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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2016, Number 2

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Rev Mex Ortop Ped 2016; 18 (2)

Ray amputation for management of macrodactyly in foot

Colmenares-Bonilla D, Vázquez-Aguilar A

Language: Spanish
References: 27
Page: 89-95
PDF size: 479.54 Kb.


ABSTRACT

Introduction: Macrodactyly in the foot is a rare entity, and its approach should be comprehensive, since it may be the first manifestation of overgrowth syndromes (Klippel-Trenaunay-Weber, neurofibromatosis), or presented isolated in absence of other malformation. Objective: Present associated clinical features of patients with macrodactyly in the foot together with the best recommended surgical technique for its treatment, according world reports. Material and methods: We conduit a retrospective study in macrodactyly patients assessing aggressive management, including amputation of the most affected toe, ephyphysiodesis and debridement of fat and aberrant tissues in one time. Results: Favorable results are obtained, both functional and cosmetic. PODCI (Pediatric Outcomes Data Collection Instrument) scale showed improvement od mobility, physical and global functioning on these patients after surgery. Conclusions: Aggressive surgical management is a mandatory in macrodactyly on foot, despite etiology, since soft tissue debridement has high rate of failure.


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