Archives of Plastic Surgery

  • 제40권3호
  • /
  • Pages.232-237
  • /
  • 2013
  • /
  • 2234-6163(pISSN)
  • /
  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
권호 표지
DOI QR코드

DOI QR Code

New Classification of Polydactyly of the Foot on the Basis of Syndactylism, Axis Deviation, and Metatarsal Extent of Extra Digit

  • Seok, Hyo Hyun (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Park, Ji Ung (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Kwon, Sung Tack (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
  • 투고 : 2012.12.24
  • 심사 : 2013.03.07
  • 발행 : 2013.05.15
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background Polydactyly of the foot is one of the most frequent anomalies of the limbs. However, most classification systems are based solely on morphology and tend to be inaccurate and less relevant to surgical methods and results. The purpose of this study is to present our new classification of polydactyly of the foot, which can serve as a predictor of treatment and prognosis. Methods To find a correlation between the various morphologic traits of polydactyly of the foot and the treatment plan and outcomes, we reviewed 532 cases of polydactyly of the foot in 431 patients treated in our hospital, expanding on our previous study that described polydactyly based on the importance of metatarsal bone status and varus deformity. The records of patients were evaluated and compared with previous studies at other centers. Results Unsatisfactory results were seen in 36 cases, which included 5 cases of incomplete separation due to syndactylism, 23 cases of axis deviation, and 8 cases of remnants of extradigit metatarsal bones. The locus of the polydactyly, or the digit which was involved, did not seem to affect the final postoperative outcomes in our study. Three factors-syndactylism, axis deviation, and metatarsal extension-are the major factors related to treatment strategy and prognosis. Therefore, we developed a new classification system using three characters (S, A, M) followed by three groups (0, 1, 2), to describe the complexity of polydactyly of the foot, such as $S_1A_2M_2$. Conclusions Our new classification could provide a communicable description to help determine the surgical plan and predict outcomes.

키워드

참고문헌

  1. Son WG, Kwon ST, Lee SW. Simple classification of foot polydactyly based on the status of metatarsal bone and varus deformity. J Korean Soc Plast Reconstr Surg 2004;31:501-5.
  2. Miura T, Nakamura R, Imamura T. Polydactyly of the hands and feet. J Hand Surg Am 1987;12:474-6. https://doi.org/10.1016/S0363-5023(87)80027-8
  3. Kim HJ, Han SK, Lee BI, et al. Clinical study on polydactyly of the foot. J Korean Soc Plast Reconstr Surg 1997;24:317-25.
  4. Venn-Watson EA. Problems in polydactyly of the foot. Orthop Clin North Am 1976;7:909-27.
  5. Phelps DA, Grogan DP. Polydactyly of the foot. J Pediatr Orthop 1985;5:446-51. https://doi.org/10.1097/01241398-198507000-00012
  6. Masada K, Tsuyuguchi Y, Kawabata H, et al. Treatment of preaxial polydactyly of the foot. Plast Reconstr Surg 1987; 79:251-8. https://doi.org/10.1097/00006534-198702000-00018
  7. Watanabe H, Fujita S, Oka I. Polydactyly of the foot: an analysis of 265 cases and a morphological classification. Plast Reconstr Surg 1992;89:856-77. https://doi.org/10.1097/00006534-199205000-00014
  8. Turra S, Gigante C, Bisinella G. Polydactyly of the foot. J Pediatr Orthop B 2007;16:216-20. https://doi.org/10.1097/01.bpb.0000192055.60435.31
  9. Morley SE, Smith PJ. Polydactyly of the feet in children: suggestions for surgical management. Br J Plast Surg 2001; 54:34-8. https://doi.org/10.1054/bjps.2000.3453
  10. Blauth W, Olason AT. Classification of polydactyly of the hands and feet. Arch Orthop Trauma Surg 1988;107:334-44. https://doi.org/10.1007/BF00381058
  11. Wassel HD. The results of surgery for polydactyly of the thumb. A review. Clin Orthop Relat Res 1969;64:175-93.
  12. Stelling F. The upper extremity. In: Fergusion AB, editor. Orthopedic surgery in infancy and childhood. Baltimore: Lippincott Williams & Wilkins; 1963. p.304-9.
  13. Konno M, Hirase Y. A clinical review of polydactyly in the foot and postoperative results of lateral ray polydactyly. J JPN Soc Plast Reconstr Surg 1997;17:211-25.
  14. Coppolelli BG, Ready JE, Awbrey BJ, et al. Polydactyly of the foot in adults: literature review and unusual case presentation with diagnostic and treatment recommendations. J Foot Surg 1991;30:12-8.
  15. Uda H, Sugawara Y, Niu A, et al. Treatment of lateral ray polydactyly of the foot: focusing on the selection of the toe to be excised. Plast Reconstr Surg 2002;109:1581-91. https://doi.org/10.1097/00006534-200204150-00015

피인용 문헌

  1. Opioids as an alternative to amide-type local anaesthetics for intra-articular application vol.23, pp.9, 2015, https://doi.org/10.1007/s00167-014-2989-2
  2. Polidactilia preaxial tipo iii del pie en adultos. Presentación de un caso inusual vol.29, pp.2, 2013, https://doi.org/10.1016/j.rptob.2015.05.002
  3. Polydactyly: A Review vol.35, pp.3, 2013, https://doi.org/10.1891/0730-0832.35.3.135
  4. The Rotterdam Foot Classification : A Classification System for Medial Polydactyly of the Foot vol.98, pp.15, 2016, https://doi.org/10.2106/jbjs.15.01416
  5. Isolated heptadactylia: A case report of central polydactyly of the foot vol.96, pp.42, 2017, https://doi.org/10.1097/md.0000000000008324
  6. Une hexadactylie douloureuse vol.33, pp.4, 2013, https://doi.org/10.1007/s10243-017-0464-8
  7. Analysis of Congenital Postaxial Polydactyly of the Foot Using Magnetic Resonance Imagings vol.53, pp.6, 2013, https://doi.org/10.4055/jkoa.2018.53.6.530
  8. Variant metatarsal morphology causing metatarsal deformation in postaxial polydactyly vol.89, pp.12, 2013, https://doi.org/10.1111/ans.14987
  9. Polydactyly of the Foot: A Review vol.29, pp.9, 2013, https://doi.org/10.5435/jaaos-d-20-00983
  10. Case-control study of the treatment of postaxial polysyndactyly of the foot: Comparison of surgical results after removal of the fifth or sixth toe vol.48, pp.1, 2013, https://doi.org/10.5999/aps.2020.01620
  11. Surgical Outcomes and Predictive Factors of Medial Toe Excision for Polysyndactyly of the Fifth Toe vol.42, pp.5, 2013, https://doi.org/10.1177/1071100720971289