(upbeat music) – Hi guys, welcome to our YouTube page. This is Dr. Barko at Lexington Podiatry. And we have a patient today, who is going to have two flexor tanotomies on the second and third digits. So, you can talk just in case you want to. So we’ve already numbed our patient up. We did digital blocks
on digits two and three. The patient can walk in
and walk out of the office when they’re having this procedure. Now we are going to check
for anesthesia here. Can you feel anything here? No okay?
– [male Patient] Nope. (instrument clanks on tray) – [Dr. Barko] So we have different levels of deformity. And sometimes a patient
has a rigid deformity. And sometimes a patient
has a flexible deformity. We’ve got a mixture here. (instrument clanks on tray) All right. So when you have a mixture deformity, sometimes you won’t get
a perfectly straight toe because we’ve got some
bone-on-bone arthritis but that’s okay. We’re looking for some correction here just to make those toes feel better and to prevent callousing and ulceration. This surgery does not
require any stitches. Doing okay? – [male Patient] Yeah.
– [Dr. Barko] Okay. – [male Patient] No
pain of stitches, great. – [Dr. Barko] Perfect!
(patient laughs) – [Dr Barko] Didn’t hurt a bit. So then we’re going to use a
special bandaging technique to pull down that proximal phalanx and put that toe as straight as we can. We do have some arthritis
here on this corner. Can’t fix that with
just a flexor tenotomy. But that’s okay because what we’re looking for is positional change. So one done. We’re going to move on to the next one. We are going to check our
anesthesia again here. Anything here? – [male Patient] No.
– [Dr. Barko] Good. (crunching) Not as much arthritis in this joint. So we can definitely feel like we’re going to get a little bit
(cell phone dings) more correction out of this second toe. Beautiful. I always go in for two
passes even if I feel like I got it all. Double check myself ’cause
I can’t see in there. ‘Cause this is minimally invasive surgery. We got a little bit of blood there which is absolutely great. Perfect, so that’s our procedure and now we’re going to do our bandaging. Which Dr. Barko uses Betadine. And it’s messy.
(patient laughs) And I like it like that. We’ll get a little
bleeding on our bandage, but that’s okay, too. Because it acts almost as a cast for the patient. For the first week– – [male patient] Oh the
Betadine gets hard doesn’t it? – [Dr. Barko] It does,
absolutely, so I use Betadine to my advantage. I make it work for me and that’s the best way to do it. So, next time, when this patient comes in for follow-up, we will
maybe do a post-op video. ‘Cause we’re going to
make him internet famous. And we’ll check the progress of these toes and he can tell us that he had no pain, and it went so easy,
(patient laughs) and he would recommend it to his friends, who have hammer toes. Not just for anything. But yeah, I think it’s a
good adjunct procedure. Just to get you a little
bit of correction. So look, those toes were facing the ground and now they’re facing straight out. Our goal is to get them as
comfortable as possible. Perfect. Hi guys, Dr. Barko here
at Lexington Podiatry. This is our patient that
you all saw last week. We did two flexor tenotomies on the second and third digits. Now there will be a before picture shown on the screen as your looking at this. This is our after picture. We do have bruising, a
little bit of dry blood. All of that is absolutely normal. We just took his dressing off. And I asked the patient, “Did
you take anything for pain?” And he said, – [male patient] Took Motrin one time. – [Dr. Barko] Took Motrin one time. So today we are going to
say to him, he can get back into the shower, do
normal activities, go back into his regular shoes. I am going to teach him
how to tape these toes down and he’s going to do that
for the next four weeks. But other then that, done. So this is not a true
hammertoe correction; however, some people where
they have a deformity in one plane, this can really help them and it’s done in the office under local. Thanks for subscribing
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