Polydactyly of the foot

Polydactyly may be preaxial or tibial (hallux-side), postaxial or ulnar (si de of the little toe) and central (middle toes). The duplication may appear at the distal and medial phalanges or at the whole digit. The metatarsal b one may be partwise or completely duplicated, the accessory toes may share only one metatarsal. Surgical intervention may be indicated in shoeproblems , for esthetic reasons or, especially in duplication of the metatarsales, b ecause of secondary deviation of the toes and therefore shoeproblems or pla ntar callosities. Preoperative analysis including x-ray is of great importa nce to achieve good functional and cosmetic results.