• Hammertoe Correction @evofoot

    Every one of us is a little different, and that’s a good thing. But when it comes to shoes, this sometimes creates a problem. When toes are too “long” or contracted (hammered), finding the right fitting shoe is close to impossible. Patients often resort to buying bigger shoes which fit poorly or force their feet into the correct size, resulting in hammertoes and unsightly calluses.

     

    We’ve put and end to the compromise. For over 30 years, legacy procedures and hammertoe surgery (1) have overlooked the modern patient’s needs: a short, simple recovery experience with an aesthetically pleasing result. To accomplish this goal we had to invent an entirely new technique... so we did.

  • Check out all the buzz!

    The Doctor's Show

    The Perfect 10!

    Dr. Sadrieh interviewing with Drs. Stork and Orden on The Doctors Show on aesthetic toe shortening.

     

    Watch Video

    The New York Times

    Make Them Fit, Please!

    Dr. Sadrieh interviewed by Laren Stover of the The New York Times on cosmetic foot surgery.

     

    View Article

    The Wall Street Journal

    Toe The Line...

    Dr. Sadrieh interviews with Melinda Beck of The Wall Street Journal on cosmetic foot procedures.

     

    View Article

  • The evolution of hammertoe surgery

    A modern perspective required an all new technique,

    we're proud to have created it.

    Traditional hammertoe surgery hasn't changed in 40 years. The modern patient has different needs than what procedures designed in the 60's offered. Traditional procedures like arthroplasty, and arthrodesis with K-Wire simply fail to meet the needs of the 21st century patient. That's why in 2001, we redesigned hammertoe surgery. Allowing us to adjust the length of the toe, we wanted our procedure to completely hide the incision. So we also invented the first ever side incision, minimal dissection, toe shortening and hammertoe correction. 13 years later, evofoot hammertoe patients can have their cake and eat it too!

  • There's only one original...

    and it's beautiful.

    The signature side incision technique, developed by Dr. Sadrieh.

    Traditional or “legacy” toe procedures require only a few procedural steps, but we saw room for improvement.

     

    The evofoot hammertoe technique was created with a completely new take on dissection, fixation, and closure.

    To meet our aesthetic standards, we developed a different approach, placing the incision on the side of the toe, not the top.

    With this new approach there is no need to cut the extensor tendon which reduces the overall recovery time.

     

    And because our technique allows us to adjust length, the eternal question of open or closed toe, is no more!

  • "It's all about the details.

    We obsess over the details."

    Functional foot surgery without an aesthetically pleasing result can lead to a disappointed patient. We develop all of our procedures merging the best of two specialties, advanced foot surgery with modern plastic surgical techniques.

     

    No detail is too small, which is why we implement the most advanced technologies to help get you better results. Think of it as foot surgery... for the 21st century.

    Silver anti-microbial dressings

    Slow release silver ions (Ag+) with absorbent alginate dressing reduces bacterial growth.

    PRP stem cell treatment

    Platelet Rich Plasma (PRP) stem cell application included to advance healing.

    Modern scar management

    Atraumatic soft tissue handling, sub-cuticular closure & topical silicone scar treatment.

  • Internal fixation = Stability + Reliability

    Translation: Simpler recovery. More reliable results.

    Our first mission: Get rid of the pin.

    Having a pin sticking out of the toe for 6 weeks carries a lot of risk, so internal fixation was the only option for us.

    Removing the K-Wire from the equation reduces the recovery time, but more importantly it reduces the risk of infection (2).

     

    We developed our unique hammertoe surgery in 2001 and with it's evolution over time, now use advanced 4th generation inter-medullary fixation systems by Wright Medical. This form of fixation is superior to traditional, external types of fixation since they do not protrude from the toe during the recovery period. These precision implants are made with surgical titanium and have one more added benefit: long after legacy procedures loose their pins, evofoot hammertoe correction gets ongoing fixation until the fusion is complete.

    Modern fixation technique

    We utilize internal fixation systems that only require the fusion of one joint. This allows for a more natural appearance, and feeling. Internal fixation also reduces the recovery time compared to traditional wires.

    Current fixation technique

    Current fixation techniques have incorporated internal fixation, however with screws that cross both the joints of the toe.  This creates stiffness and an "un-natural" look and feel.

    Traditional fixation technique

    K-Wires are used to hold either Arthroplasty or Arthrodesis procedures in place for 6-8 weeks.  During this time the patient is required to keep the foot dry and dressed with bandages.  Wires can break, bend or act as a portal for infection.

  • Get into shoes faster,

    get back to life sooner.

    Modern procedures + Advanced fixation systems = Shorter more comfortable experience

    Time before getting foot wet

    The average time for skin to heal is 2-3 weeks. Once the incisions are healed you can get your foot wet.

    Time before resuming normal activity

    After the 4th or 5th week, when x-rays show quality bone healing, you can begin transitioning to normal activity (4).

    Time before getting back to work

    Once the skin is healed, you wear athletic shoes for 2 more weeks. During this time you can get back to work (5).

    Average pain during recovery

    Our average post op patient, pain scale questionnaires show that greater than 90% of our patients have little or no pain post op!

  • Summary

    •  Minimally invasive hammertoe

       correction and toe shortening surgery

    •  Unique hidden side incision

       (created by Dr. Ali Sadrieh)

    •  Corrects existing and developing

       hammertoe problems as well as length

       adjustment

    •  Reduced “post-operative limitations”

       time

    •  Virtually painless recovery

    •  Permanent procedure

    •  Can be perfomed under local

       anesthesia

    •  Can address long toes before they

       develop into hammertoes

     

    Specs

    •  Titanium intramedullary (internal)

       fixation system

    •  No external fixation (no K-Wires sticking

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

       incision closure)
    •  2-3 weeks in a surgical shoe
    •  2-4 weeks in an athletic shoe
    •  State-of-the-Art, JCAHO Accredited

       Surgical Facility
    •  Performed by the evofoot surgeons

    Extras

    • 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

    PRP Stem Cell Treatment included

  • 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) K-Wires protrude from the tip of the toe and are usually kept in for 4-8 weeks depending on healing; during this time the portal of entry is at risk for infection.

     

    (3) Some skin types are more prone to scarring than others; discuss your previous surgical history or scars with your surgeon before proceeding with surgery.

     

    (4) This time estimate is based on the average patient, you may heal slower or experience increased swelling delaying the ability to wear regular shoes and return to normal activity

     

    (5) This time estimate is based on an average patient healing rate, and the kind of work you do. Your occupation may require more time for the healing to complete. Please discuss this with your surgeon before proceeding.

     

    (a) Average patient recovery compared to traditional techniques that require K-Wire fixation, or cast immobilization.

     

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

     

    (c) Inflammatory response and swelling can increase this time, steps will be taken to reduce if symptoms present.