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Hammertoe Surgery in Miami, FL

Revive Hand and Foot Institute in Miami provides advanced hammertoe surgery to correct painful toe deformities and restore natural foot function. Our board-certified podiatrist, Dr. Ashot Oganesyan, utilizes specialized techniques to realign the affected toe and relieve discomfort. Each procedure is tailored to the patient’s condition, ensuring precise correction while prioritizing long-term foot health. With state-of-the-art technology and a commitment to comprehensive post-operative care, people receive expert treatment from consultation to recovery. The goal is to improve mobility, alleviate pressure, and enhance comfort for lasting relief.
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What Is Hammertoe
Surgery?

Hammertoe surgery is a corrective procedure that addresses a deformity where one or more toes bend abnormally at the middle joint. This treatment aims to straighten the affected area, which can be any toe, including the big toe, by releasing tight tendons and realigning the bones. While the procedure varies depending on the severity of the condition, it generally involves adjusting the bone and soft tissue structures that contribute to the hammertoe deformity. Surgery may be performed using various techniques, including joint fusion, tendon transfer, or joint resection, all targeted at correcting the abnormal bending at the middle joint. This surgical approach aims to restore normal toe alignment and function, allowing patients to walk comfortably and wear shoes without pain or irritation.

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Types of Hammertoes

Flexible Hammertoes

Flexible hammertoes represent the early stage of the deformity, where the affected toe can still be straightened manually. This condition is somewhat pliable, allowing for movement at the joint, and may respond well to non-surgical interventions, such as toe exercises, appropriate footwear, and padding to relieve pressure.

Rigid Hammertoes

Rigid hammertoes occur in more advanced cases where the tendons have tightened so that the affected toe can no longer be manually straightened. These fixed deformities often cause persistent pain, corns, and calluses due to friction against footwear. They typically require surgical intervention to correct the structural misalignment when conservative treatments fail to provide relief.

Preparation for Hammertoe Surgery

The first step is a comprehensive consultation with our board-certified podiatrist, Dr. Oganesyan, who specializes in foot conditions. During this initial assessment, he evaluates the severity of the deformity, reviews the patient’s medical history, and discusses previous treatments attempted. Preoperative preparation typically includes blood tests and possibly an electrocardiogram for older patients or those with underlying health conditions. Dr. Oganesyan may request that patients temporarily discontinue certain medications, such as blood thinners, to reduce bleeding risks during the procedure. X-rays or other imaging studies are usually performed to examine the bone structure and joint alignment, helping us determine the most appropriate surgical technique. Patients are generally advised to arrange for post-operative transportation and assistance at home, as weight-bearing restrictions will likely be imposed immediately after the operation.
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Hammertoe Surgery:
A Step-by-Step Overview

Anesthesia

The hammertoe surgical procedure typically begins with anesthesia. Depending on the complexity of the case and individual factors, Dr. Oganesyan may opt for local anesthesia with sedation, regional anesthesia, or general anesthesia. Our team aims to maximize patient comfort throughout the operation while ensuring safety.
Once the anesthesia takes effect, Dr. Oganesyan makes precise incisions on the top or side of the affected toe. These openings provide access to the underlying structures that require correction. The size and location of the incisions vary based on the specific technique employed and the severity of deformity.
Joint resection, or arthroplasty, involves removing a small portion of the bone at the affected joint. This procedure creates space that allows the toe to straighten. After removing the bone segment, Dr. Oganesyan may use temporary pins to maintain the toe’s proper alignment during healing. Joint resection benefits patients with severe rigid hammertoes that cannot be corrected with less invasive methods.
Joint fusion, or arthrodesis, represents another approach where Dr. Oganesyan permanently fuses the bones on either side of the affected joint. This technique starts with removing cartilage from the joint surfaces, then positioning the toe in a straightened alignment. The bones are then secured together using pins, screws, or other fixation devices. Joint fusion provides excellent stability but eliminates movement at the treated joint.
Tendon transfer involves repositioning the tendons that control toe movement. During this procedure, Dr. Oganesyan identifies the tissues that pull the toe into the hammertoe position and either releases them or moves them to a different location. This rebalancing of forces allows the toe to lie flat. Tendon transfer is often performed with other operations to achieve optimal deformity correction.
After completing the corrective procedures, Dr. Oganesyan closes the incisions using sutures. Sterile dressings protect the surgical site, and the foot may be immobilized with a therapeutic shoe or boot. The toe might be splinted or taped in the corrected position to maintain proper alignment during the initial healing phase.
Anesthesia
The hammertoe surgical procedure typically begins with anesthesia. Depending on the complexity of the case and individual factors, Dr. Oganesyan may opt for local anesthesia with sedation, regional anesthesia, or general anesthesia. Our team aims to maximize patient comfort throughout the operation while ensuring safety.
Once the anesthesia takes effect, Dr. Oganesyan makes precise incisions on the top or side of the affected toe. These openings provide access to the underlying structures that require correction. The size and location of the incisions vary based on the specific technique employed and the severity of deformity.
Joint resection, or arthroplasty, involves removing a small portion of the bone at the affected joint. This procedure creates space that allows the toe to straighten. After removing the bone segment, Dr. Oganesyan may use temporary pins to maintain the toe’s proper alignment during healing. Joint resection benefits patients with severe rigid hammertoes that cannot be corrected with less invasive methods.
Joint fusion, or arthrodesis, represents another approach where Dr. Oganesyan permanently fuses the bones on either side of the affected joint. This technique starts with removing cartilage from the joint surfaces, then positioning the toe in a straightened alignment. The bones are then secured together using pins, screws, or other fixation devices. Joint fusion provides excellent stability but eliminates movement at the treated joint.
Tendon transfer involves repositioning the tendons that control toe movement. During this procedure, Dr. Oganesyan identifies the tissues that pull the toe into the hammertoe position and either releases them or moves them to a different location. This rebalancing of forces allows the toe to lie flat. Tendon transfer is often performed with other operations to achieve optimal deformity correction.
After completing the corrective procedures, Dr. Oganesyan closes the incisions using sutures. Sterile dressings protect the surgical site, and the foot may be immobilized with a therapeutic shoe or boot. The toe might be splinted or taped in the corrected position to maintain proper alignment during the initial healing phase.

