Reconstruction of Foot Postaxial Polydactyly Using the On-top Plasty: A Case Report

Bingöl, Olgun; Özdemir, Güzelali; Arslantaş, Emrah; Yasar, Niyazi Erdem

doi:10.1053/j.jfas.2020.08.012

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…9,13 Excision of the supernumerary toe must meet certain requirements: it must be the toe with the greatest aberration and with the least functionality and anatomical development, and deficits must relate to the stability and biomechanics of the forefoot. 14 Most literature reports satisfactory results for patients treated surgically. However, patients should be followed up for approximately 6 to 12 months after surgery and be evaluated for residual or future deformities that may occur.…”

Section: Introductionmentioning

confidence: 99%

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Operative Management of Y-Shaped Metatarsal with Biphalangeal Sixth Toe

Montaño-Jiménez,

Pérez-Belloso,

Muriel-Sánchez

et al. 2024

Adv Skin Wound Care

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Background In the literature, there is no consensus regarding the surgical management of postaxial polydactyly, and few cases of polymetatarsia with polydactyly have been reported. Treatment of the complete deformity will prevent further foot and gait disorders. Objective To identify literature relevant to the operative management of Y-shaped metatarsal with biphalangeal sixth toe and related skin and wound care to improve surgical treatment protocols from a clinical experience perspective. Data Sources The authors searched several electronic databases in December 2022 for articles related to postaxial polysyndactyly in the feet and polymetatarsia. Databases searched included PubMed, SciELO, ScienceDirect, Cochrane Database of Systematic Reviews, and Google Scholar gray literature. Study Selection Two independent researchers conducted the searches and read the article titles and abstracts. Studies were included if they were narrative reviews, case studies, or observational studies; written in English or Spanish; and published between 2012 and 2022. Nonhuman studies were excluded. Studies that met the inclusion criteria were fully evaluated. Disagreements between reviewers were resolved by consensus, and when there was no consensus, a senior researcher was consulted. Data Extraction The following data were extracted from the included studies using a standardized form: author and year of publication, study type, number of participants, sex, polydactyly location, polymetatarsia, type of polydactyly, participants’ history of hereditary associated diseases or malformations, treatment, removal criteria, and timing of surgery. Data Synthesis Authors evaluated 11 studies of postaxial polydactyly that included a total of 153 participants (64 men, 89 women). They also document their clinical experience with a surgical technique used in cases of bilateral postaxial polydactyly of the foot with a Y-shaped metatarsal with biphalangeal sixth toe. Conclusions Surgical correction with lateral removal of the sixth toe is a resolutive treatment to improve the functionality of the foot, its aesthetic appearance, and the patient’s quality of life. Case-specific treatment should be applied and tailored to meet the individual needs. The biomechanics of gait and shoe problems in these patients improve with surgical treatment, without presenting secondary aesthetic problems in skin care.

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Section: Introductionmentioning

confidence: 99%

“…Excision of the supernumerary toe must meet certain requirements: it must be the toe with the greatest aberration and with the least functionality and anatomical development, and deficits must relate to the stability and biomechanics of the forefoot 14 . Most literature reports satisfactory results for patients treated surgically.…”

Section: Introductionmentioning

confidence: 99%