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Early Surgical Repair of Macrodactyly

Emmanuel D. Lagoutaris, DPM ^*, Lawrence A. DiDomenico, DPM ^*  and Lawrence L. Haber, MD 

^* Podiatric Surgical Residency Program, Forum Health, Youngstown, OH.
Ohio College of Podiatric Medicine, Cleveland.
Department of Surgery, Forum Health, Youngstown, OH, and Case Western Reserve University, Cleveland, OH.

Corresponding author: Lawrence A. DiDomenico, DPM, Beeghly Medical Park, 6505 Market St, Ste 104, Youngstown, OH 44512.

Abstract

We report a case of macrodactyly of the foot in a 3-year-old girl. The standard treatment for this condition has been ablation. Studies of phalangeal resection, phalangeal amputation, syndactylization, digit shortening, tissue debulking, and osteotomy have shown varying results. In the case reported here, debulking combined with a shortening osteotomy was the treatment of choice. Although the pediatric patient may require additional surgeries because the deformity will continue to grow, early treatment has allowed this child the benefit of a functional, cosmetically appealing foot that can be fitted with normal footwear. (J Am Podiatr Med Assoc 94(5): 499–501, 2004)