Toe shortening surgery

Reasons for plastic surgery

The problem regarding the appearance of the toes is their excessive length and discrepancy in size relative to each other. More often, girls with “Greek” feet go to the doctor. With this feature, the second finger becomes too prominent compared to the others. Excessive length also occurs in any of its neighbors.

And although the feet are not the most visible part of the body, patients tend to undergo shortening surgery more often for aesthetic reasons. There are other reasons to contact a surgeon with a problem:

• inability to wear high-heeled, open-toed or narrow-toed shoes due to physical discomfort;
• constant injury to the finger from any shoes;
• congenital anomalies of phalanges, bones, soft tissues;
• deformities of the fingers (hammertoe, valgus), arising for various reasons.

Toe tuck - toe plastic surgery

a new service that is becoming more popular every year.
Toe tuck - plastic surgery of the toes, an operation aimed at shortening, correcting or removing those

areas of the fingers and feet that interfere with wearing high-heeled shoes.

Operations to correct the shape of the foot and remove bone growths (bumps at the base

thumbs) have been carried out for many years, but recently women have become

contact surgeons with a request to amputate their little toes so that it becomes

It is more comfortable to walk in high heels. Many girls who prefer to wear

high-heeled shoes, this problem is familiar: calluses appear mainly on

little fingers, besides, they account for the bulk of the load. Fingers start

hurt and turn into continuous bruises. As sociological studies have shown,

conducted by the American Podiatric Medical Association, up to 87% of women wearing

high heels feel extremely uncomfortable.

Some patients turn to surgeons for medical reasons, such as

Susan Demin. One of her feet was a whole size larger than the other, but her shoes

I bought from one pair, which is why I suffered constant inconvenience. "I had

calluses, terrible pain,” she told reporters. - “I was happy when

everything has changed!" A plastic surgeon removed Susan's little finger, allowing her to

comfort in wearing shoes of the same size.

Orthopedic doctors unanimously declare that any surgical manipulation

feet should be carried out solely out of necessity, and not just because

desire to wear high heels. “The procedure carries certain risks, so

should not be performed without medical indications,” they say. However, for now

few women listen to their words. Clinics are still full of patients

who are ready to take risks and surgery just to get graceful narrow feet

like Cinderella's, which will fit perfectly into her shoes. The main thing now is to

there was a prince who would try on those same shoes!

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What about the beach then? with 8 fingers? You can't even show off your pedicure. It would probably be embarrassing to walk around like this. and lie especially where there are a lot of people. men keep looking at fingers and toes.

or is it supposed to sunbathe also in closed shoes with heels)).

Devices and clamps for toes

To correct some deficiencies, it is not necessary to undergo surgery immediately. After consulting with a doctor, it is worth trying conservative methods, that is, wearing special devices. They are suitable for those with a tendency to develop hallux valgus and at its initial stage. But their main purpose is to protect the foot from injury during the recovery period after surgery.

In some cases, not external, but internal devices are needed - titanium screws, biodegradable materials. They are almost always used during thumb surgery.

Plastic surgery of the toes: the result before and after, than a special plastic surgery of the big toe

Some women avoid wearing open shoes because of what they consider to be bad toes. Aesthetic surgery can help them. The operation will make the fingers more graceful, eliminate defects, and the foot will become more proportionate after the operation.

Reasons for plastic surgery

The problem regarding the appearance of the toes is their excessive length and discrepancy in size relative to each other. More often, girls with “Greek” feet go to the doctor. With this feature, the second finger becomes too prominent compared to the others. Excessive length also occurs in any of its neighbors.

And although the feet are not the most visible part of the body, patients tend to undergo shortening surgery more often for aesthetic reasons. There are other reasons to contact a surgeon with a problem:

• inability to wear high-heeled, open-toed or narrow-toed shoes due to physical discomfort,
• permanent injury to the finger from any shoes,
• congenital anomalies of phalanges, bones, soft tissues,
• deformities of the fingers (hammertoe, valgus), arising for various reasons.

We recommend reading about laser correction of ingrown toenails. You will learn about the reasons for the formation of an ingrown nail, the advantages of laser correction of the defect, the procedure, and its cost. And here is more information about how to correct crooked legs in children and adults.

Devices and clamps for toes

To correct some deficiencies, it is not necessary to undergo surgery immediately. After consulting with a doctor, it is worth trying conservative methods, that is, wearing special devices. They are suitable for those with a tendency to develop hallux valgus and at its initial stage. But their main purpose is to protect the foot from injury during the recovery period after surgery.

In some cases, not external, but internal devices are needed - titanium screws, biodegradable materials. They are almost always used during thumb surgery.

How is plastic reduction performed?

In most cases, the operation is performed under local anesthesia. General anesthesia or epidural can be used, it depends on the scale of the intervention. There are several ways to do it:

• Osteotomy of the metatarsal bone. It is dissected, gaining access through an incision in the skin, and then part of the tissue is removed. After connecting the bones with a screw, the wound is sutured.
• Osteotomy of the phalanx. In this case, only this section is shortened.
• Combined operation. It corrects the metatarsal bone and phalanx of the finger.
• Arthrodesis of the interphalangeal joint. Not only its capsule is affected, but also tendons and soft tissues. Sometimes arthrodesis must be combined with osteotomy of the phalanx.

To learn how surgery is performed to reduce the length of the second toe, watch this video:

Features of thumb correction

The most difficult intervention, as a rule, awaits those who have developed hallux valgus. It is for this reason that the thumb has to be operated on:

• an incision is made at its base from the side of the sole,
• the joint is cleared of lateral growth,
• the wedge-shaped section of the bone of the middle phalanx is removed,
• the components transferred to their normal position are fixed with a screw.

Result before and after

The effect of the operation is visible immediately, although a bandage is applied to the foot. The changes are as follows:

• fingers acquire the correct shape, lose defects,
• they have the correct location relative to each other, do not deviate to the sides,
• As recovery progresses, mobility returns,
• length decreases by 1.5, 2 cm.

