28344 Reconstruction, toe(s); polydactyly

Name of the Procedure:

Reconstruction of the toe(s) for polydactyly, also known as polydactyly toe correction surgery.

Summary

Polydactyly toe correction surgery is a procedure to remove extra toes and reconstruct the foot for better appearance and function. Polydactyly is a condition where an individual has more than the usual number of toes.

Purpose

The procedure addresses polydactyly, a congenital condition where one or more extra toes are present. The goal is to improve foot appearance and function, prevent or reduce discomfort, and enable the patient to wear shoes comfortably.

Indications

• Presence of extra toes (polydactyly).
• Difficulty wearing shoes or walking due to extra toes.
• Pain or discomfort caused by the extra digits.
• Cosmetic concerns about the appearance of the foot.

Preparation

• Pre-surgical consultation with the surgeon to discuss the procedure and outcomes.
• Potential imaging tests like X-rays to evaluate bone structure.
• Fasting for a certain period before surgery, typically 6-8 hours.
• Adjustment of current medications as advised by the physician.

Procedure Description

1. The patient is administered anesthesia, usually general anesthesia to ensure they are asleep and free from pain.
2. The surgeon makes an incision around the extra toe(s).
3. The extra toe(s) are surgically removed, carefully preserving nerves, blood vessels, and tendons.
4. The remaining tissue and toes are reconstructed to achieve a normal appearance and function.
5. The incision is closed with sutures.
6. A bandage or special dressing is applied to protect the surgical site.

Duration

The procedure typically takes around 1-2 hours, depending on the complexity and number of extra toes.

Setting

The surgery is usually performed in a hospital or an outpatient surgical center.

Personnel

• Orthopedic surgeon or pediatric surgeon.
• Anesthesiologist.
• Surgical nurses.
• Operating room technician.

Risks and Complications

• Infection at the surgical site.
• Excessive bleeding.
• Anesthetic risks.
• Scarring or cosmetic imperfections.
• Damage to nearby nerves or blood vessels.
• Temporary or permanent loss of sensation in the toe.

Benefits

• Improved appearance and function of the foot.
• Increased comfort when walking or wearing shoes.
• Enhanced self-esteem and confidence.
• Relief from any pain or discomfort caused by the extra toes.

Recovery

• Post-operative instructions include keeping the foot elevated and limiting weight-bearing activities.
• Pain management with prescribed or over-the-counter pain relief medications.
• Follow-up appointments for suture removal and assessment of healing.
• Full recovery typically takes 6-8 weeks, but light activities can resume within a few days to a week.

Alternatives

• Non-surgical management such as using specially designed shoes or orthotic devices.
• Regular monitoring if the extra toes do not cause significant discomfort or dysfunction.
• Each alternative has its pros and cons depending on the severity of the condition and patient needs.

Patient Experience

• Patient is likely to experience some pain and swelling after the surgery, which can be managed with medication and proper care.
• A feeling of tightness or unusual sensations around the surgical site as it heals.
• Gradual improvement in the appearance and function of the foot as it heals, with noticeable benefits typically seen within a few weeks.