Island nail flap in the treatment of foot macrodactyly of the first ray in children: report of two cases
Identifieur interne : 001155 ( Pmc/Checkpoint ); précédent : 001154; suivant : 001156Island nail flap in the treatment of foot macrodactyly of the first ray in children: report of two cases
Auteurs : Francisco Javier Downey-Carmona [Espagne] ; Araceli Lagares [Espagne] ; David Farrington-Rueda [Espagne] ; José Lirola-Criado [Espagne]Source :
- Journal of Children's Orthopaedics [ 1863-2521 ] ; 2015.
Abstract
We evaluated the result of a combined single-stage surgery in the treatment of first ray macrodactyly in children.
Macrodactyly is a rare congenital abnormality that involves thickening of both the soft tissue and bone of the affected digits. It is more frequent in fingers than toes, where there is less neural involvement. Increased growth is also seen in neurofibromatosis, hemangiomatosis, arteriovenous malformations, congenital lymphedema, and syndromes such as Klippel–Trenaunay–Weber syndrome and Proteus syndrome.
The goal of treatment is to obtain a pain-free, functional foot that can accommodate normal shoes. Treatment of macrodactyly of the first ray generates numerous difficulties since ray resection, which has been recommended for other toes as a means to of shortening and narrowing the foot, cannot be performed. In addition to this, cosmetic results are better if the nail is preserved.
We retrospectively reviewed our cases of first ray macrodactyly treated by a single-stage multiple-technique procedure.
We obtained satisfactory results, in that same-sized shoes could be worn on by our patients and patients and family were happy with the outcome. However, one of our cases patients lost the nail 10 months postoperatively.
We believe that island-nail transfer in children obtains excellent results.
Url:
DOI: 10.1007/s11832-015-0670-z
PubMed: 26238609
PubMed Central: 4549351
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
PMC:4549351Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Island nail flap in the treatment of foot macrodactyly of the first ray in children: report of two cases</title>
<author><name sortKey="Downey Carmona, Francisco Javier" sort="Downey Carmona, Francisco Javier" uniqKey="Downey Carmona F" first="Francisco Javier" last="Downey-Carmona">Francisco Javier Downey-Carmona</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville</wicri:regionArea>
<wicri:noRegion>41013 Seville</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lagares, Araceli" sort="Lagares, Araceli" uniqKey="Lagares A" first="Araceli" last="Lagares">Araceli Lagares</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Plastic Surgery, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Plastic Surgery, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville</wicri:regionArea>
<wicri:noRegion>41013 Seville</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Farrington Rueda, David" sort="Farrington Rueda, David" uniqKey="Farrington Rueda D" first="David" last="Farrington-Rueda">David Farrington-Rueda</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville</wicri:regionArea>
<wicri:noRegion>41013 Seville</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lirola Criado, Jose" sort="Lirola Criado, Jose" uniqKey="Lirola Criado J" first="José" last="Lirola-Criado">José Lirola-Criado</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville</wicri:regionArea>
<wicri:noRegion>41013 Seville</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26238609</idno>
<idno type="pmc">4549351</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4549351</idno>
<idno type="RBID">PMC:4549351</idno>
<idno type="doi">10.1007/s11832-015-0670-z</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">000D59</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000D59</idno>
<idno type="wicri:Area/Pmc/Curation">000D58</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000D58</idno>
<idno type="wicri:Area/Pmc/Checkpoint">001155</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001155</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Island nail flap in the treatment of foot macrodactyly of the first ray in children: report of two cases</title>
<author><name sortKey="Downey Carmona, Francisco Javier" sort="Downey Carmona, Francisco Javier" uniqKey="Downey Carmona F" first="Francisco Javier" last="Downey-Carmona">Francisco Javier Downey-Carmona</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville</wicri:regionArea>
