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발가락 거대지 환자에게 7년에 걸쳐 시행한 단계적 수술: 증례 보고

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

  • 권용욱 (인제대학교 부산백병원 정형외과) ;
  • 서영채 (인제대학교 부산백병원 정형외과) ;
  • 전가원 (인하대학교병원 소아청소년과) ;
  • 이효영 (인제대학교 부산백병원 정형외과)
  • 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)
  • 투고 : 2022.09.08
  • 심사 : 2022.09.28
  • 발행 : 2023.03.15

초록

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.

키워드

과제정보

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).

참고문헌

  1. Barsky AJ. Macrodactyly. J Bone Joint Surg Am. 1967;49:1255-66.  https://doi.org/10.2106/00004623-196749070-00001
  2. Kotwal PP, Farooque M. Macrodactyly. J Bone Joint Surg Br. 1998;80:651-3. doi: 10.1302/0301-620x.80b4.8489. 
  3. Flatt AE. The care of congenital hand anomalies. 2nd ed. St. Louis: Quality Medical; 1994. 
  4. Hardwicke J, Khan MA, Richards H, Warner RM, Lester R. Macrodactyly - options and outcomes. J Hand Surg Eur Vol. 2013;38:297-303. doi: 10.1177/1753193412451232. 
  5. Lee SJ, Lee HJ, Kim PT. Single stage reduction operation for treatment of toe macrodactyly in skeletally immature patients. J Korean Orthop Assoc. 2016;51:260-5. doi: 10.4055/jkoa.2016.51.3.260. 
  6. Topoleski TA, Ganel A, Grogan DP. Effect of proximal phalangeal epiphysiodesis in the treatment of macrodactyly. Foot Ankle Int. 1997;18:500-3. doi: 10.1177/107110079701800807. 
  7. Tsuge K. Treatment of macrodactyly. Plast Reconstr Surg. 1967;39:590-9. doi: 10.1097/00006534-196706000-00008. 
  8. Chang CH, Kumar SJ, Riddle EC, Glutting J. Macrodactyly of the foot. J Bone Joint Surg Am. 2002;84:1189-94. doi: 10.2106/00004623-200207000-00015. 
  9. Kim J, Park JW, Hong SW, Jeong JY, Gong HS, Baek GH. Ray amputation for the treatment of foot macrodactyly in children. Bone Joint J. 2015;97-B:1364-9. doi: 10.1302/0301-620X.97B10.35660. 
  10. Kelly DM. Congenital anomalies of the lower extremity. In: Canale ST, Beaty JH, editors. Campbell's operative orthopaedics. 12th ed. Philadelphia: Elsevier Mosby; 2013. p.980-1078.