Ray Reduction of the Foot in the Treatment of Macrodactyly and Review of the Literature

Hop, M. Jenda; Biezen, Jan Jaap van der

doi:10.1053/j.jfas.2011.04.011

Cited by 28 publications

(32 citation statements)

References 21 publications

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“…Pedal macrodactyly is very rarely encountered by the practicing orthopedic surgeon and as such, surgical experience with this condition is uncommon [4]. A large amount of plantar fibrofatty tissue remains when the digit is shortened.…”

Section: Discussionmentioning

confidence: 99%

“…Amputation, including ray resection, is frequently recommended because of its more predictable results, especially by surgeons who rarely treat the condition [4,8,15]. Although normalization of shoe wearing is the primary indication for surgery [4], a satisfactory esthetic result is typically of utmost importance to the patient, and the idea of 'amputation' is often abhorrent. Any procedure that eliminates the toenail may be considered a form of amputation, which worsens the cosmetic abnormality of the foot.…”

Section: Discussionmentioning

confidence: 99%

“…It is generally held that toe macrodactyly is less common than finger macrodactyly [2,3]. Because of this rarity, most reports on pedal macrodactyly include case reports or small case series [4]. In a study from our institution in 1988, of the 167 reported cases of macrodactyly, only 52 involved the feet [5].…”

Section: Introductionmentioning

confidence: 92%

“…The primary goal of treatment is to produce a pain-free, functional foot that can accommodate normal shoes; in addition, the cosmetic appearance of the foot, and particularly the nail, is of great concern to the patient and family [4,7,15]. Treatment options include, but are not limited to, debulking/ ablation of fat and other hypertrophied tissues; epiphyseodesis or physeal resection; reduction syndactyly; assorted osteotomies (including phalangeal shortening, and interphalangeal and metatarsophalangeal joint resections); interphalangeal and metatarsophalangeal joint arthrodeses; phalangectomy (particularly middle phalangectomy); amputation (various levels); and ray resection; numerous combinations are also utilized [3,4,6,8,9,13,[15][16][17]. Although each procedure has its respective indication, there is no consensus as to the best procedure for any given type of macrodactyly [4].…”

Section: Introductionmentioning

confidence: 99%

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The use of the Tsuge procedure for pedal macrodactyly

Morrell

Fitzpatrick²,

Szalay³

2014

Journal of Pediatric Orthopaedics B

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Pedal macrodactyly is a rare clinical entity that poses a challenge to practicing pediatric orthopedic surgeons. Many treatment options have been proposed. In 1967, Kenya Tsuge proposed a method to decrease the length, width, and circumference of a macrodactylous digit, while maintaining the cosmetic benefit of keeping the nail. We retrospectively reviewed our experience with using this technique in four children (six toes) over a 4-year period. The surgery is described and our results reviewed. We believe that the Tsuge procedure is a technically feasible, effective, single-stage reconstructive technique for pedal macrodactyly that pediatric orthopedic surgeons should have in their armamentarium.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The use of the Tsuge procedure for pedal macrodactyly

Morrell

Fitzpatrick²,

Szalay³

2014

Journal of Pediatric Orthopaedics B

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“…[16] Surgical Procedures for Macrodactyly Surgery is the primary treatment for these conditions. [17] and should be approached with the goals of surgery are improving ambulation and obtaining a painless plantar grade foot that is similar in length and width of the contra lateral foot that is cosmetically acceptable and can fit into a shoe.…”

Section: Management Of Macrodactylymentioning

confidence: 99%

Macrodactyly of Lower Limbs-an Update

Natarajan¹,

Dhua²,

Garg³

2016

jemds

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Congenital macrodactyly is a rare congenital malformation characterized by progressive enlargement of all mesenchymal elements of a digit. The most characteristic finding noted was excessive overgrowth of fibrofatty tissue with unusually large fatty lobules fixed by a mesh of dense fibrous tissue. Hypertrophy and tortuosity of the digital nerve, a striking feature in macrodactyly of the hand was notably absent in cases affecting the foot. Most of the cases are reported as isolated anomalies. In macrodactyly of the foot, excessive proliferation and accumulation of adipose tissue was the basic lesion whereas involvement of the nerve is the fundamental lesion in gigantism of the hand. The final pathway of genesis of these anomalies must be either the local deficiency of a growth inhibiting factor or local expression of a basic intrinsic factor leading to excessive growth of all elements of the digit.

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Digital Deformities of the Pediatric Foot

Bazarov

Williams

2019

The Pediatric Foot and Ankle

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Ray Reduction of the Foot in the Treatment of Macrodactyly and Review of the Literature

Cited by 28 publications

References 21 publications

The use of the Tsuge procedure for pedal macrodactyly

The use of the Tsuge procedure for pedal macrodactyly

Macrodactyly of Lower Limbs-an Update

Digital Deformities of the Pediatric Foot

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