Rehabilitation after toe plastic surgery

Upon completion of the operation, the patient will have a recovery period:

• 3 days you need to lie more with your legs elevated,
• You will have to take painkillers for some time,
• For 2 weeks you can move only with crutches, limiting the duration of walking,
• seams should be treated with antiseptics,
• they are removed after 10, 15 days,
• Be sure to use clamps
• after a month you can step on your feet, but wear orthopedic shoes,
• after 8 weeks it is permissible to wear regular shoes, but without high heels,
• Dress shoes are allowed to be worn after 3, 4 months.

Possible complications

An operation to shorten fingers or eliminate their deformation can also cause problems:

• bleeding,
• development of infection in soft tissues,
• delayed bone healing,
• chronic pain syndrome or, on the contrary, loss of sensitivity due to nerve damage,
• displacement of bone areas,
• unsatisfactory aesthetic effect.

Complications arise more often due to the patient’s fault when he violates the conditions of rehabilitation. They may be caused by the unique characteristics of the body, or by doctor errors.

We recommend reading about hand plastic surgery. You will learn about the problems that hand plastic surgery solves, preparation for the operation, the method of performing it depending on the defect, the recovery period, and the cost. And here is more information about the surgical treatment of syndactyly.

Frequently asked questions from patients

Plastic surgery of toes, if not the elimination of hallux valgus, is done relatively recently. Therefore, it raises many questions.

How to prepare for surgery?

It is necessary to undergo general clinical tests, have an ECG, fluorography and x-ray of the feet. Taking blood thinning medications should be stopped 2 weeks before surgery, and it would be a good idea to stop smoking.

Will the effect last a lifetime?

If this is a purely aesthetic intervention, the result will remain unchanged forever. Once the hallux valgus is corrected, the problem may return. But even in this case, the signs of pathology will not be as pronounced as initially.

How much does the operation cost?

If you need to correct 1 finger, it will cost 30,000 rubles. and more . Anesthesia and dressings are paid separately.

An intervention to correct the toes by an experienced doctor will last less than 1 hour. However, it is difficult and traumatic. Therefore, if you want to have surgery, you should think carefully first.

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Source: https://marykay-4u.ru/plasticheskaya-hirurgiya/esteticheskaya-plastika-nog-sdelaet-palchiki-idealnymi

How is plastic reduction performed?

In most cases, the operation is performed under local anesthesia. General anesthesia or epidural can be used, it depends on the scale of the intervention. There are several ways to do it:

• Osteotomy of the metatarsal bone. It is dissected, gaining access through an incision in the skin, and then part of the tissue is removed. After connecting the bones with a screw, the wound is sutured.
• Osteotomy of the phalanx. In this case, only this section is shortened.
• Combined operation. It corrects the metatarsal bone and phalanx of the finger.
• Arthrodesis of the interphalangeal joint. Not only its capsule is affected, but also tendons and soft tissues. Sometimes arthrodesis must be combined with osteotomy of the phalanx.

To learn how surgery is performed to reduce the length of the second toe, watch this video:

Correction of toes

Hello. Can you please tell me if your clinic offers toe reduction surgery? The 2nd and 3rd toes on both legs are longer than the big toe, due to this they are hammer-shaped. Reduction of 4 fingers is necessary. What is the cost of this operation?

Hello, Alena! At the GrandMed clinic, hammertoe deformity of 2-5 toes is eliminated by resection of the head of the main phalanges of these toes. The skin is sutured and a simple bandage is applied. You can walk in regular shoes. The operation is performed on an outpatient basis under anesthesia for 1 hour. The estimated cost with all additional expenses is about 60 thousand rubles. I recommend that you make an appointment with me for a more detailed consultation and drawing up a detailed surgical plan. You can make an appointment for a consultation by calling tel. (812) 327-5000, or by filling out the form below. The administrator will contact you to arrange a consultation time that is convenient for you. I'll be glad to see you!

What kind of plastic surgery would you like to have?

GrandMed Plastic Surgery and Cosmetology Clinic

There are contraindications. A face-to-face consultation with a specialist is required. The information presented on the site does not constitute a public offer as defined by the provisions of Article 437 of the Civil Code of the Russian Federation.

Rehabilitation after toe plastic surgery

Upon completion of the operation, the patient will have a recovery period:

• 3 days you need to lie more with your legs elevated;
• you will have to take painkillers for some time;
• For 2 weeks you can move only with crutches, limiting the duration of walking;
• seams should be treated with antiseptics;
• they are removed after 10 - 15 days;
• be sure to use clamps;
• after a month you can step on your feet, but wear orthopedic shoes;
• after 8 weeks it is permissible to wear regular shoes, but without high heels;
• Dress shoes are allowed to be worn after 3 - 4 months.

Toe plastic surgery photo

Based on the Government Decree “On postponing holidays in 2020.” November 4

- day off.

November 5

The clinic operates according to the Sunday schedule,
November 6
– according to the Saturday schedule.

RECEPTION ON WEEKENDS at Moskovskaya, 19

ON-SITE CONSULTATIONS IN TYUMEN

November 11, December 9, 2020

There will be consultations with plastic surgeon Dmitry Arturovich Buzov (appointment cost - 500 rubles) and plastic surgeon, rhinoplasty specialist - Georgy Alexandrovich Kolyvanov (appointment cost - 1000 rubles).

Sign up by phone. (3452) 606-310, Tyumen, st. Gorky, 83.

I would like to express my deep gratitude to Igor Leonidovich Tsvetkov for the excellent performance of his work and for making my dream come true. At the end of May I had my breasts done by him, I’m 100% satisfied! It turned out very natural. I spent a long time choosing a surgeon and did not regret one bit that I chose him (although I had heard about the others, they were very good specialists). All the staff, starting from the reception, are very polite, smiling, the atmosphere inside the clinic is very warm and cozy. Good luck and prosperity!

On September 20, we had breast augmentation surgery with Dmitry Arturovich Buzov!

Dmitry Arturovich, you are simply a doctor from God! You are not only an excellent surgeon, but also a very good and charming person!)) You have an excellent sense of taste and golden hands!

