Surgical treatment of macrodactyly of the foot in children

作者全名："Chen, Lu; Huang, Wei; Chen, Wei; Tian, Xiaofei"

作者地址："[Chen, Lu] Chongqing Med Univ, Dept Ultrasound, Childrens Hosp, Chongqing, Peoples R China; [Chen, Lu; Chen, Wei; Tian, Xiaofei] Minist Educ, Key Lab Child Dev & Disorders, Chongqing, Peoples R China; [Chen, Lu; Chen, Wei; Tian, Xiaofei] China Int Sci & Technol Cooperat Base Child Dev &, Chongqing, Peoples R China; [Chen, Lu; Chen, Wei; Tian, Xiaofei] Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China; [Chen, Lu; Chen, Wei; Tian, Xiaofei] Chongqing Key Lab Pediat, Chongqing, Peoples R China; [Huang, Wei] Chongqing Med Univ, Dept Joint Surg, Affiliated Hosp 1, Chongqing, Peoples R China; [Chen, Wei; Tian, Xiaofei] Chongqing Med Univ, Dept Burn & Plast Surg, Childrens Hosp, 136 Zhongshan Er Rd, Chongqing 400014, Peoples R China"

通信作者："Chen, W; Tian, XF (通讯作者)，Chongqing Med Univ, Dept Burn & Plast Surg, Childrens Hosp, 136 Zhongshan Er Rd, Chongqing 400014, Peoples R China."

来源：JOURNAL OF PLASTIC SURGERY AND HAND SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000740566800001

JCR分区：Q3

影响因子：1.2

年份：2022

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：Macrodactyly; macrodactyly of the foot; pedal macrodactyly; surgical treatment

摘要："The purpose of the study was to produce an algorithm and surgical procedure for optimum treatment of pedal macrodactyly. Surgery was performed on 27 feet of 26 patients with a mean age of 33 months at the time of surgery (range: 7-108 months). A multi-technique procedure based on the involved elements of the foot (soft tissue, phalanx, or metatarsal, or a combination of these) was adopted. The intermetatarsal width ratio, phalanx spread angle, and metatarsal spread angle was used to evaluate the severity of the macrodactyly and the effect of treatment. The Oxford Ankle Foot Questionnaire for Children and the Questionnaire for Foot Macrodactyly were employed to evaluate the clinical results. Under the guidelines of the treatment algorithm, all patients were successfully operated on using the multi-technique procedure; the sizes of the affected feet decreased significantly. After a mean of 33 months (range: 18-42 months) follow-up, the intermetatarsal width ratio decreased from 1.13 to 0.93 (p < 0.05), the phalanx spread angle decreased from 31.3 degrees to 17.9 degrees (p < 0.05), the metatarsal spread angle decreased from 33.2 degrees to 15.8 degrees (p < 0.05), and the mean score for the Oxford Ankle Foot Questionnaire for Children improved from 42 to 47 (p < 0.05) after surgery. The mean score for the Questionnaire for Foot Macrodactyly was 9.35 at the time of follow-up. The goal of the treatment of pedal macrodactyly is to obtain a functional and cosmetically acceptable foot. This treatment algorithm and multi-technique procedure could fully satisfy this goal."

基金机构：Chongqing Kewei Joint Technology Innovation and Application Development Project [2020MSXM087]

基金资助正文：This work was supported by Chongqing Kewei Joint Technology Innovation and Application Development Project under Grant [2020MSXM087].