<wicri:noRegion>41013 Seville</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lagares, Araceli" sort="Lagares, Araceli" uniqKey="Lagares A" first="Araceli" last="Lagares">Araceli Lagares</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Plastic Surgery, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Plastic Surgery, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville</wicri:regionArea>
<wicri:noRegion>41013 Seville</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Farrington Rueda, David" sort="Farrington Rueda, David" uniqKey="Farrington Rueda D" first="David" last="Farrington-Rueda">David Farrington-Rueda</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville</wicri:regionArea>
<wicri:noRegion>41013 Seville</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lirola Criado, Jose" sort="Lirola Criado, Jose" uniqKey="Lirola Criado J" first="José" last="Lirola-Criado">José Lirola-Criado</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville</wicri:regionArea>
<wicri:noRegion>41013 Seville</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of Children's Orthopaedics</title>
<idno type="ISSN">1863-2521</idno>
<idno type="eISSN">1863-2548</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>We evaluated the result of a combined single-stage surgery in the treatment of first ray macrodactyly in children.</p>
</sec>
<sec><title>Introduction</title>
<p>Macrodactyly is a rare congenital abnormality that involves thickening of both the soft tissue and bone of the affected digits. It is more frequent in fingers than toes, where there is less neural involvement. Increased growth is also seen in neurofibromatosis, hemangiomatosis, arteriovenous malformations, congenital lymphedema, and syndromes such as Klippel–Trenaunay–Weber syndrome and Proteus syndrome.</p>
<p>The goal of treatment is to obtain a pain-free, functional foot that can accommodate normal shoes. Treatment of macrodactyly of the first ray generates numerous difficulties since ray resection, which has been recommended for other toes as a means to of shortening and narrowing the foot, cannot be performed. In addition to this, cosmetic results are better if the nail is preserved.</p>
</sec>
<sec><title>Methods</title>
<p>We retrospectively reviewed our cases of first ray macrodactyly treated by a single-stage multiple-technique procedure.</p>
</sec>
<sec><title>Results</title>
<p>We obtained satisfactory results, in that same-sized shoes could be worn on by our patients and patients and family were happy with the outcome. However, one of our cases patients lost the nail 10 months postoperatively.</p>
</sec>
<sec><title>Conclusions</title>
<p>We believe that island-nail transfer in children obtains excellent results.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bhat, Ak" uniqKey="Bhat A">AK Bhat</name>
</author>
<author><name sortKey="Bhaskaranand, K" uniqKey="Bhaskaranand K">K Bhaskaranand</name>
</author>
<author><name sortKey="Kanna, R" uniqKey="Kanna R">R Kanna</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Bulut, M" uniqKey="Bulut M">M Bulut</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Dautel, G" uniqKey="Dautel G">G Dautel</name>
</author>
<author><name sortKey="Vialaneix, J" uniqKey="Vialaneix J">J Vialaneix</name>
</author>
<author><name sortKey="Faivre, S" uniqKey="Faivre S">S Faivre</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Dennyson, Wg" uniqKey="Dennyson W">WG Dennyson</name>
</author>
<author><name sortKey="Bear, Jn" uniqKey="Bear J">JN Bear</name>
</author>
<author><name sortKey="Bhoola, Kd" uniqKey="Bhoola K">KD Bhoola</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Hop, Mj" uniqKey="Hop M">MJ Hop</name>
</author>
<author><name sortKey="Van Der Biezen, Jj" uniqKey="Van Der Biezen J">JJ van der Biezen</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Kalen, V" uniqKey="Kalen V">V Kalen</name>
</author>
<author><name sortKey="Burwell, Ds" uniqKey="Burwell D">DS Burwell</name>
</author>
<author><name sortKey="Omer, Ge" uniqKey="Omer G">GE Omer</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Uemura, T" uniqKey="Uemura T">T Uemura</name>
</author>
<author><name sortKey="Kazuki, K" uniqKey="Kazuki K">K Kazuki</name>
</author>
<author><name sortKey="Okada, M" uniqKey="Okada M">M Okada</name>
</author>
<author><name sortKey="Egi, T" uniqKey="Egi T">T Egi</name>
</author>
<author><name sortKey="Takaoka, K" uniqKey="Takaoka K">K Takaoka</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Laliotis, N" uniqKey="Laliotis N">N Laliotis</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Fleckman, P" uniqKey="Fleckman P">P Fleckman</name>
</author>
