Does timing of surgery influence the long-term results of foot polydactyly treatment?

Kubat, Ozren; Antičević, Darko

doi:10.1016/j.fas.2017.04.001

Cited by 13 publications

(9 citation statements)

References 16 publications

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“…In the treatment of lateral ray polydactyly, the selection of the toe (medial or lateral) is controversial. The level of duplication (metatarsal vs. phalangeal) was an important factor in determining which specific ray is to be excised at the beginning, and the vast majority of other reports excise the nondominant ray, regardless of the level of duplication [3,[10][11][12][13]. Valgus deformities had a greater impact on functional outcomes compared with retaining the dominant ray in some cases [14].…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of polysyndactyly of the fused fifth toe with the fourth toe

Du¹,

Chen²,

Jiang³

et al. 2023

Journal of Pediatric Orthopaedics B

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Polysyndactyly of the fused fifth toe with the fourth toe is a common subtype of postaxial polydactyly. The aim of the study was to present an operative technique for cosmetic improvement and reconstruction of polysyndactyly of the fused fifth toe with the fourth toe. We retrospectively reviewed the details of 22 patients with postaxial polydactyly treated from January 2018 to May 2021. The operation involved medial toe excision and web space reconstruction using a dorsal rectangular flap without skin grafting and simultaneous correction of a valgus deformity by chondroplasty and soft tissue balancing without an osteotomy. The web shape, scar, and aesthetic outcomes were evaluated on the criteria of the D'Arcangelo, Vancouver Scar Scale score, and satisfactory questionnaire, respectively. The patients were followed up for 7-43 months. At the last follow-up, valgus deformity was completely corrected without recurrence. On the basis of the criterion of D'Arcangelo, the height and width of the webs were good in 24 of the feet, fair in four of the feet, and poor in none of the feet. The mean Vancouver Scar Scale score was 1.55. All parents and patients were satisfied with the appearance and function. The described medial toe excision technique and reconstruction of the web space without a skin graft corrected the valgus deformity and were able to satisfy functional and cosmetic requirements.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of polysyndactyly of the fused fifth toe with the fourth toe

Du¹,

Chen²,

Jiang³

et al. 2023

Journal of Pediatric Orthopaedics B

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“…In regard to the timing of surgery for foot polydactyly, Kubat et al, from a study. of 16 postaxial and 8 preaxial cases, suggested that surgical timing does not influence the final result of treatment, asserting that judicious selection of surgical treatment is the key to success (8). Surgical excision of the extra digit, with reconstruction, has been the predominant treatment for restoring normal or nearnormal foot structure and function.…”

Section: Discussionmentioning

confidence: 99%

Bilateral postaxial polydactyly with hallux valgus in both feet: report of an adult case

Cheng¹,

Liu²,

Ouyang³

et al. 2021

Quant Imaging Med Surg

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“…For example, the typical feature of having ten fingers and ten toes is normativised when medicine determines that deviation from the standard number and configuration is a deformity subject to intervention. Polydactyly, an atypical feature that involves having a supernumerary digit in the hand or foot, is considered a deformity that can be treated by surgical excision of the extra digit ( Kubat and Antičević, 2017 ). The example of surgical intervention for polydactyly shows the ways in which the naturalistic and typical set of fingers and toes becomes a socially normativistic ideal.…”

Section: Hybridization Loop and Aesthetic Pathologymentioning

confidence: 99%

Pathologizing Ugliness: A Conceptual Analysis of the Naturalist and Normativist Claims in “Aesthetic Pathology”

Aquino

2022

The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine

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Pathologizing ugliness refers to the use of disease language and medical processes to foster and support the claim that undesirable features are pathological conditions requiring medical or surgical intervention. Primarily situated in cosmetic surgery, the practice appeals to the concept of “aesthetic pathology”, which is a medical designation for features that deviate from some designated aesthetic norms. This article offers a two-pronged conceptual analysis of aesthetic pathology. First, I argue that three sets of claims, derived from normativist and naturalistic accounts of disease, inform the framing of ugliness as a disease. These claims concern: (1) aesthetic harms, (2) aesthetic dysfunction, and (3) aesthetic deviation. Second, I introduce the notion of a hybridization loop in medicine, which merges the naturalist and normative understanding of the disease that potentially enables pathologizing practices. In the context of cosmetic surgery, the loop simultaneously promotes the framing of beauty ideals as normal biological attributes and the framing of normal appearance as an aesthetic ideal to legitimize the need for cosmetic interventions. The article thus offers an original discussion of the conceptual problems arising from a specific practice in cosmetic surgery that depicts ugliness as the disease.

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Does timing of surgery influence the long-term results of foot polydactyly treatment?

Cited by 13 publications

References 16 publications

Reconstruction of polysyndactyly of the fused fifth toe with the fourth toe

Reconstruction of polysyndactyly of the fused fifth toe with the fourth toe

Bilateral postaxial polydactyly with hallux valgus in both feet: report of an adult case

Pathologizing Ugliness: A Conceptual Analysis of the Naturalist and Normativist Claims in “Aesthetic Pathology”

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