Can my child’s hand and foot deformities be corrected by surgery?

This is not necessarily the case, because our starting point for surgery must be to improve the child’s function after surgery, and if it does not improve the function, then we do not recommend the child to have the surgery. For example, the last time I saw a patient at the West Hospital, the child was only seven months old, but the parents had already taken her to many places. The child had a problem with her foot, her toes were very short, and the parents were worried that it would affect the child’s future walking. I looked at the condition of the child’s feet and found that early normal learning to walk would not be a problem because she was light enough to support it. But it’s a little harder to run, because the forefoot is to stomp on the ground, so this has a greater impact. However, as the child grows older and heavier, it will be more difficult to support the foot, and it may become unstable. Is it possible to lengthen a child’s toes? Lengthening can be done, but there is very little room for lengthening and the cartilage cannot be lengthened, so this surgery is not really worthwhile because there is too much internal structure missing for the surgery to be of much help to the child. Later the parents proposed to me to take the bone from the other normal foot to reconstruct the toe of the affected foot. We understand the parents’ feelings, but from the doctor’s point of view, we do not recommend this, because the child is mainly supported by that foot, and if the bone is removed, the ability to stand on that normal foot will be reduced, which may result in a situation where both feet will be unstable in the end. Therefore, in this child’s case, we suggest to do observation first, and later we can consider wearing a brace to make the child stand more steadily.