Innovative Reconstructive Management of Foot Macrodactyly in a Pediatric Patient: A Case Report.

Autor:	Thangavel A; Plastic Surgery, King Fahad Hospital, Al-Ahsa, SAU., Alsuwailim A; Urology, Almoosa Specialist Hospital, Al-Ahsa, SAU., Albadran A; Medicine and Surgery, King Faisal University, Al-Ahsa, SAU., Almousa M; Medicine and Surgery, King Faisal University, Al-Ahsa, SAU., Al Molhim S; Medicine and Surgery, King Faisal University, Al-Ahsa, SAU., Alnafeesy SK; Medicine and Surgery, Imam Abdulrahman Bin Faisal University, Dammam, SAU., Almulhim A; Medicine and Surgery, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Dec 31; Vol. 15 (12), pp. e51398. Date of Electronic Publication: 2023 Dec 31 (Print Publication: 2023).
DOI:	10.7759/cureus.51398
Abstrakt:	Macrodactyly is a rare congenital anomaly characterized by disproportionate hypertrophy of one or more digits or the forefoot, involving some or all tissue types. It is nonhereditary and can present alone or alongside other deformities. Usually, macrodactyly is treated with amputation of the affected toe or finger to reduce the chance of recurrence. In this paper, we present the case of a child with macrodactyly who was treated successfully without amputation and instead with a reconstruction of the toe shape to resemble a near-natural-looking toe with intact functions. The patient was a one-year-old female who presented with macrodactyly of her right great toe, right second toe, and forefoot. She had no history of other congenital deformities or systemic diseases. A reconstruction surgery was performed, which involved debulking the right great toe, right second toe, and forefoot. Also, it included the creation of the first web space and the restoration of the nailbed of the second toe. Postoperative follow-up revealed minimal complications. Thus, a second reconstructive surgery was performed, which included debulking and further reconstruction of the foot to improve the result. Several techniques exist for the reduction of macrodactyly that can achieve optimal results. The choice of technique depends on the specifics of the case and the experience of the surgeon. We therefore hope our technique will be beneficial for the management of future cases of macrodactyly. One year of follow-up after the second operation revealed maintained function and no regrowth recurrence. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Thangavel et al.)
Databáze:	MEDLINE
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