We want to express our HUGE gratitude to you: such breasts are every girl’s dream! We didn’t doubt our choice of doctor for a minute and we weren’t mistaken! We are very happy, thank you SO MUCH. YOU ARE THE BEST.

I would also like to thank the anesthesiologist Andrey Sergeevich Sedelev!! He's just a magician!! A year ago I had an operation under general anesthesia, after the operation I had a very difficult time recovering from anesthesia, I felt sick for a day. This time everything went just wonderful. I felt great! Thank you very much.

And of course I would like to express my deep gratitude to all the clinic staff! Thank you for your attentiveness and high professionalism!

© 2020 “Center for Cosmetology and Plastic Surgery named after S.V. Nudelman"

"Dentistry Clinic "ART-CLASS"

620077, Ekaterinburg, st. Moskovskaya, 19 tel. (343) 228-28-28

Dear site guests! The information posted on the site does not constitute a doctor's recommendation. All methods used have contraindications. Contact a specialist for advice.

The information on our website is for informational purposes only and is not a public offer.

When reprinting or copying materials, a link is required.

Possible complications

An operation to shorten fingers or eliminate their deformation can also cause problems:

• bleeding;
• development of infection in soft tissues;
• delayed bone healing;
• chronic pain syndrome or, on the contrary, loss of sensitivity due to nerve damage;
• displacement of bone areas;
• unsatisfactory aesthetic effect.

Complications arise more often due to the patient’s fault when he violates the conditions of rehabilitation. They may be caused by the unique characteristics of the body, or by doctor errors.

Causes of finger syndactyly

Pathology is formed during intrauterine development. The reasons may be:

• heredity (more often leads to complex forms of the disease),
• uncontrolled use of medications by the expectant mother in early pregnancy,
• exposure to radiation,
• unfavorable environmental situation,
• alcohol,
• infections suffered during pregnancy.

Less commonly, the problem occurs due to a burn to a child’s limb or injury.

We recommend reading about plastic surgery of the upper lip frenulum. You will learn about the indications for the intervention, contraindications to it, the optimal time for implementation, stages of preparation, methodology and recovery period. And here is more information about how to perform plastic surgery of the frenulum of the foreskin.

Frequently asked questions from patients

Plastic surgery of toes, if not the elimination of hallux valgus, is done relatively recently. Therefore, it raises many questions.

How to prepare for surgery?

It is necessary to undergo general clinical tests, have an ECG, fluorography and x-ray of the feet. Taking blood thinning medications should be stopped 2 weeks before surgery, and it would be a good idea to stop smoking.

Will the effect last a lifetime?

If this is a purely aesthetic intervention, the result will remain unchanged forever. Once the hallux valgus is corrected, the problem may return. But even in this case, the signs of pathology will not be as pronounced as initially.

How much does the operation cost?

If you need to correct 1 finger, it will cost 30,000 rubles. and more . Anesthesia and dressings are paid separately.

An intervention to correct the toes by an experienced doctor will last less than 1 hour. However, it is difficult and traumatic. Therefore, if you want to have surgery, you should think carefully first.

The appearance of a callus on the little toe is quite common, which is explained by excessive friction in this area. The formation is quite painful and unpleasant, which requires timely treatment.

Shortening the toes: necessity or aesthetic whim

Toe shortening sounds like the name of a sophisticated Chinese torture, right? But everything is much simpler, and in the end – more beautiful.

In many patients, the toes have different lengths, and it is good if all the toes following the big one are shorter than it, but it happens the other way around. In this case, the second, third or fourth fingers may stick out, appearing like the thumb.

This brings discomfort and moral suffering to the owner of long toes: shoes with an open toe look unaesthetic. And that’s what you want, sometimes.

In addition to the inability to wear the desired shoes, there are several other reasons to consult a plastic surgeon if your toes are too long, for example:

• The second/third toe is so long that it clings to surfaces, preventing normal walking.
• Fingers hurt due to uncomfortable position in shoes.
• Calluses have formed.
• It is very difficult for you to find comfortable shoes.
• You are unhappy with the appearance of your feet - your toes are not symmetrical and stick out beyond the edge of your sandals.

Many people with a similar problem have complexes and wear narrow, uncomfortable shoes, and sometimes even a size too small - all this only aggravates the situation, ending in calluses and crooked long toes.

Fortunately, this operation is to a certain extent primitive and is carried out in 30-40 minutes. Rehabilitation is 15-20 days with restrictions on high-heeled shoes, and compliance with a certain regime limited in physical activity.

When a patient asks to correct the size of their toes, an osteotomy of the phalanx of the deformed toe is performed. The operation is performed under local, spinal or general anesthesia, so the patient does not feel anything. There are no scars left either, since all manipulations are carried out through a small incision, which will heal in 3-4 weeks.

So, if you have always dreamed of beautiful, small toes that will look great in any, even the most open sandals, go for it and don’t be afraid of anything.

But this operation should not be confused with the correction of hallux valgus, which is performed when there are pronounced bones at the base of the big toes. These operations differ significantly both in complexity and in the duration of the patient’s recovery during the rehabilitation period.

In the first case, the operation can be performed by a plastic surgeon or traumatologist, in the second, exclusively by a traumatologist.

Types of calluses on the little toe

Various types of calluses can appear on the little toes. The most common symptoms observed in people are:

• Wet calluses. It is a fairly common type of formation caused by excessively tight shoes. A callus appears on the top or side where the skin rubs against the shoe. This is a bubble containing a cloudy liquid.
• Dry formations. Appear when choosing the wrong shoes. The formation is a hard thickening of the skin. The callus has a round shape and is characterized by a lack of pain.
• Bone formations. The occurrence is observed if pressure is constantly applied to the bone. Pathology also occurs when bones do not heal properly after a fracture.
• Corns. These formations are located in the upper layers of the epidermis. In most cases, they are observed on the lateral surface of the little finger.
• Ingrown calluses. They appear with constant and intense friction on a certain area of ​​the skin. The formation is characterized by severe pain, which causes discomfort while walking. This callus is characterized by the presence of a rod inside.

