Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (2024)

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Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (1)

Get Back to Doing What You Love.

“Don’t wait until (your hammertoe) becomes as severe as mine - The TenoTac technology gave me back the mobility that I'm needing to continue to do these uneven terrain activities that I prefer with ZERO limitations”

Pam G. — Michigan, US

Learn More About TenoTac®

Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (2)

What Causes a Hammertoe? 1

The most common cause of a hammertoe is an imbalance between the muscles in the toes. This imbalance tends to get worse over time, causing the toe to appear bent.Hammertoes can occur in one or more toes. The muscle imbalance may be due to many causes, including abnormal foot structure, inflammatory arthritis, diabetes, trauma, or a neuromuscular disorder.

A Better Option for Your Hammertoe

Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (3)

Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (4)

Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (5)

Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (6)

Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (7)

What is TenoTac®?

TenoTac is Paragon 28®’s patent-pending procedure and soft tissue fixation system designed to permanently address the source of your hammertoe as opposed to other treatment options.

How It Works

You are your own second opinion. You know what you are doing and what makes sense. Your toe is straight in large part due to a balance between the pulling and contracting power of the muscles and tendons that run along the top and bottom of your toe. Hammertoes are a result of an imbalance in these pulling powers.

The TenoTac® System restores the anatomy of the toe. The device rebalances the tendons at the bottom of the toe that have become stiff and contracted due to the overpowering soft tissues along the top of the toe.

A surgeon using our TenoTac® System manually straightens the toe, and the tendons along the bottom of the toe are stabilized and tacked in place, rebalancing the toe. The system requires a small incision on the bottom of the toe and a small incision on top of the toe to facilitate placement of the implant with no bony cuts made during the TenoTac® procedure. Patients may experience less postoperative swelling, pain, and scarring when compared to traditional flexor tendon transfer, and/or fusion procedures.

The newly refined TenoTac by Paragon 28® is advanced surgical appliances and tools designed to give your surgeon the greatest control possible, ensuring the replicable results you deserve.

Hear from the Experts.

"Flexor tendon transfer with TenoTac® incorporates direct incisions from skin to the target tendon or bone and avoids the soft tissue dissection/tunneling needed for traditional digital flexor tendon transfer. Using the TenoTac technique, I have seen significantly less postoperative swelling and pain versus traditional tendon rerouting techniques”

- Douglas Blacklidge, DPM | Kokomo, IN

Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (8)

Patients

Explore some impressive results from the newest minimally invasive solution for hammertoe, claw toe, mallet toe, crossover toe and floating toe.

What Surgeons Have to Say About TenoTac

Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (9)

“I have used tendon transfer procedures for over 20 years to correct toe deformities such as hammertoes. Tendon balancing procedures are indispensable for any foot and ankle surgeon and the Paragon 28 TenoTac has more than refined this century old procedure. The device minimizes the soft tissue disruption and associated swelling while creating a new attachment for a flexor tendon. TenoTac allows your surgeon to correct the tendon imbalance with precision.”

Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (10)

“The TenoTac Soft Tissue Fixation System has been a game-changer in the way surgeons are able to treat hammertoes. We now have a system which can ‘dial in’ the proper amount of correction based on the unique deformity. The system has been shown to be reproducible and less invasive than previous hammertoe techniques.”

Find A Surgeon Near You

Find a Surgeon

Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (11)

Visit Paragon28.com Product Instructions for Use Privacy Policy Contact Us

  • Only a surgeon can tell if the TenoTac® Procedure is right for you. There are potential risks, and recovery takes time. Potential risks include but are not limited to infection, discomfort, or swelling due to balancing and introduction of the implant, loosening of the implant, and loss of correction.

  • The surgeon information listed in the Paragon 28 Surgeon Finder is provided for informational purposes only and does not represent an endorsem*nt or warranty of any particular surgeon. The database does not include an exhaustive list of all surgeons within a particular geographic area or all surgeons who use/have used a Paragon 28 product. Only those who have expressly subscribed to be listed on the site and are confirmed to be either Paragon 28 trained and/or experienced are included. These are the only criteria for inclusion. Paragon 28 does not pay a fee or any other type of remuneration for participation. Choice of surgeon should be solely based upon a patient’s own investigation of a particular surgeon’s training, education, experience and reputation.

  • 1) Kramer, William C., et al. “Hammertoe Correction with K-Wire Fixation.” Foot and Ankle International, vol. 36, no. 5, 2015, pp. 494–502, doi:10.1177/1071100714568013.

    3) Albright, Rachel H., et al. “Percutaneous Kirschner Wire Versus Commercial Implant for Hammertoe Repair: A Cost-Effectiveness Analysis.” Journal of Foot and Ankle Surgery, vol. 57, no. 2, Elsevier Inc., 2018, pp. 332–38, doi:10.1053/j.jfas.2017.10.019.

    5) American College of Foot and Ankle Surgeons. Hammertoe. (https://www.foothealthfacts.org/conditions/hammertoe

    2) Mirmiran, Roya, and Melissa Younger. “Lesser Digit Implants.” Clinics in Podiatric Medicine and Surgery, vol. 36, no. 4, Elsevier Inc, 2019, pp. 651–61, doi:10.1016/j.cpm.2019.07.001.

    4) Baig, A. U., and N. P. J. Geary. “Fusion Rate and Patient Satisfaction in Proximal Interphalangeal Joint Fusion of the Minor Toes Using Kirschner Wire Fixation.” Foot, vol. 6, no. 3, 1996, pp. 120–21, doi:10.1016/S0958-2592(96)90003-6.

