• Toe Reconstruction @evofoot

    Medicine has advanced far, but it’s still considered a practice. Doctors perform surgery to help their patients, but sometimes results don’t turn out as expected. Until now, complications from legacy hammertoe surgery procedures have little if any solutions available (1).


    Introducing the world’s first, revisional, restorative, toe lengthening procedure. Developed over years of reconstructing toes that were the result of procedures perfomed with K-Wires and arthroplasty.


    We believe that just as a facial reconstruction patient regains their confidence with surgery, our patients deserve that confidence with their toes.

  • Problem, meet solution.


    Unexpected complications from routinely performed hammertoe surgery called arthroplasty, can result in short toes.


    During this procedure, a portion of the head, of one of the bones in the toe is removed. The problem occurs when the fibrous growth that is supposed to maintain the toe, breaks down causing the toe to shrink.


    Until the development of our procedure, the options were limited for patients who experienced these kind of complications. At evofoot, we may be able to custom tailor a solution for most short toes (2).


    Every toe is special, and so are our implants.


    There are many reasons for short toes, no two complications are the same. That’s why we had to create a custom tailored solution. The use of silastic spacer implants is common, but these implants sometimes fall short of addressing contracted toes that have lost more than 50% of their original length.


    Using that kind of technology in a brachymetatarsia patient isn’t even an option since the implants are designed for the toe, not the metatarsal.


    Custom implants provide the flexibility of creating solutions for patients who have toes that have lost more than half their length (2).



    Smart technique, revolutionary procedure.


    Reconstructing a toe that’s shortened because of prior surgery comes with it’s share of difficulties. Scar tissue formation and irregular anatomy are pitfalls on the way to a successful result.


    To accomodate for the wide variety of complications, the surgical techniques we use are modeled after plastic surgical rotational tissue flaps, sequential staged lengthening and cosmetically focused closures. We even had to borrow some neat instruments from our friends in opthalmology.


    All this adds up to a completely new way of doing things so we can help bring that “little piggie” back home where it belongs... in your sandals at the beach!



    The post-op experience


    Depending on healing time, the average patient will wear a post op shoe and keep their foot dry for 3 weeks. Once the skin is healed and the sutures are removed, you will wear an athletic shoe for 3 more weeks and transition to normal weight bearing. After week 8 or 12, when examination shows tissue consolidation around the implant, you can begin transitioning to normal activity and shoe wear (3).


    For brachymetatarsia patients the initial recovery comparison is dramatic, which can be up to two and half months sooner than traditional techniques.


    Finally we’re able to provide our patients an opportunity to resolve what used to be considered a final result!




  • Summary

    •  The world’s first reconstructive toe

       lengthening and short-recovery

       brachymetatarsia correction, created by

       evofoot surgeon, Dr. Ali Sadrieh

    •  Reduced “post-operative limitations”


    •  Can address short toes that are a result

       of previous toe surgery with

       unexpected outcomes

    •  Performed under light sedation

    •  Modified procedure technique could

       allow for correction of brachymetatarsia



    •  Custom made Silastic implant, shaped

       for each toe

    •  No external fixation (no K-Wires sticking

       out of the foot post op)
    •  Minimum evidence of surgery (plastic

       surgical closure)
    •  3-4 weeks in a surgical shoe
    •  3-4 weeks in an athletic shoe
    •  State-of-the-Art, JCAHO Accredited

       Surgical Facility
    •  Performed exclusively by

       evofoot surgeons


    • 24/7 access to surgeon mobile phone
    • Patient concierge
    • Complimentary surgery day driver
    • Complimentary post op kit
    • Complimentary scar management kit
    • Complimentary shower dry sock
    • Complimentary compression stocking

  • Important Notes


    (1) The term “legacy” used in reference to procedures that use traditional K-Wire fixation and incisions on top of the toe.


    (2) Consultation with evaluation of history, actual toe and x-rays are needed to determine if you are a candidate for this procedure, and how much length/restoration can be obtained.


    (3) Encapsulation of the implant needs to occur before acticity can resume to normal, the time for this varies between patients and can be based on the extent of your deformity and history.


    (a) Average patient recovery compared to traditional techniques that require bone lengthening with external fixation, bone grafting, or cast immobilization.


    (b) Incision must be healed before sutures can be taken out and foot can get wet, this time can vary.


    (c) Implant encapsulation, inflammatory response and swelling and tissue contracture/scarring can increase this time, steps will be taken to reduce if symptoms present.