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Hammertoe surgery. (2018). Retrieved from https://www.aofas.org/footcaremd/treatments/Pages/Hammertoe-Surgery.aspx

Neuhaus Foot and Ankle, PC. (2014, August 29). New hammertoe correction procedure performed in the office [Video file]. Retrieved from https://youtu.be/9DVF_CbmF14

PA Foot & Ankle Associates. (2014, September 16). Hammertoe (hammer toe) surgery [Video file]. Retrieved from https://youtu.be/hBENSs0GFGw

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Based on my top five strengths:

Responsibility

Harmony
Adaptability

Intellection
Analytical

Randall (responsibility) was chosen due to his ability to take psychological ownership of the team's project. He will be committed, dependable, honest, and loyal.

Amelia (adaptability) was chosen due to her ability to adjust and be flexible to the current situation.  She will follow the direction of the group and not hinder it's progress.

Ivan (intellection) was chosen due to his philosophical insights and ability to work alone. Additionally, he is an excellent thinker, he compliments Angelica.

Angelica (analytical) was selected because she will ask questions and look for the reasons, she compliment Ivan.

Carter (communication ) was selected because of his excellent communication and presentation skills.

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"Flexible Hammertoe: If your hammertoe is flexible and your orthopaedic surgeon can straighten the toe, a tendon transfer procedure may be used to correct the problem. This involves rerouting the tendons from the bottom of the toe to the top of the toe where it is sticking up. This helps pull the bent joint into a straight position."

"Fixed Hammertoe: If your hammertoe has become fixed (stiff), there are two options for treatment. Joint resection can be used to treat the fixed hammertoe. In this procedure an incision is made over the top of the toe. Ligaments and tendons may be cut to help with straightening the toe. The end of the bone is removed to allow the toe to straighten completely, and pins are temporarily used to hold the toe straight. The pins are usually removed three to four weeks after the surgery."

"Fusion can also be used to treat the fixed hammertoe. In this procedure, the ligaments and tendons are cut to help straighten the toe. The ends of the bone are cut and the toe is straightened. Pins, screws or other implants can be used to keep the toe straight while the bone ends heal together."

Hammertoe surgery. (2018).

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Flexor Tenotomy is not for everyone.  There are severe cases of hammertoes that should only be corrected by the traditional hammertoe surgery.  However, this new innovation is ideal in evidence-based practice for diabetic patients due to poor wound healing in this population.  The procedure requires less pain management, shorter recovery time, minimal wound healing with no stitches, and a decreased risk of infection.

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In conclusion, traditional hammertoe surgery has been the gold standard for many years.  Each procedure has its own pros and cons; however, evidenced-based practice flavors Flexor Tenotomy.  It is a new innovative way of correcting hammertoes with less invasive techniques, less recovery time, decreased risk of infection, and less nerve damage.  The bad point is that hammertoes can reoccur after surgery.

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Relieves pain that has not gotten better with non-surgical methods

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Non stated

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Nerve damage
Longer down time
Stitched required
Increased risk of infection
Longer pain medication period
K-wire anxiety or trauma

The day of the surgery and for most of the following day there was little-to-no pain; however, yesterday was a different story.  I am quite sure the local block had worn off.  The pain was excruciating, compounded by the inflammatory process of healing.

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Flexor Tenotomy is a minimally invasive outpatient procedure. The toe is numbed and a needle cuts the tendon in the toe, causing the tendon to retract, and lengthen and a band-aid is placed on the toe.

Less pain
Less pain medication required
Shorter recovery time
No stitches
Decrease risk of infection
Ideal for diabetic populations
No K-wire

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Dr. Matthew Neuhaus performs a new hammertoe correction procedure called "Flexor Tenotomy."

New hammertoe correction procedure performed in the office

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New Hammertoe Correction Procedure Performed in the Office

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Christian T. Royer, MD

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Dr. Adam Teichman of PA Foot and Ankle Associates in Allentown, PA, performs Hammertoe (hammer toe) surgery.

Hammertoe (hammer toe) surgery

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Followed in four weeks to have the eight pins removed.

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Traditional surgery requiring K-wires was the gold standard.

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I return to the clinic in two weeks to have the stitches removed.

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Even though I get regular pedicures I have suffered from hammertoes for many years.  This is a result from wearing ill-fitted shoes. This is my story.

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This is a photograph of my feet prior to my hammertoes surgery on July 24, 2018.  Yes, that was two-days ago. I have bilateral hammertoes and toe nail fungus. The fungus is next on the 'hit' list.