Treatments

Fifth Metatarsal Osteotomy for Bunionette

A bunionette (also known as a tailor's bunion) is a painful bony prominence, or bump, on the outside of the fifth (little) toe. Over time, the bunionette may worsen as the fifth toe moves inward and the fifth metatarsal (the bone connected to it) moves outward. Rubbing between the bump and tight shoes may also cause a callus to grow over the fifth toe area. All bunionettes can cause pain and…

First MTP Cheilectomy

The first MTP, also called the first metatarsophalangeal joint, is the big toe joint. A first MTP cheilectomy is a surgical procedure that removes bone spurs on the top surface of the big toe joint. Bones spurs develop due to arthritis of the big toe, also known as hallux rigidus. The spurs block the toe’s motion, which causes pain. A first STMP cheilectomy relieves pain and improves range of…

First MTP Joint Fusion

The first MTP, also called the first metatarsophalangeal joint, is the big toe joint. A first MTP joint fusion is a surgical procedure to treat arthritis of the big toe. This condition can cause pain and swelling and lead to difficulty walking, running, and wearing shoes. Arthritis develops when the cartilage on each bone wears away and the two bones that make up the big toe joint rub against…

First MTP Joint Interposition Arthroplasty

The first MTP, also called the first metatarsophalangeal joint, is the big toe joint. A first MTP joint interposition arthroplasty is a surgical procedure to treat arthritis of the big toe. The treatment can stop pain at the base of the big toe by preventing the surfaces of the bones from rubbing together. It also can preserve some motion in the big toe.

First MTP Joint Replacement

The first MTP, also called the first metatarsophalangeal joint, is the big toe joint. A first MTP joint replacement treats arthritis of the big toe. The bone on either side of the joint is partially removed and replaced with metal, plastic or a combination of both. First MTP joint replacement lessens pain, retains motion, and improves the position of the big toe.

First MTP Joint Resection Arthroplasty (Keller Procedure)

The first MTP, also called the first metatarsophalangeal joint, is the big toe joint. A first MTP joint resection arthroplasty treats arthritis of the big toe. This procedure stops pain by preventing the surfaces of the big joint of the big toe from rubbing together. 

First MTP Medial Capsulorrhaphy

First MTP medial capsulorrhaphy is a procedure that tightens the soft tissue on the inner side of the big toe joint. This procedure is done along with other procedures to help correct a bunion deformity. It should not be performed alone due to the likelihood of the bunion returning. Bunions involve both an altered position of the bones of the foot as well as a stretching of the soft tissue…

Flatfoot Surgical Correction

Adult flatfoot is a condition that is characterized by the collapse of the arch of the foot. Surgery will improve alignment of the foot and restore more normal pressure during standing and walking. A combination of procedures often is needed to repair the ligaments and tendons that support the arch. Bone cuts are made to help restore the arch. Proper correction of flatfoot deformity can help…

Flexor Digitorum Longus (FDL) Tendon Transfer to Posterior Tibial Tendon

The flexor digitorum longus (FDL) is one of the tendons responsible for bending the toes down to the floor. The goals of a FDL tendon transfer surgery are to relieve pain and to help restore the arch in patients with painful fallen arches. A fallen arch occurs when the foot loses its support and flattens out, generally due to weakening of tendons and ligaments in the foot.

Flexor Hallicus Longus Tendon Transfer to the Proximal Phalanx of the Big Toe

A flexor hallicus longus (FHL) tendon transfer to the proximal phalanx of the big toe is used to treat clawing of the big toe.

Small muscles in the foot help to stabilize the big toe. When those muscles are weakened by disease, an imbalance occurs that leads to clawing. The clawing puts abnormal pressure on the ball of the foot that can cause an ulcer to form. In addition, clawing may…