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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Main Authors: Yasufumi Makiuchi, Izumi Ban, Yuji Kuroyanagi, Kiyonori Harii
Format: Article
Language:English
Published: Japan Society of Plastic and Reconstructive Surgery 2025-01-01
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.
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institution Kabale University
issn 2436-259X
language English
publishDate 2025-01-01
publisher Japan Society of Plastic and Reconstructive Surgery
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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