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!
• 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
• 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
• 3-4 weeks in a surgical shoe
• 3-4 weeks in an athletic shoe
• State-of-the-Art, JCAHO Accredited
• Performed exclusively by
• 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
evofoot.com • copyright 2013 • designed by ali sadrieh, dpm