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I had an osteotomy 13 weeks ago at the base of my 2nd toe in the left foot along with excision of a neuroma. At the same time I elected to have a right bunionectomy with 2nd toe resection. At the 6 week post op visit the pins were removed from the 2nd toes and the left one broke off. Xrays show it to be encapsulated by the bone (not in the joint). Now 7 weeks later the right foot with the extensive work is great but the left one hurts at the base of the 2nd toe. The surgeon said it was inflammation but it is swollen more than the other one and much more painful. I have started back on my Mobic with no change. I do not fault the surgeon. I just want to know if it's usually requiring another surgery to remove it? Thank youRESPONSEHi Sharon,Broken hardware is a complication of orthopedic surgery. It has happened to me and it probably has happened to anyone who performs this type of surgery.The general rule is that broken hardware can stay implanted as long as it does not end up being an irritant or somehow affect function, in this case, the second toe.I am only guessing here since I am not privy to x-rays, my first thought is that there might be inflammation being produced from the encapsulation of the wire. Since it is a foreign body, your body may be responding to it. Whether or not this will calm down remains to be seen.I am not really clear if you are thirteen weeks post op or twenty weeks post op based on your narrative. If your surgeon is absolutely sure the pin does not extend into the base, you could wait a while longer and see if the problem calms down and resolves itself.If the condition does not resolve itself, then the smart money would be on having the pin removed. Whether this ends up being a simple procedure or more complicated depends on how long a piece of the pin is still in your toe and how far away it is from the joint. The joint would be the simplest way to access the second toe to get to the k-wire.It comes down to this. If you trust your surgeon then follow his or her's advice. If you find that the surgeon does not appear to be working in your best interest, then a second opinion by another surgeon in your area would be indicated.Marc Mitnick DPMDISCLAIMER
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Michael D. Ebeling
Tampa, Florida 33624
Thanks for a most interesting website, which has helped a lot.
I usually do my research on the Mayo clinic website. I think your website is the most informative site I have found when researching foot pain.
I thank you for putting together this incredible website.
....I have been told that it is not hard enough to be cut off. Please help, I am not sure what to do now! THANKS FOR A WONDERFUL AND VERY HELPFUL SITE!
You have an unusually clear, informative and well-written website for laypersons. Thank you for that.
Mansfield Ctr, CT
First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you.
First, I want to let you know that you have the best web site I've found related to foot issues. (The only thing I had difficulty finding was the "ask a question" page.)
I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.
I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. Truly, it is uncommonly kind. And your site is so intelligently arranged.
Pacific Grove, CA
I used to work for a podiatrist (front desk) back during summers in
college years ago, so I know the benefits of good care. Again, I want
to thank you for an EXCELLENT website. It was so great to get to your
site (top of google search) and actually find all the answers I needed
EASILY and QUICKLY! Clearly you put a ton of work into it and I really
All the best,
By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!
Thank you for your very interesting and informative site!
By Marc Mitnick DPM © 2006-2018, foot-pain-explained.com LLC
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