In order to prescribe rational treatment to a patient, it is necessary to determine the type of formation.

Reasons for appearance

The appearance of formations on the little toes is observed when wearing uncomfortable or excessively tight shoes. If low-quality materials are used for its production, this causes the appearance of calluses.

Surgery to get rid of syndactyly

Surgical intervention is done in several ways ; the choice of method depends on the characteristics of the pathology. They are divided into 5 groups:

• dissection of the fusion followed by suturing,
• surgical separation of connected fingers from each other with closure of the wound with local tissues,

• separation of the fusion and performing plastic surgery with a skin flap transplanted from another area,
• dissection of fused fingers, which uses the own skin of the limb and a transplanted flap,
• multi-stage restoration of the appearance and function of the fingers using osteotomy, tendon separation, muscle and skin plastic surgery.

To see how the operation to get rid of syndactyly is performed, watch this video:

The operation is usually performed under general anesthesia. Its duration depends on the complexity of the pathology. The effect is to restore limb function and bring the appearance closer to normal. More often, interventions are performed on the hands. But the foot does not need to be operated on if its defects do not interfere with walking.

First aid

If a person finds a callus on his little finger, then he must provide himself with first aid, which will eliminate the possibility of aggravating the situation. Initially, you need to stop wearing excessively tight shoes.

Otherwise, it will continue to rub the callus. If the formation is wet, this can lead to a breakthrough of the film and the development of an infectious process.

To avoid complications, the patient must be prescribed rational treatment. That is why he must go to the medical center.

Treatment

Callus therapy can be carried out in various ways. The choice of a particular one directly depends on the type of calluses. To treat calluses, traditional medicines as well as traditional medicine can be used.

Regardless of the treatment method used, the patient is recommended to undergo steaming baths.

With their help, the affected skin on the little finger is softened. After they are carried out, the removal of the little finger is ensured as painlessly as possible. After the baths, it is recommended to cover the callus with a band-aid.

Folk remedies

To treat small calluses, you can use drugs offered by traditional medicine. They not only have high effectiveness, but also safety, which makes it possible for absolutely all patients to use them.

Aloe. With the help of this indoor flower, a variety of diseases are treated. For the treatment of calluses, the use of old fleshy leaves is recommended. A piece of leaf is cut from one of them, which is twice the size of the formation. You need to remove the skin from the back side. The pulp of the leaf is applied to the formation and fixed with a bandage.

Traditional medicines are safe and effective in the fight against calluses. But, patients need to consult a specialist before using them.

Traditional medicine

Treatment is carried out using pharmaceutical preparations, which are produced in the form of gels and ointments and have a local effect.

Doctors recommend using ointments whose main component is salicylic acid.

The use of special patches is also recommended. They are developed on the basis of universal components, with the help of which softening of the callus is ensured, as well as its removal.

How to get rid of a callus on the little toe, watch this video:

Traditional medications for calluses should only be prescribed by a doctor, who first determines the type of formation.

Diagnosis of pathology

Syndactyly is detected upon examination of the patient. But further pathology is studied using:

• X-ray examination of hands and feet in several projections,

• rheovasography, angiography and ultrasound, which will allow you to assess the condition of blood vessels, blood flow characteristics,
• electrothermometry, revealing altered and healthy areas of the limbs.

Contacting the doctor

If an ordinary wet callus forms in the area of ​​the little finger, you can treat it yourself. But, if suppuration appears, the patient is advised to consult a doctor.

If the formation is excessively large, the patient should consult a doctor. A person should know that timely seeking help from a specialist will eliminate the development of undesirable effects.

What is forbidden to do

When a wet callus forms, it is necessary to adhere to certain rules in treatment. It is strictly forbidden to pierce a callus at home, as this can lead to the development of an infectious process and the appearance of more serious complications.

If the callus has burst, it is forbidden to remove the skin, as it protects the wound from infection.

Treatment of a burst callus

Quite often it happens that the callus on the little finger bursts on its own. In this case, it is necessary to carry out its treatment. First of all, it is recommended to steam the formation. If dirt has accumulated under the skin, it must be removed.

The formation must be treated with hydrogen peroxide. After this, an ointment is applied to the callus, which has antiseptic and disinfectant properties. In order to eliminate the possibility of infection, a patch or sterile bandage is applied to the callus.

Recommendations for surgery for syndactyly

An operation to eliminate the pathology should be performed:

• At the age of 1, 2 years, if this is a simple form of syndactyly. The operation will help avoid pathological changes reaching a severe stage and delays in the overall development of the child.
• At 5, 12 months in case of complex syndactyly. The intervention will eliminate the appearance of secondary deformities of the hands and feet.

Prevention

In order to prevent calluses from appearing on the little toes, a person must constantly adhere to certain rules of prevention:

• When choosing shoes, it is recommended to ensure that they completely match your foot size.
• It is best to give preference to shoes that are made from natural fabric.
• Before putting on your shoes for the first time, it is recommended to use an antibacterial patch. It is applied to places where formations may appear.
• A fairly effective preventive remedy is a pencil, the action of which is aimed at combating calluses.
• If the patient's skin is unprotected, then it is not recommended for him to wear closed shoes.
• The choice of socks and tights must be approached responsibly. They must exactly match your foot size.
• If you have a tendency to sweaty feet, it is recommended to constantly combat this pathological condition. In this case, talc is used, as well as various powders.
• Women are advised to regularly change shoes with high heels and thin soles.
• A person should constantly take care of their feet. For this purpose, hygiene procedures are regularly carried out, and special creams are used.
• If your feet are frequently injured, it is recommended to use special orthopedic shoes.

This video will tell you how to cure calluses on your little finger at home:

Timely and proper prevention of calluses will eliminate the possibility of their formation.

Calluses in the area of ​​the little toes appear quite often. A person can develop various types of formations in this place. In order to ensure proper treatment, it is necessary to determine the type of callus. For the purpose of treating formations, folk recipes or pharmaceutical preparations are used.

