title: Long-term results of single-stage reduction surgery for the treatment of macrodactyly.
abstract: We report the long-term results of a single-stage reduction procedure for the treatment of macrodactyly. Six patients (eight cases) were included. These patients underwent a single-stage operation that included debulking with resection of the hypertrophied digital nerve and distal interphalangeal joint fusion or corrective osteotomy. Plain radiographs and functional parameters were assessed. Aesthetic improvement was achieved in all patients. The mean ratios of the lengths and circumference differences between the affected digit and the corresponding normal digit on the other hand were 1:1 and 1:1, respectively. The mean range of motion in the proximal interphalangeal joint was 76°. A sensory deficit in the lateral pulp of the distal phalangeal area was observed in three fingers. The Disabilities of the Arm, Shoulder and Hand score ranged from 0 to 9 (mean 4). The long-term results of the single-stage reduction procedure were satisfactory, as demonstrated by the excellent adjustment of the length and acceptable circumference of the affected digits.
  
  
  METHODS
  IV.
authors: 1 Department of Orthopaedic Surgery, Kyungpook National University Hospital, Daegu, Korea.
authors: H-J
authors: HJ
authors: Lee
authors: 2 Daegu Park's Hospital, Daegu, Korea.
authors: P-T
authors: PT
authors: Kim
authors: 3 Department of Orthopedic Surgery, Dongsan Medical Center, Keimyung University, Daegu, Korea.
authors: S-J
authors: SJ
authors: Lee
authors: 1 Department of Orthopaedic Surgery, Kyungpook National University Hospital, Daegu, Korea.
authors: H-J
authors: HJ
authors: Kim
authors: 4 Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Korea.
authors: I-H
authors: IH
authors: Jeon
authors: 1 Department of Orthopaedic Surgery, Kyungpook National University Hospital, Daegu, Korea.
authors: I
authors: I
authors: Seo
keywords: Finger; macrodactyly; reduction operation; single-stage