Affiliation:
1. Seoul National University College of Medicine, Daehak-ro, Jongno-gu, Seoul
110-744, Republic of, Korea.
Abstract
Macrodactyly of the foot is a rare but disabling condition. We present the results of surgery on 18 feet of 16 patients, who underwent ray amputation and were followed-up for more than two years at a mean of 80 months (25 to 198). We radiologically measured the intermetatarsal width and forefoot area pre-operatively and at six weeks and two years after surgery. We also evaluated the clinical results using the Oxford Ankle Foot Questionnaire for children (OxAFQ-C) and the Questionnaire for Foot Macrodactyly. The intermetatarsal width and forefoot area ratios were significantly decreased after surgery. The mean OxAFQ-C score was 42 (16 to 57) pre-operatively, improving to 47 (5 to 60) at two years post-operatively (p = 0.021). The mean questionnaire for Foot Macrodactyly score two years after surgery was 8 (6 to 10). Ray amputation gave a measurable reduction in foot size with excellent functional results. For patients with metatarsal involvement, a motionless toe, or involvement of multiple digits, ray amputation is a clinically effective option which is acceptable to patients. Cite this article: Bone Joint J 2015;97-B:1364–9.
Publisher
British Editorial Society of Bone & Joint Surgery
Subject
Orthopedics and Sports Medicine,Surgery
Reference30 articles.
1. Macrodactyly
2. Presentation and Treatment of Macrodactyly in Children
3. Kowtharapu DN, Thawrani D, Kumar SJMacrodactyly. In: McCarthy JJ, ed. Drennen’s the child’s foot and ankle. 2nd ed. Baltimore: Lippincot Williams and Wilkins; 2009:443–449.
4. Macrodactyly of the Hands and Feet
5. Macrodactyly in the foot
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