Rigid hammer toe deformity

A 64-year-old man, a retired pilot, with type 2 diabetes of 16 years' duration, was followed regularly in the diabetic foot clinic for treatment of a rigid hammer toe deformity of his right 2nd toe, with recurrent ulceration over the proximal interphalangeal joint. The patient underwent an elective proximal interphalangeal joint arthroplasty, with lengthening of the extensor hallucis longus tendon and dorsal capsulotomy of the metatarsophalangeal joint. A Kirschner wire was not used in this case, and the toe was splinted in its corrected alignment. The postoperative course was uncomplicated.

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