Topoleski T A, Ganel A, Grogan D P
Shriners Hospital for Children, Tampa, Florida 33612-9499, USA.
Foot Ankle Int. 1997 Aug;18(8):500-3. doi: 10.1177/107110079701800807.
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.
足部巨趾症的推荐治疗方法通常包括近端趾骨骨骺阻滞术，以试图阻止脚趾的进一步纵向生长。对9例接受开放性骨骺阻滞术并切除11个脚趾多余软组织的患者进行了回顾，以评估该手术的有效性。在11个脚趾中的9个，近端趾骨的总长度在手术后没有变化。2个脚趾出现持续生长；其中1个脚趾对趾骨进行了重复骨骺阻滞术，另一只脚对受影响的跖骨进行了骨骺阻滞术。总体而言，这种手术方法产生了符合手术目标的影像学结果。
