EFFECT OF PROXIMAL PHALANGEAL EPIPHYSIODESIS IN THE TREATMENT OF MACRODACTYLY

The recommended treatment for macrodactyly of the foot will often incl ude epiphysiodesis of the proximal phalanx in an attempt to halt furth er longitudinal growth of the toe, Nine patients who underwent open ep iphysiodesis and debulking of the excess soft tissue involving II toes were reviewed to evaluate the effectiveness of this procedure. In 9 o f 11 toes, overall length of the proximal phalanx did not change after surgery. Two toes demonstrated continued growth; one of these toes un derwent a repeat epiphysiodesis of the phalanx, and the other foot und erwent epiphysiodesis of the affected metatarsal. Overall, this surgic al approach led to radiographic results that satisfied the surgical go als.