Middle Phalangectomy for the Correction of Toe Clinodactyly With Longitudinal Epiphyseal Bracket in Young Children
Section snippets
Patients and Methods
This preliminary, single-center, retrospective study was based on prospectively collected clinical and radiographic data. Patients were aged between 1 and 5 years and presented with unilateral or bilateral clinodactyly of ≥1 toes (Fig. 1). All operations were performed by the same surgeon and followed the same procedure. Before surgery, the presence of a longitudinal epiphyseal bracket was confirmed on posterior-anterior and latero-lateral radiographs (Fig. 2).
Results
Ten children (8 [80%] boys and 2 [20%] girls) underwent longitudinal epiphyseal bracket excision between October 2007 and May 2012. The mean age at the time of surgery was 4.1 (range 1 to 5) years, and the mean follow-up duration was 5.4 (range 3.3 to 8.1) years. Five (50%) patients had unilateral clinodactyly, and 5 (50%) had bilateral clinodactyly. In all, 15 feet were treated surgically (Table). The fourth toe was involved in 7 patients (70%), the third toe was involved in 2 patients (20%),
Discussion
In the present study, we evaluated middle phalangectomy as a therapeutic option for the correction of toe clinodactyly because of longitudinal epiphyseal bracket in young children. Even though this was a retrospective study of a small number of cases (10 patients and 15 feet), all the children were evaluated clinically and radiologically at last follow-up visit. Furthermore, previous reports in this field did not feature a greater number of participants than in the present series (1, 10). Our
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Conflict of Interest: None reported.