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Effect of proximal phalangeal epiphysiodesis in the treatment of macrodactyly.

Authors
Type
Published Article
Journal
Foot & ankle international
Publication Date
Volume
18
Issue
8
Pages
500–503
Identifiers
PMID: 9278744
Source
Medline
License
Unknown

Abstract

The recommended treatment for macrodactyly of the foot will often include epiphysiodesis of the proximal phalanx in an attempt to halt further longitudinal growth of the toe. Nine patients who underwent open epiphysiodesis and debulking of the excess soft tissues involving 11 toes were reviewed to evaluate the effectiveness of this procedure. In 9 of 11 toes, overall length of the proximal phalanx did not change after surgery. Two toes demonstrated continued growth; one of these toes underwent a repeat epiphysiodesis of the phalanx, and the other foot underwent epiphysiodesis of the affected metatarsal. Overall, this surgical approach led to radiographic results that satisfied the surgical goals.

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