Author: Averina Olesya Valerievna, candidate of medical sciences, pathologist, teacher of the department of pathological anatomy and pathological physiology

Most of us find it difficult to imagine solving ordinary everyday problems and professional activities without fingers. On the legs they are needed for support and proper walking; on the hands, fine motor skills allow not only the necessary self-care skills, but also provide writing.

Unfortunately, there are situations in life when the feet and hands undergo irreversible changes, in which all organ-preserving treatment methods cannot ensure tissue preservation, so there is a need for amputation of the finger.

Due to the traumatic nature and persistent unsatisfactory results, amputations are carried out only in cases where the possibilities of more gentle treatment have been exhausted or it is not feasible due to the extent of the lesion. In other words, such an operation will be performed when saving the finger is simply impossible:

• Traumatic injuries, finger avulsions, severe crushing of soft tissues;
• Severe degrees of burns and frostbite;
• Necrosis of the fingers due to vascular disorders (diabetes mellitus, primarily thrombosis and embolism of the blood vessels of the hands and feet);
• Acute infectious complications of injuries - sepsis, abscess, anaerobic gangrene;
• Trophic ulcers, chronic osteomyelitis of finger bones;
• Malignant tumors;
• Congenital malformations of the osteoarticular system of the fingers, including amputation of the toes for the purpose of transplanting them to the hand.

After the removal of fingers and toes, the patient becomes disabled, his life changes significantly, so the question of the need for such intervention is decided by a council of doctors. Of course, surgeons will try to the last to use all available methods of preserving the fingers and toes.

If treatment is necessary for health reasons, the patient’s consent is not required. It happens that the patient does not agree to the operation and there are no absolute indications for it, but leaving the sore finger can cause serious complications, including death, so doctors try to explain to the patient and his relatives the need to remove the fingers and obtain consent as quickly as possible.

Aesthetic plastic surgery of the feet will make your toes perfect

Some women avoid wearing open shoes because of what they consider to be bad toes. Aesthetic surgery can help them. The operation will make the fingers more graceful, eliminate defects, and the foot will become more proportionate after the operation.

Reasons for plastic surgery

The problem regarding the appearance of the toes is their excessive length and discrepancy in size relative to each other. More often, girls with “Greek” feet go to the doctor. With this feature, the second finger becomes too prominent compared to the others. Excessive length also occurs in any of its neighbors.

And although the feet are not the most visible part of the body, patients tend to undergo shortening surgery more often for aesthetic reasons. There are other reasons to contact a surgeon with a problem:

• inability to wear high-heeled, open-toed or narrow-toed shoes due to physical discomfort;
• constant injury to the finger from any shoes;
• congenital anomalies of phalanges, bones, soft tissues;
• deformities of the fingers (hammertoe, valgus), arising for various reasons.

We recommend reading about laser correction of ingrown toenails. You will learn about the reasons for the formation of an ingrown nail, the advantages of laser correction of the defect, the procedure, and its cost. And here is more information about how to correct crooked legs in children and adults.

Devices and clamps for toes

To correct some deficiencies, it is not necessary to undergo surgery immediately. After consulting with a doctor, it is worth trying conservative methods, that is, wearing special devices. They are suitable for those with a tendency to develop hallux valgus and at its initial stage. But their main purpose is to protect the foot from injury during the recovery period after surgery.

In some cases, not external, but internal devices are needed - titanium screws, biodegradable materials. They are almost always used during thumb surgery.

How is plastic reduction performed?

In most cases, the operation is performed under local anesthesia. General anesthesia or epidural can be used, it depends on the scale of the intervention. There are several ways to do it:

• Osteotomy of the metatarsal bone. It is dissected, gaining access through an incision in the skin, and then part of the tissue is removed. After connecting the bones with a screw, the wound is sutured.
• Osteotomy of the phalanx. In this case, only this section is shortened.
• Combined operation. It corrects the metatarsal bone and phalanx of the finger.
• Arthrodesis of the interphalangeal joint. Not only its capsule is affected, but also tendons and soft tissues. Sometimes arthrodesis must be combined with osteotomy of the phalanx.

To learn how surgery is performed to reduce the length of the second toe, watch this video:

Features of thumb correction

The most difficult intervention, as a rule, awaits those who have developed hallux valgus. It is for this reason that the thumb has to be operated on:

• an incision is made at its base from the side of the sole;
• the joint is cleared of lateral growth;
• the wedge-shaped section of the bone of the middle phalanx is removed;
• the components transferred to their normal position are fixed with a screw.

Result before and after

The effect of the operation is visible immediately, although a bandage is applied to the foot. The changes are as follows:

• fingers acquire the correct shape and are free from defects;
• they are correctly positioned relative to each other and do not deviate to the sides;
• as recovery progresses, mobility returns;
• the length decreases by 1.5 - 2 cm.

Rehabilitation after toe plastic surgery

Upon completion of the operation, the patient will have a recovery period:

• 3 days you need to lie more with your legs elevated;
• you will have to take painkillers for some time;
• For 2 weeks you can move only with crutches, limiting the duration of walking;
• seams should be treated with antiseptics;
• they are removed after 10 - 15 days;
• be sure to use clamps;
• after a month you can step on your feet, but wear orthopedic shoes;
• after 8 weeks it is permissible to wear regular shoes, but without high heels;
• Dress shoes are allowed to be worn after 3 - 4 months.

Frequently asked questions from patients

Plastic surgery of toes, if not the elimination of hallux valgus, is done relatively recently. Therefore, it raises many questions.

How to prepare for surgery?

It is necessary to undergo general clinical tests, have an ECG, fluorography and x-ray of the feet. Taking blood thinning medications should be stopped 2 weeks before surgery, and it would be a good idea to stop smoking.

Will the effect last a lifetime?

If this is a purely aesthetic intervention, the result will remain unchanged forever. Once the hallux valgus is corrected, the problem may return. But even in this case, the signs of pathology will not be as pronounced as initially.

Preparing for surgery

Preparation for surgery depends on the indications for it and the patient’s condition. During planned interventions, the usual list of tests and studies is required (blood, urine, fluorography, cardiogram, tests for HIV, syphilis, hepatitis, coagulogram), and to clarify the nature of the lesion and the expected level of amputation, radiography of the hands and feet, ultrasound examination, and determination of the sufficiency of work are performed vascular system.

