CPT® Code 28280

A syndactylization procedure, commonly known as a webbing or Kelikian procedure, is a surgical intervention performed on the toes to correct syndactyly, a condition where two or more toes are fused together. This procedure involves meticulous planning and execution to ensure that the incisions made on the toes are symmetrical, resulting in mirror images of each other. The surgeon outlines the planned skin incisions on the toes, which is a critical step to achieve optimal cosmetic and functional outcomes. During the procedure, an island of tissue is created by carefully dissecting the skin away from the underlying subcutaneous tissue, allowing for the separation of the fused toes. To manage any bleeding that may occur during the dissection, a needle-tipped electrocautery device is utilized, providing precise control over hemostasis. Additionally, the procedure may involve bone remodeling and tendon balancing as necessary to ensure proper alignment and function of the toes post-surgery. Once the surgical steps are completed, the toes are sutured together by approximating the skin of one toe to that of the adjacent toe, and a splint is applied to stabilize the area during the healing process.