The images depict a recent case involving a patient who was referred to me for a markedly painful long-standing interdigital corn. This had recently developed an ulcer on the medial 5th toe that would not resolve.
The referring podiatrist arranged an X-ray, and an obvious cause was identified. Past trauma to the PIPJ of the 5th toe has resulted in subluxation and subsequent osteoarthritis with an associated large spurring that was leading to the corn and subsequent ulcer.
Surgery was carried out under local anaesthetic. I carried out a simple arthroplasty through a small dorsal incision. I also debrided the ulcer after the arthroplasty and before applying the dressing.
The actual ulcer had resolved already on the first-week dressing change. A buried running, absorbable suture was utilised, with the wound being fully closed two weeks post-op.
If you have any specific questions or would like to discuss similar cases, feel free to contact me.
Also read:
Heloma Molle (interdigital corn)
Heloma molle/soft corn
Interdigital corn
(This content is intended for healthcare professionals only)