What is the reason for toe fusion?

Patient's question:

Patient Age: Forty-five days
My baby has congenital polydactyly of the third, fourth, and fifth toes, and the five toes are smaller and shorter than the other toes. Will this affect future development? Will it affect walking? When is the best time to have surgery?

Doctor's answer:

Your child's condition is actually quite clear—it is a case of syndactyly, which, like polydactyly, is an autosomal dominant genetic disorder. This situation doesn't need to be too worrying. As long as there are no skeletal abnormalities upon examination, surgical separation at the right time is sufficient.
Medical Advice: If treated promptly, it will have no impact on the child's future development. Additionally, the surgery will not affect walking. Children are generally more prone to illness before the age of one due to their underdeveloped immune systems. It is recommended to wait until they are at least two years old for the surgery, as it will be better for their foot development. If the surgery is delayed too long, it may not be as beneficial for their foot development.
Wishing your child a speedy recovery!!

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