Metatarsal Transfer for Atypical Phenotype of Foot Polydactyly: A Case Report
Polydactyly of the foot is one of the most frequently observed congenital deformities. Although resection of the extra phalanx generally leads to a favorable outcome, functional disorder may sometimes occur. We present a rare case of bilateral metatarsal-type polydactyly of the foot. The patient und...
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Japan Society of Plastic and Reconstructive Surgery
2025-01-01
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Series: | Journal of Plastic and Reconstructive Surgery |
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Online Access: | https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0070/_pdf/-char/en |
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author | Yasufumi Makiuchi Izumi Ban Yuji Kuroyanagi Kiyonori Harii |
author_facet | Yasufumi Makiuchi Izumi Ban Yuji Kuroyanagi Kiyonori Harii |
author_sort | Yasufumi Makiuchi |
collection | DOAJ |
description | Polydactyly of the foot is one of the most frequently observed congenital deformities. Although resection of the extra phalanx generally leads to a favorable outcome, functional disorder may sometimes occur.
We present a rare case of bilateral metatarsal-type polydactyly of the foot. The patient underwent resection of the bilateral extra phalanxes at the age of 1, followed by reoperation at the age of 9 years due to the complaint of pain on the lateral side of his left anterior foot while walking. Therefore, we performed metatarsal transfer to preserve the articulation between the extra metatarsal bone and fifth phalanx, which led to a favorable outcome. In complicated cases, we believe that a “wait and see” strategy is reasonable to facilitate appropriate preoperative evaluation, taking into account the future growth of the reconstructed toes and preserving the foot function. |
format | Article |
id | doaj-art-ed91f6bcf4824c3e9a5045d1dec5c67c |
institution | Kabale University |
issn | 2436-259X |
language | English |
publishDate | 2025-01-01 |
publisher | Japan Society of Plastic and Reconstructive Surgery |
record_format | Article |
series | Journal of Plastic and Reconstructive Surgery |
spelling | doaj-art-ed91f6bcf4824c3e9a5045d1dec5c67c2025-02-03T00:52:47ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2025-01-014141452023-0070Metatarsal Transfer for Atypical Phenotype of Foot Polydactyly: A Case ReportYasufumi Makiuchi0Izumi Ban1Yuji Kuroyanagi2Kiyonori Harii3Department of Plastic Surgery, Kyorin University School of MedicineNoel Ginza ClinicDepartment of Orthopedic Surgery, Toyooka Daiichi HospitalDepartment of Plastic Surgery, Kyorin University School of MedicinePolydactyly of the foot is one of the most frequently observed congenital deformities. Although resection of the extra phalanx generally leads to a favorable outcome, functional disorder may sometimes occur. We present a rare case of bilateral metatarsal-type polydactyly of the foot. The patient underwent resection of the bilateral extra phalanxes at the age of 1, followed by reoperation at the age of 9 years due to the complaint of pain on the lateral side of his left anterior foot while walking. Therefore, we performed metatarsal transfer to preserve the articulation between the extra metatarsal bone and fifth phalanx, which led to a favorable outcome. In complicated cases, we believe that a “wait and see” strategy is reasonable to facilitate appropriate preoperative evaluation, taking into account the future growth of the reconstructed toes and preserving the foot function.https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0070/_pdf/-char/enpostaxial polydactylymetatarsal transfercongenital deformitywait and see strategyreoperation |
spellingShingle | Yasufumi Makiuchi Izumi Ban Yuji Kuroyanagi Kiyonori Harii Metatarsal Transfer for Atypical Phenotype of Foot Polydactyly: A Case Report Journal of Plastic and Reconstructive Surgery postaxial polydactyly metatarsal transfer congenital deformity wait and see strategy reoperation |
title | Metatarsal Transfer for Atypical Phenotype of Foot Polydactyly: A Case Report |
title_full | Metatarsal Transfer for Atypical Phenotype of Foot Polydactyly: A Case Report |
title_fullStr | Metatarsal Transfer for Atypical Phenotype of Foot Polydactyly: A Case Report |
title_full_unstemmed | Metatarsal Transfer for Atypical Phenotype of Foot Polydactyly: A Case Report |
title_short | Metatarsal Transfer for Atypical Phenotype of Foot Polydactyly: A Case Report |
title_sort | metatarsal transfer for atypical phenotype of foot polydactyly a case report |
topic | postaxial polydactyly metatarsal transfer congenital deformity wait and see strategy reoperation |
url | https://www.jstage.jst.go.jp/article/jprs/4/1/4_2023-0070/_pdf/-char/en |
work_keys_str_mv | AT yasufumimakiuchi metatarsaltransferforatypicalphenotypeoffootpolydactylyacasereport AT izumiban metatarsaltransferforatypicalphenotypeoffootpolydactylyacasereport AT yujikuroyanagi metatarsaltransferforatypicalphenotypeoffootpolydactylyacasereport AT kiyonoriharii metatarsaltransferforatypicalphenotypeoffootpolydactylyacasereport |