Zhang Xianying, Liu Yi, Xiao Bin, Li Yuhuan
Center of Burns and Plastic Surgery, Chinese People's Liberation Army Lanzhou General Hospital of Lanzhou Command, Lanzhou, Gansu Province, China.
J Pediatr Orthop B. 2016 Mar;25(2):142-7. doi: 10.1097/BPB.0000000000000242.
Congenital enlargement of one or several digits of the foot, known as macrodactyly, is a rare malformation. Macrodactyly impedes foot development and affects function and gait. Here, we describe a surgical technique used to correct macrodactyly in two pediatric patients. We performed amputation of the enlarged phalanx and debulking of the soft tissues to construct a normal-sized digit. This precise technique involves a simple surgical plan that preserves the metatarsus and cuneiform and does not result in a wide plantapedis. Both patients subsequently showed improved gait and were able to wear normal shoes.
足部一个或多个脚趾的先天性增大,即巨趾症,是一种罕见的畸形。巨趾症会阻碍足部发育,并影响功能和步态。在此,我们描述一种用于矫正两名儿科患者巨趾症的手术技术。我们对增大的趾骨进行截肢,并对软组织进行减容,以构建一个正常大小的脚趾。这种精确的技术涉及一个简单的手术方案,该方案保留了跖骨和楔骨,不会导致足底变宽。两名患者随后步态均有改善,并且能够穿正常的鞋子。