title: The use of the Tsuge procedure for pedal macrodactyly: relevance in pediatric orthopedics.
abstract: Pedal macrodactyly is a rare clinical entity that poses a challenge to practicing pediatric orthopedic surgeons. Many treatment options have been proposed. In 1967, Kenya Tsuge proposed a method to decrease the length, width, and circumference of a macrodactylous digit, while maintaining the cosmetic benefit of keeping the nail. We retrospectively reviewed our experience with using this technique in four children (six toes) over a 4-year period. The surgery is described and our results reviewed. We believe that the Tsuge procedure is a technically feasible, effective, single-stage reconstructive technique for pedal macrodactyly that pediatric orthopedic surgeons should have in their armamentarium.
authors.affiliation: Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, New Mexico, USA.
authors.forename: Nathan T
authors.initials: NT
authors.lastname: Morrell
authors.forename: Jennifer
authors.initials: J
authors.lastname: Fitzpatrick
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Szalay
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D005532:Foot Deformities, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*