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Published on: March 18, 2020
Syndactylization: a surgical approach to heloma molle
Summary
Surgical syndactylism offers a novel treatment for heloma molle (soft corns) in the fourth interspace. This procedure creates permanent toe fusion, effectively preventing corn recurrence.
Area of Science:
- Podiatric surgery
- Dermatology
- Surgical techniques
Background:
- Heloma molle, or soft corns, commonly affects the fourth interdigital space.
- Recurrence is frequent with conservative treatments for soft corns.
Purpose of the Study:
- To evaluate surgical syndactylism as a definitive treatment for recurrent heloma molle.
- To assess the efficacy of interdigital skin excision for preventing soft corn reformation.
Main Methods:
- Surgical syndactylism involves the excision of apposing skin surfaces between the fourth and fifth toes.
- The procedure aims to create permanent syndactylism of the interdigital space.
Main Results:
- Permanent syndactylism prevents the reformation of heloma molle in the treated interspace.
- This surgical approach addresses the underlying cause of soft corn development.
Conclusions:
- Surgical syndactylism is an effective alternative treatment for recalcitrant heloma molle.
- The procedure offers a permanent solution by eliminating the interdigital space prone to friction and moisture.

