title: Macrodystrophia lipomatosa: a reconstructive approach to gigantism of the foot.
abstract: Localized gigantism poses a challenging surgical dilemma, and it may be treated with amputation. This case report documents the application of a reconstructive approach to a severe case of pedal macrodystrophia lipomatosa in a 1-year-old girl. A series of 3 surgeries were designed to reduce the length, width, height, and overall bulk of the congenitally enlarged foot. The 3 procedures debulked the foot for normal ambulation and same-size shoe wear for both feet. The resulting functional and aesthetic improvements achieved through reconstructive treatment provided a desirable alternative to amputation.
authors.affiliation: Section of Plastic Surgery, Department of Surgery, the University of Michigan Health System, Ann Arbor, MI 48109-0340, USA.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Watt
authors.forename: Kevin C
authors.initials: KC
authors.lastname: Chung
mesh_terms: D005260:Female; D005528:Foot / Q000473:pathology*; D005532:Foot Deformities, Congenital / Q000473:pathology / Q000601:surgery*; D005877:Gigantism / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D008068:Lipomatosis / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*