Professional Podiatry Services of New York

Foot & ankle surgery

Plantar Plate Repair

Plantar plate repair restores the ligament under the base of a toe — usually the second — when a tear causes ball-of-foot pain and a drifting or lifting toe.

Schedule a surgical consultation
Bring any prior imaging or operative reports.

Book an appointmentCall (718) 331-1100

The problem being treated

A torn plantar plate lets the toe become unstable and progressively deformed.

Related conditions: Plantar Plate Injury, Metatarsalgia, Hammertoes.

When surgery may be appropriate

  • Persistent ball-of-foot pain after taping, shoe changes, and offloading
  • A toe that is drifting, lifting, or separating from its neighbor
  • A confirmed tear on ultrasound or MRI

How the procedure works

  • A small incision gives access to the joint.
  • The metatarsal is often shortened slightly to relieve tension and improve access.
  • The torn ligament is repaired with sutures.
  • An associated hammertoe is corrected at the same time if needed.

Typical restrictions after surgery

  • Heel-weighted walking in a surgical shoe
  • Toe splinting or taping to protect the repair
  • Elevation in the early weeks

Your surgeon will give instructions specific to your procedure; these are general guidelines only.

General recovery phases

  1. Weeks 0–2Rest and elevation.
  2. Weeks 2–6Protected walking; protective taping.
  3. Weeks 6–10Transition to supportive shoes.
  4. Months 3–6Continued improvement in swelling and motion.

Frequently asked questions

Is the toe stiff afterward?

Some stiffness is common and is the trade-off for a stable toe.

Outcomes vary from patient to patient. This page is educational and does not replace a consultation; candidacy is determined after an examination and imaging.