| WHAT ARE HAMMER TOES? | 
                Toe deformities are a common source 
                  of pain and disability that may be present from birth or develop 
                  later in life. They come in a variety of forms. In most cases 
                  pain arises because the toe(s) become mis-shapen leading to 
                  pressure and friction from footwear on the skin. At an early 
                  stage the deformity may be flexible but in time it will tend 
                  to stiffen and arthritis may develop.  | 
              
               
                | AIMS OF SURGERY | 
                To correct position of toe, prevent 
                  footwear irritation and improve appearance. | 
              
               
                | ANAESTHETIC  | 
                Local anaesthetic: Local anaesthetic 
                  with sedation General Anaesthetic | 
              
               
                OVERVIEW   | 
              
               
                | Operation time | 
                10-30mins | 
              
               
                | Incision placement | 
                On the top of the toe over the affected 
                  joint(s) | 
              
               
                | Stitches  | 
                We use dissolvable stitches where 
                  possible. | 
              
               
                | Will I have wires? | 
                Wires are required on some occasions 
                  dependent upon the severity of the problem.  | 
              
               
                | When do I go home? | 
                Usually you are able to go home 
                  the same day if with the support at home of a responsible adult. 
                 | 
              
               
                | Time off work | 
                Varies according to the nature of 
                  your work and the surgery required but usually is 4 weeks. | 
              
               
                | INDICATIONS FOR SURGERY | 
                Pain, deformity and difficulty with 
                  shoe fit. | 
              
               
                | ALTERNATIVE TREATMENTS | 
                You can manage your symptoms with 
                  toe covers and splints or by using broader and deeper footwear. | 
              
               
                | GENERAL RISKS OF SURGERY | 
                
                    - Infection (minor&serious)
 
                    -   Scar problems
 
                    -  Postoperative pain 
 
                    - Loss of sensation
 
                    -  Postoperative swelling 
                      
 
                    | 
                
                    - Failure of the operation
 
                    -  Medication side-effects 
 
                    - Blood clots
 
                    - Chronic pain / swelling
 
                    | 
                
 | 
              
               
                | SPECIFIC RISKS RELATED TO THIS OPERATION  | 
                 
                 
                    
                    
                    Recurrence 
                    
                    Stiff toe joint | 
                
                 
                  Elevated toe
                    
                  
                  Swelling | 
                 
                  
                  Pain under the ball of the foot due to change of weight distribution 
                   | 
              
              
                | RECOVERY TIME | 
                Most patients can return to normal 
                  footwear (eg training or lace up shoes) and driving 2 weeks 
                  following surgery so long as there have been no post operative 
                  complications | 
                  |