Surgery for Capsulitis of the Second Toe/Pre-Subluxation Dislocation Syndrome.
Successful surgical outcome of these procedures requires addressing one or more of the possible causative factors such as; a tight Achilles tendon, a long second metatarsal, a bunion deformity, and a short or elevated first metatarsal . Also, conditions typically associated with this problem need to be addressed as well, such as hammertoe deformities and ligament laxity.
Typically a combination of one or more of the following procedures may be required to address the problem directly.
Flexor tendon transfer.
Second metatarsal shortening osteotomy.
Plantar plate repair.
For More Information On Surgery
for Capsulitis of the Second Toe
In some cases a temporary pinning may be required.
Patients are ambulatory with weight-bearing in a protective cam walker/boot for approximately 6 weeks. Rehabilitation will usually require a period of 4 to 6 weeks of physical therapy. These procedures are typically done in an outpatient surgical setting at a surgery center or hospital under a mild sedation with local anesthesia. Resolution of pain and deformity are highly successful in these procedures when addressed appropriately .
There is potential incidence of "floating toe" that can occur postoperatively particularly in those patients that are noncompliant with postoperative instruction. Surgical correction of this condition has a very high patient satisfaction. Follow-up care with proper shoe gear and or functional orthotics are important for long term satisfaction.
Dr. Radovic is one of the most experienced surgeons in this particular area of surgery and in its pre-operative evaluation.