is a more straightforward procedure, which I don't doubt.
My argument was that with a Hallux Valgus ( which there was in the pics) ,
then the prox phalanx would provide a buttress to prevent lateral hallux
deviation. Perhaps I am mistaken in this assumption, and there is still a
place for this surgery.
The only example that I can think of where this could possibly be the
procedure of choice is in a patient who has limited mobility, and has a
screaming hammer toe, and 1st met ostotomy with 2nd toe arthrodesis would
be like using a sledgehammer to crack a nut.
I have put these points to the Pod Surgeon, and he disagrees that any
buttress effect is provided by the 2nd toe when dorsally displaced, and
therefore will continue to do the procedure, even in active patients.
I am not a Pod Surgeon, so would appreciate some guidance about 2nd toe
procedures, and under which circumstances they are indicated.
David Houghton
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