Recovery After Hammertoe Surgery

First Day
The first 24 hours after hammertoe surgery are typically focused on managing pain and reducing swelling. A bandage or dressing is applied to the treatment site, and the foot is elevated to minimize symptoms. During this initial period, patients are advised to rest and avoid putting weight on the foot. Pain management is achieved with prescribed medications, and ice packs may be used to reduce inflammation.
During the first week, swelling and discomfort are common as the body begins to heal. Patients wear surgical shoes or boots to protect their feet and limit movement. Walking is generally limited to short distances, and weight-bearing activities are avoided. Shoe inserts may sometimes be introduced to provide additional support and cushioning. Follow-up appointments are typically scheduled to monitor the healing process and address any concerns, including bandage changes or stitches.
By weeks 2 to 4, the initial pain and swelling should begin to subside, though mild discomfort might persist. Patients can typically start to bear weight on the foot with supportive shoes. Physical therapy may be recommended to improve mobility and prevent stiffness, especially in the toe and foot muscles. Regular elevation and ice application can help manage swelling, and shoe inserts are worn to enhance comfort during walking or standing.
Between weeks 5 and 8, most patients experience significant improvement in mobility, though residual swelling or stiffness might still be present. The foot is often strong enough to support more activity, but high-impact exercises should be avoided until cleared by Dr. Oganesyan. Patients can gradually return to regular footwear at this stage, although some may continue using shoe inserts for added comfort and support. We recommend ongoing physical therapy to restore full function and ensure long-term recovery.
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Candidates for Hammertoe Surgery

Hammertoe surgery is typically considered when conservative treatment options fail to alleviate symptoms or when the condition significantly impacts daily activities. Several factors, including the deformity’s severity and foot pain, determine whether operative intervention is the most appropriate option. Below are the primary groups of candidates who may benefit from this procedure:
Patients who frequently wear high heels, which can contribute to the development of hammertoes
Individuals whose hammertoes cause significant pain or discomfort
People who have not found relief from conservative treatment options
Individuals with a noticeable deformity affecting toe function or mobility
Those who experience difficulty wearing shoes due to the stiffness or abnormal position of the toes

Benefits of Hammertoe Surgery

Corrects Hammer Toes

Hammertoe surgery effectively corrects deformities by addressing the abnormal bend in the toes. This procedure straightens the affected structures, restoring their natural alignment and improving overall foot function. Removing or adjusting the joint and soft tissues can reverse the deformity, providing long-term relief.
Another key benefit of hammertoe surgery is its ability to relieve pain. The operation addresses the pressure and friction caused by the abnormal toe position. By straightening the toe and relieving any joint stiffness or irritation, patients experience significant pain reduction. This allows individuals to return to normal activities without the persistent discomfort often accompanying hammertoes.
Our surgery helps relieve the constant pressure on the toes by correcting muscle imbalances. An abnormal bend can increase tension in specific foot areas, causing pain and discomfort. Realigning the structures, Dr. Oganesyan distributes pressure evenly across the foot, improving muscle balance and reducing strain on affected tissues.
Hammertoe surgery can help prevent further complications, such as claw toes or mallet toes. These conditions may lead to more severe deformities and other foot issues, including pain, infections, and limited mobility. Correcting the original problem with surgery prevents these potential complications, ensuring better long-term health and reducing the risk of additional conditions developing.
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Cost of Hammertoe Surgery in Miami, FL

The cost of hammertoe surgery in Miami ranges from $3,500 to $10,000, depending on the complexity of the procedure, doctor’s expertise, and facility fees. Additional expenses may include pre-operative consultations, anesthesia, and follow-up care. Patients should also consider costs related to post-surgical recovery, including specialized footwear or shoe inserts that aid in proper healing. Insurance coverage often helps offset some of these expenses. A thorough consultation with Dr. Oganesyan will provide a clearer understanding of the financial aspects involved.

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What Makes Our Hammertoe Surgery
Different From Others?

Certified Foot and Ankle Surgeon
As a board-certified surgeon, Dr. Ashot Oganesyan brings specialized expertise to every hammertoe procedure. His extensive training in podiatric medicine ensures that patients receive the highest standard of care, with techniques specifically tailored to address the unique biomechanics of each foot.
Revive Hand and Foot Institute provides a comprehensive evaluation and customized treatment plan for each hammertoe case. Dr. Oganesyan carefully considers the patient’s condition, lifestyle needs, and long-term foot health before recommending surgical intervention.
We employ state-of-the-art technology to diagnose and treat hammertoe deformities. From detailed imaging systems to precision surgical instruments, the latest advancements in podiatric medicine benefit every aspect of the procedure.
Recovery from hammertoe surgery includes meticulous follow-up care. Our team provides detailed guidance on wound dressing, physical therapy protocols, and gradual return to activities, ensuring optimal healing and functional outcomes.
Beyond correcting the immediate hammertoe deformity, Revive Hand and Foot Institute emphasizes preventative strategies and ongoing foot care. This holistic approach helps maintain surgical results and prevents recurrence or development of additional foot problems.
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For Your Hand and Foot Surgery in Miami, FL
Our team is happy to answer any of your questions and address any concerns. We can also assist you in booking your consultation, you can fill out this form or call our office directly.

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