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SYNDACYTLY (foot)

webbed toes

This is used to denote webbed or joined toes. It occurs in 1 in 2500 births. It can occur on its own or as part of another combination of abnormalities (syndrome). They are termed simple when only the skin is involved and called complex if bones are fused as well.

 

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What does someone with webbed toes complain of?

The cosmetic appearance is the main problem for most patients.

This is noticed at birth. And parents are often worried about how this will affect their foot function. They are also concerned about teasing by other kids.

At an older age, you may be teased by other people calling you ‘duck feet’ or that you should be able to swim very fast because of the feet. You may be embarrassed to take off your shoes in public or engage in communal activities where your bare feet may be exposed.

The second web is most commonly involved.

Complex forms that involve fusion of the bones of the toes may distort the shape and growth of the longer of the joined toes

 

How is it treated?

The main stay of treatment is surgery and this is to separate the toes and provide adequate skin cover over the exposed tissues using local flaps and skin grafts.

Due to the inadequacy of skin, local flaps are commonly not enough and skin grafts are taken as well from the groin area or the instep of the soles of the feet.

 

Anaesthesia?

This is usually performed under general anaesthesia but can also be done under a regional block (ankle  block) but this will be discussed during the consultation