If there is a need for urgent surgery, and the severity of the condition is determined by the presence of inflammation, infectious complications and necrosis, then during preparation, antibacterial agents and infusion therapy will be prescribed to reduce the symptoms of intoxication.

In all cases when surgery on the hands and feet is planned, blood thinners (aspirin, warfarin) are discontinued, and the attending physician must be informed about taking drugs from other groups.

Anesthesia for amputation of fingers is often local, which is safer, especially in the case of a serious patient’s condition, but is quite effective, because no pain will be felt.

In the process of preparing for amputation or disarticulation of fingers, the patient is warned about its result; it may be necessary to consult a psychologist or psychotherapist, who can help reduce preoperative anxiety and prevent severe depression after treatment.

Symptoms of the defect

With syndactyly on the feet, a child most often experiences fusion of the 2nd and 3rd toes. In this case, undivided phalanges can be either underdeveloped or normally developed. In some cases, there is a decrease in the number of fingers due to their amniotic amputation.

Unlike children with syndactyly on the hands, children with syndactyly on the feet develop quite normally. They have no problem performing a wide range of activities. At the same time, functional inferiority of the foot does not in any way complicate studies, and almost never limits the choice of a future profession.

Amputation of fingers

The main indication for amputation of the fingers is considered to be trauma with complete or partial separation. When avulsion occurs, the surgeon is faced with the task of closing the skin defect and preventing scar formation. In the case of severe crushing of soft tissues with their infection, there may be no opportunity to restore adequate blood flow, and then amputation is the only treatment option. It is also carried out in case of necrosis of soft tissues and elements of the finger joints.

If during the injury several fractures occur, bone fragments are displaced, and the result of organ-preserving treatment is a motionless, crooked finger, then surgery is also necessary. In such cases, the absence of a finger causes much less discomfort when using the brush than its presence. This indication does not apply to the thumb.

Another reason for amputation of fingers can be damage to tendons and joints, in which preservation of the finger is fraught with its complete immobility, disrupting the functioning of the remaining fingers and the hand as a whole.

Distribution of finger and hand amputations by prevalence

The choice of amputation height depends on the level of damage. Always take into account the fact that a stationary or deformed stump or a dense scar interfere with hand work much more than the absence of an entire finger or a separate phalanx. When amputating the phalanges of long fingers, an operation that is too gentle is often performed.

When forming a stump, it is important to ensure its mobility and painlessness; the skin at the end of the stump should be mobile and not cause pain, and the stump itself should not be thickened in a flask shape. If it is technically not possible to recreate such a stump, then the level of amputation may be higher than the edge of the finger injury.

When performing operations on the fingers, the location of the lesion, the profession of the patient, and his age are important, so there are a number of nuances that surgeons know and must take into account:

1. When amputating a thumb, they try to preserve as long a stump as possible; even short stumps are preserved on the ring and middle fingers to stabilize the entire hand during movements;
2. The inability to leave the optimal length of the finger stump requires its complete removal;
3. It is important to maintain the integrity of the heads of the metacarpal bones and the skin of the spaces between the fingers;
4. They try to keep the little finger and thumb as intact as possible, otherwise the support function of the hand may be impaired;
5. The need to amputate several fingers at once requires plastic surgery;
6. If the wound is heavily contaminated, there is a risk of infectious lesions and gangrene, plastic and gentle operations can be dangerous, so complete amputation is performed;
7. The patient's profession affects the level of amputation (for people with mental work and those who perform delicate work with their hands, it is important to perform plastic surgery and maximum preservation of the length of the fingers; for those who are engaged in physical labor, amputation to the maximum extent can be carried out for speedy rehabilitation);
8. The cosmetic result is important for all patients, and in some categories of patients (women, people in public professions) it becomes crucial when planning the type of intervention.

Disarticulation is the removal of fragments or the entire finger at the joint level. For pain relief, an anesthetic is injected into the soft tissues of the corresponding joint or into the area of ​​the base of the finger, then the healthy fingers are bent and protected, and the person being operated on bends as much as possible, and a skin incision is made on the back side above the joint. When removing the nail phalanx, the incision is made 2 mm towards the end of the finger, the middle - 4 mm and the entire finger - 8 mm.

After dissection of the soft tissues, the ligaments of the lateral surfaces are intersected, the scalpel enters the joint, the phalanx, which is to be removed, is brought out into the incision, and the remaining tissues are intersected with a scalpel. The wound after amputation is covered with skin flaps cut from the palmar surface, and the sutures are necessarily placed on the non-working side - the back.

Maximum tissue savings, the formation of a flap from the skin of the palmar surface and the location of the suture on the outside are the basic principles of all methods of amputation of the phalanges of the fingers.

Toe shortening surgery

Quite an unusual type of operation. Leg lengthening or foot shortening is more common, but toe deformities cause aesthetic and medical problems.

This topic interests me also because I myself dream of this operation. I'm quite short, but I can't wear heels because my toes are very long and will "tuck in" or "curl", especially if it's a heel. In this case, they bend as much as possible, the foot slides into the front of the shoe and the entire load goes on the toes.

It is very painful, there is a lot of tension on those parts of the foot that it shouldn’t. This is also accompanied by bumps, eternal marks and bruises under the nails.

I only recently understood the cause of the unbearable pain in the forefoot when wearing high-heeled shoes. Having googled it, I saw that this problem is becoming more and more discussed.

Some people simply suffer from a long second finger, which is not very attractive from an aesthetic point of view.

With a hammertoe deformity, maximum flexion of the finger occurs at the distal interphalangeal joint; claw-shaped deformity is characterized by hyperextension at the metatarsophalangeal joint and flexion of the finger at the proximal and distal interphalangeal joints. Typically, both forms are combined with other foot deformities, in particular, hallux valgus or transverse flatfoot. Hammer toe deformities are more common than claw toe deformities.

