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J Pediatr Orthop B. 2014 May;23(3):260-5. doi: 10.1097/BPB.0000000000000046.

The use of the Tsuge procedure for pedal macrodactyly: relevance in pediatric orthopedics.

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1
Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, New Mexico, USA.

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.

PMID:
24598536
DOI:
10.1097/BPB.0000000000000046
[Indexed for MEDLINE]
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