May cause bunion numbness
Toe deformities can only be treated conservatively in the early stages, as long as they can still be straightened manually. After eliminating possible causes, choosing the right footwear is a very important point: Shoes should be wide and high enough in the toe area. Soft shoe upper material prevents calluses, foam caps, special insoles or restraining tape bandages can also improve symptoms.
Depending on the individual suffering and degree of severity, however, surgical intervention is the method of choice from a certain stage of the disease. The most modern surgical procedures and implants are available to us in orthopedics on the Gürzenich.
As long as there are no stiffened malpositions (flexible deformities), there is usually no need for axis-correcting joint stiffening. In the case of the joint-preserving Surgical technique according to Girdelstone Taylor the long tendon flexor tendon is detached, divided in two and then sutured in the area of the upper side of the toe. This gives the tip of the toe the biomechanically important ground contact again.
If the toe is already irreversibly bent, but the base joint is still intact, the base phalanx can be surgically removed and the central joint can be stiffened in an extended position using a wire or a bioabsorbable pin (arthrodesis). If the misalignment and the bone permit, we work with implants that dissolve after a while so that no second intervention is necessary. This can make the affected toe a little shorter.
If the toe is also dislocated and overstretched in the basal joint, tissue should be surgically loosened and, if necessary, a Weil operation should be performed.
Come to us at Orthopädie am Gürzenich to clarify your illness - we will help you with our expertise in problems with feet, tendons, toes and bones. For a good stand and so that you can keep moving over the long term
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