Some of the symptoms of hammertoes include:

— Painful sensations in the area of ​​the second, third toes;

— Constant tension of the tendon that fixes the finger in a bent state;

— The second finger is bent, and the nail plate looks down;

— Significant, clearly visualized deformation of the second and third toes.

A little more detail. What is toe shortening surgery?

The procedure is designed to give patients who suffer from walking difficulties the opportunity to improve their lives by straightening and shortening their toes. All toes are subject to change: from the largest to the smallest.

The length reduction occurs in the joint area, where the bone is removed using a special instrument. Once the bone is removed, pins are inserted to guide healing in the correct direction. During the operation, a portion of the skin is also removed (or altered) to match the new length of the toes.

The operation allows you to correct the finger deformity and take the necessary measures to eliminate the possibility of recurrence. There are several surgical techniques. What they have in common is that during each operation the correct axis of the finger is restored, which requires making appropriate changes to the tendon apparatus.

After surgery, the finger is immobilized for two weeks, after which it is usually able to withstand normal loads again. Also, during the recovery process you need to wear special shoes for 2-4 weeks.

Toe amputation

Unlike the fingers, which are most often subject to traumatic injuries that lead to a surgeon, on the foot and its fingers the need for surgery arises for a number of diseases - diabetes mellitus, endarteritis, atherosclerosis with gangrene of the distal parts of the legs.

Toe amputation due to diabetes mellitus is performed quite often in general surgery departments. Violation of trophism leads to severe ischemia, trophic ulcers and, ultimately, to gangrene (necrosis). It is impossible to save the finger, and surgeons are deciding whether to amputate it.

It is worth noting that with diabetes it is not always possible to limit yourself to the removal of one finger, because nutrition is impaired, and, therefore, one can only hope for adequate regeneration in the scar area. Due to significant disorders of the blood supply to soft tissues in various angiopathies, surgeons often resort to more traumatic operations - disarticulation of all fingers, removal of part of the foot, the entire foot with a section of the lower leg, etc.

When amputating toes, the basic principles of such interventions must be observed:

• Maximum possible preservation of leather on the sole side;
• Preservation of the work of flexors, extensors and other structures involved in multidirectional movements of the feet, in order to ensure further uniform load on the stump;
• Ensuring mobility of the joint apparatus of the feet.

For small lesions (frostbite of the distal phalanges, for example), it is possible to amputate the distal and middle phalanx without significantly impairing the functionality of the foot, with the exception of the big toe, which provides a supporting function, so if necessary, its removal is done as sparingly as possible.

When amputating the second finger, at least some part of it must be left, if this is possible due to the circumstances of the injury or disease, since complete amputation will subsequently result in deformation of the thumb.

Amputations on the feet are usually performed along the line of the joints (disarticulation). In other cases, there is a need to cut the bone, which is fraught with osteomyelitis (inflammation). It is also important to preserve the periosteum and attach the extensor and flexor tendons to it.

In all cases of injuries, avulsions, crushing, frostbite of the toes and other lesions, the surgeon proceeds from the possibility of maximally preserving the function of support and walking. In some cases, the doctor takes a certain risk and does not completely excise non-viable tissue, but this approach allows you to maintain the maximum length of the fingers and avoid resection of the heads of the metatarsal bones, without which normal walking is impossible.

Toe disarticulation technique:

1. The skin incision begins along the fold between the toes and the metatarsus on the plantar side of the foot in such a way that the remaining skin flap is as long as possible, the longest in the area of ​​the future stump of the first toe, since the largest metatarsal bone is located there;
2. After the skin incision, the fingers are bent as much as possible, the surgeon opens the joint cavities, cuts the tendons, nerves and ties the blood vessels of the fingers;
3. The resulting defect is covered with skin flaps, placing the sutures on the back side.

If the cause of amputation of the fingers was an injury with contamination of the wound surface, a purulent process during gangrene, then the wound is not tightly sutured, leaving drainage in it to prevent further purulent-inflammatory process. In other cases, a blind suture may be applied.

Healing after amputation of toes requires the administration of painkillers, timely treatment of sutures and changing bandages. In case of a purulent process, antibiotics are required; infusion therapy is carried out according to indications. The sutures are removed after 7-10 days. If healing is favorable after the initial operation, the patient may be offered reconstruction and plastic surgery, as well as prosthetics to facilitate work, walking, and support on the foot.

Recovering from toe removal requires physical therapy exercises to develop muscles as well as new skills for using the rest of the foot.

Reducing the length of the toes

Too long toes are a relatively common anatomy and tend to be a cosmetic concern for women more often than men. The most common is the long second toe. The so-called Greek foot type.

Girls and women are often embarrassed by such features of their feet. They do not wear open shoes and generally narrow ones, which can lead to the formation of a hammertoe deformity of the 2nd toe and a painful callus in the projection of the proximal interphalangeal joint.

Because the second toe suffers from repetitive microtrauma in closed shoes.

Pain often manifests itself in tight, ill-fitting shoes. Painful calluses on the fingers can prevent you from wearing stylish shoes even for a short time (1-2 hours a day).

Of course, other toes may also be too long. For example, abnormally long first, third or fourth toes.

Causes of long toes

1) Genetics (heredity) is the most common cause.

2) Progressive valgus deformity of the big toe, as a rule, manifests itself in the relative shortening of the first ray and, accordingly, the lengthening of the second ray of the foot.

Although the absolute length of the bones does not change. It’s just that the first metatarsal bone deviated to the side (primus virus).

In this case, of course, it is necessary to correct the deformity of the first metatarsal bone and then the relative length of the first toe (ray) will be normal.

3) Injuries to the flank of the fingers and metatarsals can cause shortening of one of the rays.

4) Developmental anomaly

The most common reasons for seeking help are:

• Pain on the tip of the finger • Painful calluses of the fingers • Difficulty in choosing shoes • Congenital anomalies of the feet • Acquired foot deformation • Aesthetic dissatisfaction with your foot

Preventing hammertoes

In order to prevent hammertoes, it is necessary to use the following prevention methods:

• Wear orthopedic shoes most of the day • Use custom orthotics • Wear shoes with wide toes

Surgery to reduce the length of the toes

There are several methods to reduce the length of your toes. The choice of method is determined by the doctor, since the reasons for excessive finger length can be, as mentioned earlier, different.

