Hemimetatarsal transfer: a unique solution for postaxial metatarsal duplication.
Many operations have been described for the reconstructive treatment of foot congenital anomalies involving multiplication of toes and metatarsi. We describe a surgical procedure designed to solve the problem of postaxial polydactily with complete duplication of metatarsi. We successfully performed hemimetatarsal transposition of the hypoplastic metatarsal bone with its intact metatarso-phalangial joint to the base of the extra metatarsus. We achieved good alignment of the lateral ray with restoration of the metatarsal weight-bearing touch points. Functional and cosmetic results of the procedure were excellent.
Ezra
E
E
Department of Pediatric Orthopaedics, Dana Children's Hospital, Tel-Aviv Medical Center, Israel.
Khermosh
O
O
Wientroub
S
S
D002675:Child, Preschool; D005532:Foot Deformities, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D014034:Toes / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000637:transplantation*