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“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®
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
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
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
“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.”
“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.”
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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.
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The surgeon information listed in the Paragon 28 Surgeon Finder is provided for informational purposes only and does not represent an endorsement 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.
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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)