1) Metatarsal osteotomy – performed when the metatarsal bone is abnormally long.

2) Osteotomy of the phalanx only – performed when the phalanx itself is long.

3) Osteotomy of both the phalanx and metatarsal bone - performed in case of hammertoe deformity of the finger and painful corns (a sign of metatarsalgia with pronounced transverse flatfoot).

4) Arthrodesis of the proximal interphalangeal joint - performed in case of severe hammertoe deformity of the finger and its stiffness. And also in patients who knowingly warn the doctor that they will only wear dress shoes. Otherwise, a recurrence of hammertoe deformity may occur.

Such operations take place relatively quickly. It takes about half an hour. The operation can be performed either in a hospital or on an outpatient basis, depending on the patient’s mood. The patient can go home the same day.

New technologies make it possible to perform minimally invasive foot surgeries. With hidden incisions and without external fixation with needles. Recovery from such operations is much shorter and less painful.

After the operation there are practically no visible scars. The recovery time is much shorter, which allows you to start active walking in your favorite shoes faster.

In contrast, older traditional methods of performing surgery involve the use of metal wires protruding from the tip of the finger for 4 weeks.

This not only made it difficult for the patient to observe basic hygiene rules (full washing), but in addition, the risk of infection and migration of the metal structure associated with the presence of the knitting needles outside increased significantly.

Anesthesia for foot surgery

The operation can be performed under local, regional, spinal or general anesthesia. Local and regional anesthesia are used in the vast majority of cases. This means that only the foot will be numb. And only in isolated cases is general anesthesia used in patients who are psychologically unable to withstand being in the operating room, etc.

Devices and clamps used during surgery

The use of surgical hardware to correct deformities or reduce finger length is an integral part of the process. For example, the 5th finger rarely requires internal fixation with a screw. A special fixing bandage is sufficient.

While the first metatarsal bone, the 1st and 2nd fingers almost always require fixation in the desired (given) position after reducing the length or eliminating severe hammertoe deformity with contracture in the interphalangeal joint.

Typically, titanium screws, synthetic absorbable material, or a special interphalangeal joint arthrodesis device are used.

Possible complications

As with any operation, foot surgery has side effects that patients should be aware of. Reducing the length of the fingers or eliminating hammertoes is a relatively safe operation, but there are risks associated with the technique:

• infection,
• nerve damage,
• loss of flexibility.

After surgery, the patient should not put any weight on the forefoot for about 2 weeks. For this purpose, special postoperative shoes with unloading of the cape are selected. Or walk using only your heel. After 2 weeks, the sutures are removed, if any were applied. And the patient is allowed a dosed load on the (operated) forefoot.

One month after the operation, full weight-bearing is allowed. As a rule, this is almost painless. Swelling may increase at the end of the day, this is natural. This effect can be observed from 2 to 4 months after surgery.

The results are usually permanent and functionally and cosmetically satisfying for patients.

The results of the operations can be viewed here

Don't self-medicate!

Only a doctor can determine the diagnosis and prescribe the correct treatment. If you have any questions, you can call or ask a question by email.

Reducing the length of fingersPrice, rub

This operation can be performed using “QUOTA”

Source: https://www.ortomed.info/articles/ortopediya/hirurgiya-stopi/umenshenie-dliny-palcev-nog/

Traumatic amputation

Traumatic amputation is the partial or complete separation of fingers or sections of them as a result of injury. Surgical treatment for such injuries has some features:

• The operation is performed only when the patient’s condition is stable (after recovery from shock, normalization of the heart and lungs);
• If it is impossible to sew back the torn part, the finger is completely removed;
• In case of severe contamination and risk of infection, primary wound treatment is required, when non-viable tissue is removed, the vessels are ligated, and sutures are applied later or repeated amputation is performed.

If amputated fingers are delivered with the patient, the surgeon takes into account their shelf life and tissue viability. At a temperature of +4 degrees, fingers can be stored for up to 16 hours, if it is higher - no more than 8 hours. A storage temperature of less than 4 degrees is dangerous due to frostbite of the tissue, and then sewing the finger in place will become impossible.

No matter how carefully the operation to amputate fingers and toes is performed, it is impossible to completely eliminate the consequences. The most common of them are purulent complications in the case of traumatic amputations, progression of the necrotic process in vascular diseases, diabetes, formation of a dense scar, deformation and immobility of the fingers, which is especially noticeable on the hands.

To prevent complications, it is important to carefully adhere to the amputation technique and the correct choice of its level; in the postoperative period, recovery with the use of physiotherapeutic methods and physical therapy is mandatory.

Genetic types

Syndactyly is also classified according to genetic types:

• The first type is zygodactyly. Partial or complete fusion (webbed) of the 2nd and 3rd toes. Webbing between other fingers is also possible.
• The second type is synpolydactyly. Fusion of the 4th and 5th toes with duplication of the 5th. This pathology is characterized by: disturbances in the relief of the skin of the soles and hypoplasia of the middle phalanges.
• Third type. Bilateral complete syndactyly of the 4th and 5th fingers. In this case, the feet are not affected.
• The fourth type is Gaza syndactyly. Complete bilateral cutaneous syndactyly of the hand. In this case, there is no damage to the feet.
• Fifth type. Fusion of the metatarsal and metacarpal bones. On the hands, fusion of 3-4 fingers is more common, and on the feet – 2 and 3.

Recovery and care after syndactyly

Upon completion of the operation, the hand is immobilized with a special splint. After 14, 16 days, the surgeon will remove the stitches. After this, physiotherapy is prescribed:

• massage,
• electrical stimulation, which will help improve the flexion and extension of fingers,
• phonophoresis to smooth out scars,
• applications of ozokerite, paraffin, therapeutic mud,
• exercises to develop fine motor skills.

Special gymnastics is required for patients aged 3 and 5 years. At an earlier age, children already begin to actively move their fingers after removing the splint.