    6)National Foot Health Assessment 2012 (https://www.ipfh.org/images/research_materials/2012_National_Foot_Health_Assessment_June_2012.pdf)

Minimally Invasive Hammertoe Solution | TenoTac® — TenoTac® (2024)

FAQs

What is the TenoTac technique? ›

A surgeon using our TenoTac® System manually straightens the toe, and the tendons along the bottom of the toe are stabilized and tacked in place, rebalancing the toe.

What is the new treatment for hammer toes? ›

A newer technique involves inserting the SmartToe implant into the toe instead of a pin. The bones fuse around the implant, which is permanent. Think of the device as something similar to a pin but completely inside your bone.

Is there a way to fix hammer toes without surgery? ›

Medical tape and splints are used to stabilize the hammertoe and bind it to the toe next to it, keeping both toes in a straightened position. This helps to eliminate friction between the affected toe and the inside of the shoe. Pads can be worn inside the shoes and act as a buffer between a corn or callus and the shoe.

Do hammer toe straighteners work? ›

While wearing a hammer toe corrector can help to alleviate some of the discomfort and pain that is associated with the condition, it, unfortunately, cannot actually correct the hammer toe.

Can you walk after a toe tenotomy? ›

Patients are able to walk immediately after a flexor tenotomy is performed. Most patients feel no discomfort walking on the operated foot and only a slight achiness for a day or two after the procedure. A light dressing is wrapped around the toe to allow the needle puncture site to heal and is removed after 3-4 days.

How long does it take for a toe tenotomy to heal? ›

Flexor tenotomy: A small cut is made on the under surface of the toe and the tendon incised such that the toe can straighten. This is an operation with a quick recovery, between ten to fifteen days. Tendon transfer: Flexible deformities can be helped by transferring the tendon from the bottom to the top of the toe.

What do podiatrists recommend for hammer toes? ›

Pads and taping: Over-the-counter (OTC) toe pads cushion the area around your toes to relieve pressure. Your provider might suggest using medical tape to hold your toes in the correct position. Orthotic devices: Orthotics are shoe inserts that support your feet and keep your toes in the correct position.

What is the most effective treatment for hammer toe? ›

Getting custom orthotics (shoe inserts): Custom shoe inserts that support and strengthen muscles in the foot can help alleviate pain caused by hammer toe. Doing physical therapy: Stretching the affected toe throughout the day can sometimes make a huge difference.

How can I straighten my hammer toes naturally? ›

EXERCISES FOR HAMMERTOES
  1. TOE CRUNCH. Crunch is an exercise for abs, but this type of crunch is for the toes. ...
  2. TAPS. Tapping exercises can take the same position as for toe crunches. ...
  3. MANUAL STRETCH. Using a towel, the person can stretch their toes to lengthen the contracted muscles. ...
  4. TOLL ROLLS. ...
  5. SQUEEZE. ...
  6. FLOOR GRIP.

Do toe spacers help hammer toes? ›

✔Great for Foot Issues -- Our toe spacers have been tested effective in treating Bunions, Capsulitis, Corns, Hallux Valgus, Hammer Toes, Claw Toes, Crooked Toes, Overlapping Toes Neuromas Plantar Fasciitis, Flat Feet Sesamoiditis, Runner's Knee and Shin Splints.

Can a hammer toe go back to normal? ›

Unfortunately, hammertoes are not something that can go away on their own. Regardless of what causes the deformity, they may need medical treatment or surgery to correct the deformity. Another unfortunate fact is that while most hammertoes do not recur after surgery, some can.

Can you massage out a hammer toe? ›

You can buy non-medicated hammertoe pads. They fit around the pointy top of the toe joint and help relieve painful pressure. Some brands have a gel lining that can prevent irritation of the toe by the shoe. Gently massaging the toe may help relieve pain.

What is the best device for hammer toes? ›

We love the YogaToes Gem Stretcher and Separator as our best overall choice for treating hammer toe. Not only is it comfortable and can offer quick relief, but it's also reasonably priced. This product is available as a set (for your left and right foot) and is made in the USA using a tough but flexible BPA-free gel.

What makes hammer toes worse? ›

To avoid making the hammer toe worse, wear the right size shoes or shoes with a wide toe box for comfort. Avoid high heels as much as possible. Wear shoes with soft insoles to relieve pressure on the toe. Protect the joint that is sticking out with corn pads or felt pads.

Can a chiropractor fix hammer toe? ›

In early or mild stages of hammertoe, MedlinePlus, a service of the National Library of Medicine and the National Institutes of Health recommends manipulation of the foot to help keep the toes moving and flexible. Chiropractors can adjust the toes and other bones of the foot to keep the joints moving properly.

What is hammer toe surgery like? ›

Your doctor will make them to release the tendons that are holding your toe. Then the doctor may remove pieces of bone. Your toe may be held in place, such as with a pin or wire. The pin or wire may stay in your toe, or it may be removed after about 3 to 6 weeks.

What is a smart toe implant? ›

What is Smart Toe Implant? Smart Toe implants are a type of medical device used in foot surgery, specifically designed for the correction of deformities like hammertoes. Hammertoes are a condition where one or more toes are bent at the middle joint, causing them to curl down rather than point forward.

How do they do a tenotomy on a hammer toe? ›

The affected toe is injected with anesthesia. Once numb, a small needle is introduced to the underside of the toe at the location of the flexor tendon. The needle is then used to sever the tendon, relieving the contracture and straightening out the toe.

What is a flexor tenotomy? ›

Flexor tenotomy is a surgical procedure that involves cutting the tendon of a flexor muscle, usually in the hand or foot, in order to release tension and improve range of motion.

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