Sequential Surgical Correction of Macrodactyly: A Case Report and Literature Review.

Autor:	Russo AP; Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, Târgu Mureș, ROU., Szilveszter M; Department of Plastic and Reconstructive Surgery, Emergency County Hospital Târgu Mureș, Târgu Mureș, ROU., Șuta C; Department of Plastic and Reconstructive Surgery, Dr. Fogolyán Kristóf Emergency County Hospital, Sfântu Gheorghe, ROU., David C; Department of Plastic and Reconstructive Surgery, Emergency County Hospital Târgu Mureș, Târgu Mureș, ROU., Vunvulea V; Department of Anatomy and Embryology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, Târgu Mureș, ROU., Pastorello Y; Department of Anatomy and Embryology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, Târgu Mureș, ROU., Simon-Szabó Z; Department of Pathophysiology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, Târgu Mureș, ROU., Incze-Bartha S; Department of Orthopedic Surgery and Traumatology, Dr. Fogolyán Kristóf Emergency County Hospital, Sfântu Gheorghe, ROU., Dénes L; Department of Anatomy and Embryology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, Târgu Mureș, ROU., Incze-Bartha Z; Department of Anatomy and Embryology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, Târgu Mureș, ROU.; Department of Orthopedic Surgery and Traumatology, Dr. Fogolyán Kristóf Emergency County Hospital, Sfântu Gheorghe, ROU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 07; Vol. 16 (9), pp. e68913. Date of Electronic Publication: 2024 Sep 07 (Print Publication: 2024).
DOI:	10.7759/cureus.68913
Abstrakt:	This report discusses the case of a young female patient diagnosed with macrodactyly of the toes, a condition that significantly affected her daily life. From the age of three to 11, she underwent treatment due to the severe impact of her deformity, particularly on her ability to move comfortably and wear suitable footwear. The patient's macrodactyly presented a complex clinical challenge, necessitating multiple surgical procedures to manage it effectively. These surgeries included soft tissue reduction to decrease the bulk of the enlarged digits, epiphysiodesis to halt the growth of the affected bones, and amputations to address the disproportionate enlargement of the toes. Each surgical intervention was aimed at improving both the function and appearance of the affected foot, with a focus on enhancing the patient's mobility and comfort. Despite the difficulties associated with recovery, the patient showed significant improvements in her ability to walk and in the aesthetic appearance of her foot. This case underscores the importance of developing individualized treatment plans that consider the unique needs of each patient and setting realistic expectations for outcomes. It also highlights that, while surgical interventions can lead to functional and cosmetic benefits, the extent of these improvements may be limited due to the inherent complexities of macrodactyly. The case calls attention to the need for ongoing research and the accumulation of clinical experience to refine treatment approaches for macrodactyly. Such advancements are crucial for optimizing therapeutic outcomes and improving the quality of life for patients affected by this rare condition. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Ethics Committee of the Emergency County Hospital Dr. Fogolyán Kristóf of Sfântu Gheorghe issued approval 34/09.11.2023. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Russo et al.)
Databáze:	MEDLINE
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