Macrodactyly can affect the fingers and/or toes1, Histopathologic examinati
on will distinguish macrodactylia fibrolipomatosis or neural fibrolipoma wi
th macrodactyly, from macrodactylia as a part of neurofibromatosis. Surgica
l repair is aimed at decreasing the size of the affected foot so it is as n
ear in size and shape to the normal foot as possible. Surgical approaches h
ave included reconstructive surgery (usually staged debulking procedures),
epiphyseal plate arrest and amputation. Repeated reconstructive surgical pr
ocedures, as illustrated in this report covering patient care over a 15 yea
r period, are usually necessary due to recurring soft tissue and boney enla
rgement.