Dismiss Modal

Treatment

Foot Surgery: Flexible and Rigid Hammertoes

Choose a preferred language


Healing after surgery

The severity of your condition, number of toes involved, and type of surgery done will affect your recovery time. Many people are able to walk right after surgery with a special surgical shoe. Full healing can take several weeks. Your healthcare provider can advise you on what to expect after surgery.

With hammertoes, 1 or more toes curl or bend abnormally. This can be caused by an inherited muscle problem, an abnormal bone length, or poor foot mechanics. The affected joints can rub inside shoes, causing corns (buildups of dead skin).

There are many nonsurgical treatments for hammertoes. If these don't work, you may want to consider surgery.


Flexible hammertoes

When hammertoes are flexible, you can straighten the buckled joints. Flexible hammertoes may become rigid over time.


Tendon release

This treatment helps release the buckled joint. The bottom (flexor) tendon may be repositioned to the top of the affected toe (flexor tendon transfer). Sometimes, the top or bottom tendon is released but not repositioned (tenotomy).

Side view of toe showing corn and flexible hammertoe.Side view of toe showing flexor tendon transfer.


Rigid hammertoes

Rigid hammertoes are fixed (not flexible). You can't straighten the buckled joints. Corns, pain, and loss of function may be more severe with rigid hammertoes than with flexible ones.


Arthroplasty

A part of the joint is removed, and the toe is straightened. In some cases, the entire joint may be replaced with an implant. When healed, the bones become connected with scar tissue, making your toe flexible.

Side view of toe showing corn and rigid hammertoe.Side view of toe showing bone removed for arthroplasty.


Fusion

First, the cartilage and some bone on both sides of the joint are removed. Then, the toe is straightened, and the 2 bones are held together, often with a pin. The pin is removed after several weeks. Once your foot heals, the toe will be less flexible, but more stable.

Side view of toe showing fusion and pin fixation.

Featured in

© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
Related Articles
Read article
Orthopedics
Kneecap (Patella) Surgery: Realignment

Some procedures may be done using arthroscopy, a method that uses tiny incisions and special instruments to look and work inside the knee joint. Other procedures need open surgery. The kneecap can be realigned to improve its tracking. To do this, soft tissue may be cut, tightened, or moved.

Read article
Orthopedics
Foot Surgery: Curled Fifth Toe

A curled fifth toe is most often inherited. When the fifth toe curls inward, it moves under the next toe. Then the nail of the curled toe starts to face outward. As a result, you may bear weight on the side of your toe instead of the bottom. This can cause corns and painful nails. There are many nonsurgical treatments available. But if these are not effective, surgery is a choice.

Read article
Orthopedics
Kneecap Surgery: Removing Damaged Cartilage

Surgery may be used when pain severely limits your activities. Or it may be done when a rehab program or other nonsurgical treatments just are not helping enough. Some procedures may be done using arthroscopy. This method uses tiny incisions and special instruments to look and work inside the knee joint. Other procedures need open surgery.

Read article
Orthopedics
Your Amputation Surgery

Amputation is surgery to remove a limb. Learn about the surgery and what to expect after.

Our orthopedic specialists will get you moving pain-free again.

From orthopedic surgeons to physical therapists, our orthopedic team has been built to provide seamless care and support throughout your whole journey.

Browse our specialists