Patient's question:
My daughter is currently 1 year and 4 months old. She has congenital polydactyly and syndactyly in her little toes. I would like to ask about the best surgical options. Personally, I would like to know if it's possible to have the surgery done when she is 4-6 years old, as it would be easier to take care of her then. If it's not possible, could you please tell me the reason?Doctor's answer:
Hello, based on the symptoms your child is experiencing, it is recommended to seek professional medical attention for diagnosis and treatment. If your child walks normally, it is not likely to be talipes equinovarus. The gait pattern of talipes equinovarus is significantly different from that of a person with normal feet. Congenital talipes equinovarus is a common pediatric orthopedic congenital deformity with an incidence rate of 1/1000, twice as common in boys as in girls, and slightly more unilateral than bilateral. It is associated with factors such as skeletal, muscular, neurological, and genetic influences. The deformity typically appears shortly after birth as either unilateral or bilateral talipes equinovarus, characterized by a small heel, inversion of the heel, adduction and inversion of the forefoot, and inward deviation of the toes. Additionally, it is often accompanied by internal rotation of the lower leg. As the child grows older, the deformity tends to worsen, especially after weight-bearing activities, where the lateral edge of the foot often makes contact with the ground, leading to the formation of calluses in that area.