岛状趾甲在巨趾症治疗中的应用学案.pptVIP

MD.Yang Wang Department of Hand and Foot Surgery, The Second Hospital of ShanDong University; The Orthopaedic Foot Ankle Center. 山东大学第二医院手足外科 汪洋 Island Nail Transfer in the Treatment of Macrodactyly The first known series on pedal macrodactyly was published in 1925 by Feriz Regardless the etiology, Barsky defined two primary clinical types of macrodactyly: static (present at birth, but increases proportionally with the other digits) and progressive (size increases at a disproportionately higher rate compared with the other digits). Feriz H. Macrodystrophia lipomatosa progressiva. Virchows Arch Pathol Anat Physiol Klin Med 1925; 260:308–368. Barsky AJ. Macrodactyly. J Bone Joint Surg Am 1967; 49:1255–1266. A number of treatment options have been proposed without consensus; specific treatment for pedal macrodactyly is on an individual basis. The primary goal of treatment is to produce a pain-free, functional foot that can accommodate normal shoes; in addition, the cosmetic appearance of the foot, and particularly the nail, is of great concern to the patient and family. Hop MJ, van der Biezen JJ. Ray reduction of the foot in the treatment of macrodactyly and review of the literature. J Foot Ankle Surg 2011; 50:434–438. Natividad E, Patel K. A literature review of pedal macrodactyly. Foot Ankle Online J 2010; 3:2–5. Pedal macrodactyly is often of the progressive variety. There is generally a slight male majority. Preaxial distribution is predominant, with the second digit being the most common. More than one digit may be involved, and in 10% of cases, there may be syndactyly involving an adjacent digit. Kumar K, Kumar D, Gadegone WM, Kapahtia NK. Macrodactyly of the hand and foot. Int Orthop 1985; 9:259–264. Dennyson WG, Bear JN, Bhoola KD. Macrodactyly in the foot. J Bone Joint Surg Br 1977; 59:355–359. Natividad E, Patel K. A literature review of pedal macrodactyly. Foot Ankle Online J 2010; 3:2–5. Krengel S, Fustes-Morales A, Carrasco D, Vazque