- 期刊
- OpenAccess
Polydactyly of the Foot: Manifestations and Treatment
多趾症：臨床表現與治療
摘要
多趾症是個常見的先天性足部畸形，其中以第五趾多趾症最常見。因為多趾症的臨床表現與治療方法不一，其結果也不一樣。在本回朔性研究中，自一九八九年至一九九九年，本院共收集了四十二位病人，五十四隻多趾足。其中，三十位病人為單側多趾症，佔71% 第五趾多趾症佔77%；第一趾多趾症有六足，中位足多趾症有一足；十二位病人是雙側性多趾症，佔29% 。十四位病人合併併趾，三位病人合併手多指症，一位病人合併手併指症；三十七位病人接受矯治手術，三十二位病人接受一到十二年的追蹤，有二十八位病人的結果是極良好的，四位病人的結果是好的。總之，多趾症的治療，因為變化太多，所以是依多趾症不同的臨床表現來決定是否須接受于術及其手術方法。
並列摘要
Polydactyly of the foot is a common congenital deformity. However, little is known about duplication of the toe and knowledge of the more common foot postaxial polydactyly. Its clinical manifestations vary, as do treatment and result. During the period of 1989 to 1999, 42 patients with polydactyly of 54 feet were treated in our hospital. They were studied regarding the manifestation, treatment and result. Among these, thirty cases were unilateral polydactyly foot (71 %). Among the unilateral group, duplication of the fifth ray (23 feet, 77%) was most common, followed by first ray duplication (6 feet) and other ray (1 feet). There were 12 patients involved bilateral feet (29%). Fourteen patients had accompanying with foot syndactyly, 3 patients had accompanying with hand polydactyly, and one patient had accompanying with hand syndactyly. Surgery for both cosmetic and functional purpose was performed in 37 patients (48 feet). The methods included excision of the extra-toe and reconstruction of the remaining soft tissues. Only 32 cases could be followed and evaluated with Phelps-Grogan's protocol; 28 cases were classified as having excellent results, 4 cases had good results; and no patient had poor result. Amputation of postaxial polydactyly is a simple method for extra-digit excision. Surgery for the associated anomaly is according to patient's needs and preference. We conclude that polydactyly foot should be treated individually depending on the deformity.