Lesser Toe Shortening

What is lesser toe shortening?

Lesser toe shortening is a surgical procedure aimed at correcting a deformity where one or more of the smaller toes (toes other than the big toe) are abnormally long, which can cause discomfort, difficulty in wearing shoes, and aesthetic concerns. This condition, known as brachymetatarsia, can lead to painful pressure points and imbalance in the foot, resulting in issues such as calluses, corns, or hammertoe. Lesser toe shortening surgery helps to restore balance and improve the appearance and function of the foot.

 

Lesser toe shortening indications

Lesser toe shortening surgery may be recommended for individuals who experience:

  • Pain or discomfort in their toes due to excessive length can cause friction and pressure against footwear.
  • Difficulty finding properly fitting shoes, leading to the use of oversized footwear to accommodate the long toes, potentially causing further foot issues.
  • Toe deformities such as hammertoe, claw toe, or mallet toe develop due to the imbalance caused by the longer toes.
  • Aesthetic concerns, where the appearance of the toes affects the patient’s confidence and comfort in showing their feet.
  • Functional problems, where the elongated toe affects normal gait or activity levels.

 

How does Dr Abramson perform lesser toe shortening?

Dr Michael Abramson performs lesser toe shortening using a precise and minimally invasive approach. The procedure begins with a thorough pre-operative evaluation, including X-rays and a physical examination, to determine the extent of the deformity. During surgery, Dr Abramson makes a small incision near the affected toe and carefully removes a portion of the bone to achieve the desired length.

If necessary, he corrects any misalignment of the toe by releasing or realigning tendons and soft tissues. The use of fixation devices such as screws or pins may be employed to stabilize the toe during the healing process. Dr Abramson emphasizes minimally invasive techniques to reduce recovery time and scarring, and he provides detailed post-operative care instructions to ensure optimal healing and patient comfort.

FAQ’s

How long do the results of lesser toe shortening last?
The results of lesser toe shortening surgery are typically permanent. Once the toe is shortened and realigned, it generally maintains its new position. Dr Abramson will ensure the surgery is done in a way that preserves both the function and aesthetics of the foot for long-term satisfaction.
Are there risks associated with lesser toe shortening surgery?
As with any surgical procedure, there are risks associated with lesser toe shortening, including infection, swelling, stiffness, or nerve damage. However, Dr Abramson’s expertise and careful surgical techniques minimize these risks and ensure a safe procedure. He will discuss potential risks and complications with you before surgery.
How soon can I wear regular shoes after the surgery?
You will likely need to wear a special surgical shoe for a few weeks after surgery. Once Dr Abramson confirms that your foot has healed adequately, you can transition to wearing regular shoes—typically around 4 to 6 weeks after surgery, depending on your recovery progress.