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Two-Stage Operation Over a Period of 7 Years for a Patient with Macrodactyly: A Case Report

발가락 거대지 환자에게 7년에 걸쳐 시행한 단계적 수술: 증례 보고

  • Yong-Uk Kwon (Department of Orthopedic Surgery, Inje University Busan Paik Hospital) ;
  • Young-Chae Seo (Department of Orthopedic Surgery, Inje University Busan Paik Hospital) ;
  • Ga-Won Jeon (Department of Pediatrics, Inha University Hospital) ;
  • Hyo-Young Lee (Department of Orthopedic Surgery, Inje University Busan Paik Hospital)
  • 권용욱 (인제대학교 부산백병원 정형외과) ;
  • 서영채 (인제대학교 부산백병원 정형외과) ;
  • 전가원 (인하대학교병원 소아청소년과) ;
  • 이효영 (인제대학교 부산백병원 정형외과)
  • Received : 2022.09.08
  • Accepted : 2022.09.28
  • Published : 2023.03.15

Abstract

Macrodactyly of the toe is a rare congenital anomaly characterized by the overgrowth of a digit/digits in the foot and is one of the most difficult conditions to treat. Since the condition alters functionality and appearance, the treatment goal is to restore function and cosmetically enhance the appearance. Various surgical techniques are used for toe macrodactyly, including amputation, debulking, and epiphysiodesis. Herein, we present a case of a six-year-old patient with a second toe macrodactyly who was successfully treated with a two-stage operation over a seven-year period. We initially performed an ostectomy of the middle phalanx with a fusion of the proximal and distal phalanges and then performed a soft tissue debulking procedure.

Keywords

Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HR21C1003).

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