Department of Plastic Surgery, Alder Hey Hospital, Eaton Road, West Derby, Liverpool L12 2AP, UK.
J Plast Reconstr Aesthet Surg. 2010 Dec;63(12):2146-51. doi: 10.1016/j.bjps.2010.02.006. Epub 2010 Mar 5.
Mirror-foot abnormalities are distinctly uncommon entities and represent extreme forms of congenital duplication. We present a reflection on three different cases of mirror foot and discuss their surgical management.
The first patient had a right-sided mirror foot with a central great toe and three complete medial rays. The second patient had quadruplication of the left great toe ray. The third had a full complement of metatarsals associated with two extra complete rays placed medial to the great toe of the right foot. All patients underwent complex ray resection and concurrent reconstruction of the medial arch of foot. All three cases of mirror foot presented and were operated on in the pre-ambulatory period.
All three patients recovered with good functional and aesthetic results. Follow-up duration ranged from 3 to 5 years.
Surgical treatment of the mirror foot is less complicated than that of its upper limb equivalent. Essentially, there must be an initial surgical reduction in the number of digits, coupled with tendon transfers as necessary to maintain foot arches.
镜像足畸形是一种罕见的疾病，代表着先天性重复畸形的极端形式。我们回顾了三例镜像足病例，并讨论了它们的手术治疗方法。
第一例患者为右侧镜像足，伴有中央大脚趾和三个完整的内侧跖骨。第二例患者的左大脚趾跖骨出现了四重畸形。第三例患者则是大脚趾的内侧有两个完整的跖骨，而右脚的大脚趾有完整的跖骨。所有患者均接受了复杂的跖骨切除和足部内侧弓的同期重建。这三例镜像足患者均在学步前就诊并接受了手术治疗。
所有患者均获得了良好的功能和美学效果。随访时间为 3 至 5 年。
镜像足的手术治疗比其上肢类似疾病的治疗要简单。手术治疗的本质是先减少脚趾的数量，然后根据需要进行肌腱转移，以维持足弓。
