Treatment of postaxial polydactyly with plantar plate and medial collateral ligament reconstruction after supernumerary excision: a case report
Author
dc.contributor.author
Escudero Heldt, Mario
Author
dc.contributor.author
Seebach, Klaus
Author
dc.contributor.author
Parekh, Selene G.
Author
dc.contributor.author
Pellegrini Pucci, Manuel
Admission date
dc.date.accessioned
2018-10-29T20:27:57Z
Available date
dc.date.available
2018-10-29T20:27:57Z
Publication date
dc.date.issued
2017
Cita de ítem
dc.identifier.citation
SAGE Open Medical Case Reports Volume 5: 1– 5
es_ES
Identifier
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10.1177/2050313X17737197
Identifier
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https://repositorio.uchile.cl/handle/2250/152299
Abstract
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Introduction: Polydactyly is the most common congenital foot anomaly and consists of partial or complete duplication of a
toe. Traditionally, surgical treatment has been amputation. There is little evidence when surgical treatment requires repairing
the stabilizing structures of the metatarsophalangeal joint
Objective: Assess the functional and radiologic outcomes of a case of postaxial polydactyly requiring plantar plate plate and
medial collateral ligament reconstruction.
Methods: A 59-year-old female presented at clinic complaining from bilateral fifth toe polydactyly and metatarsalgia. A
rudimentary extra toe with bony structures poorly developed was observed in the left foot. An excision was performed on
the left foot. In the right foot, a fully developed extra digit was observed with medial and downwards deviation underneath
the fourth metatarsal.
Results: Medial fifth-toe excision, plantar plate repair and medial collateral ligament reconstruction were performed due to
malformation and widening of the distal surface of the plantar plate. Patient satisfaction and adequate functional status were
observed at one-year follow-up.
Conclusion: The plantar plate is the principal stabilizer of the MTP joint; therefore its reconstruction is of paramount
importance for forefoot biomechanics.