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Contracted digits are one of the
most common forefoot deformities treated at The Walking Clinic.
They come in many varieties but all contracted digits can be divided
into two types: flexible or rigid. If you can pull the toe straight
it is a flexible contracture. If you cannot straighten the toe
it is a rigid contracture.
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Flexible contractures can be corrected
by Percutaneus Tenotomy. This
office-based procedure is performed under local anesthesia and
usually requires 5-10 minutes. There are no
stitches because of the very small incision. You can
expect to wear a surgical dressing around the digit for 12-24
hours after which you'll be back in normal shoe gear. A quick
follow-up is usually scheduled at 3 days after the tenotomy.
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When the contracture has been present for some
time, the bone adapts and the contracture becomes rigid. There
are two routine procedures for correction: IP fusion and Arthroplasty.
Both procedures are usually well tolerated and are usually performed
on an out-patient basis (no overnight stay required). You can
expect to wear a surgical walking shoe for approximately 4 weeks
after the surgery.
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Dr. Sol is Board Certified in
Foot & Ankle Surgeon by The American Board of Podiatric Surgery.
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Call us at (719)635-7700
with your questions about
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Percutaneus Tenotomy,
IP Fusion or Arthroplasty
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