Treatment of lateral ray polydactyly of the foot: focusing on the selection of the toe to be excised

Plastic and Reconstructive Surgery
Hirokazu UdaSyunji Sarukawa

Abstract

The purposes of this study were to evaluate the results of the operative treatment of lateral ray polydactyly and to consider appropriate surgical procedures, especially focusing on the selection of the toe, lateral toe or medial toe, to be resected. Twenty-two patients with lateral ray polydactyly foot (25 individual feet) at an average of 71 months' follow-up were included in this study. Cases were classified morphologically into three types on the basis of Hirase's configuration. In addition, these types were divided into two subtypes, metatarsal and phalangeal, on the basis of radiographic evaluation of the level of duplication. The clinical evaluations of the reconstructed toe were performed, and these results were investigated according to their morphologic classification and excised toe group. The distinctive problem of medial toe excision is valgus deformity. Eight of 25 toes retained persistent valgus deformity, and all of these cases were in the medial toe excision group. On the other hand, a distinctive problem in lateral toe excision is postoperative pain. Two patients suffered from postoperative pain in phalangeal type cases in the lateral toe excision group, and the remaining medial toe had a medial protuberant mi...Continue Reading

References

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Citations

Jul 28, 2004·Plastic and Reconstructive Surgery·Ayato HayashiMasanobu Nishida
Dec 29, 2013·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Seung Hwan HanYu Sang Lee
Oct 16, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Tun Hing Lui
Nov 29, 2011·Foot and Ankle Clinics·Ho-Seong Lee, Woo-Chun Lee
May 1, 2007·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Mohamed El-Shazly
Jun 20, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Shinji TogashiTakashi Endo
Nov 13, 2014·Annals of Plastic Surgery·Satoshi UsamiMutsumi Okazaki
Mar 2, 2013·Foot & Ankle International·Gi Heon ParkDong Hyun Lee
Jun 24, 2004·Annals of Plastic Surgery·Selçuk Akn
May 17, 2006·Foot & Ankle International·Ho Seong LeeYoon Seok Youm
Jan 15, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Derek M KellyBenjamin M Mauck
Dec 24, 2020·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Olgun BingolNiyazi Erdem Yasar
May 20, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Takafumi KurokawaToshihiko Yamashita

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