<author><name sortKey="Allan, C" uniqKey="Allan C">C Allan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Topoleski, Ta" uniqKey="Topoleski T">TA Topoleski</name>
</author>
<author><name sortKey="Ganel, A" uniqKey="Ganel A">A Ganel</name>
</author>
<author><name sortKey="Grogan, Dp" uniqKey="Grogan D">DP Grogan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Lagoutaris, Ed" uniqKey="Lagoutaris E">ED Lagoutaris</name>
</author>
<author><name sortKey="Didomenico, La" uniqKey="Didomenico L">LA Didomenico</name>
</author>
<author><name sortKey="Haber, Ll" uniqKey="Haber L">LL Haber</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Tsuge, K" uniqKey="Tsuge K">K Tsuge</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Child Orthop</journal-id>
<journal-id journal-id-type="iso-abbrev">J Child Orthop</journal-id>
<journal-title-group><journal-title>Journal of Children's Orthopaedics</journal-title>
</journal-title-group>
<issn pub-type="ppub">1863-2521</issn>
<issn pub-type="epub">1863-2548</issn>
<publisher><publisher-name>Springer Berlin Heidelberg</publisher-name>
<publisher-loc>Berlin/Heidelberg</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26238609</article-id>
<article-id pub-id-type="pmc">4549351</article-id>
<article-id pub-id-type="publisher-id">670</article-id>
<article-id pub-id-type="doi">10.1007/s11832-015-0670-z</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Technical Note</subject>
</subj-group>
</article-categories>
<title-group><article-title>Island nail flap in the treatment of foot macrodactyly of the first ray in children: report of two cases</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Downey-Carmona</surname>
<given-names>Francisco Javier</given-names>
</name>
<address><email>franciscoj.downey.sspa@juntadeandalucia.es</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lagares</surname>
<given-names>Araceli</given-names>
</name>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Farrington-Rueda</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lirola-Criado</surname>
<given-names>José</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1"><label></label>
Department of Trauma and Orthopedic Surgery, Pediatric Orthopedic Unit, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain</aff>
<aff id="Aff2"><label></label>
Plastic Surgery, Hospital Virgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain</aff>
</contrib-group>
<pub-date pub-type="epub"><day>4</day>
<month>8</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>4</day>
<month>8</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><month>8</month>
<year>2015</year>
</pub-date>
<volume>9</volume>
<issue>4</issue>
<fpage>281</fpage>
<lpage>285</lpage>
<history><date date-type="received"><day>11</day>
<month>3</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>8</day>
<month>7</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s) 2015</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Purpose</title>
<p>We evaluated the result of a combined single-stage surgery in the treatment of first ray macrodactyly in children.</p>
</sec>
<sec><title>Introduction</title>
<p>Macrodactyly is a rare congenital abnormality that involves thickening of both the soft tissue and bone of the affected digits. It is more frequent in fingers than toes, where there is less neural involvement. Increased growth is also seen in neurofibromatosis, hemangiomatosis, arteriovenous malformations, congenital lymphedema, and syndromes such as Klippel–Trenaunay–Weber syndrome and Proteus syndrome.</p>
<p>The goal of treatment is to obtain a pain-free, functional foot that can accommodate normal shoes. Treatment of macrodactyly of the first ray generates numerous difficulties since ray resection, which has been recommended for other toes as a means to of shortening and narrowing the foot, cannot be performed. In addition to this, cosmetic results are better if the nail is preserved.</p>
</sec>
<sec><title>Methods</title>
<p>We retrospectively reviewed our cases of first ray macrodactyly treated by a single-stage multiple-technique procedure.</p>
</sec>
<sec><title>Results</title>
<p>We obtained satisfactory results, in that same-sized shoes could be worn on by our patients and patients and family were happy with the outcome. However, one of our cases patients lost the nail 10 months postoperatively.</p>
</sec>
<sec><title>Conclusions</title>
<p>We believe that island-nail transfer in children obtains excellent results.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Macrodactyly</kwd>
<kwd>Reconstruction</kwd>
<kwd>Island nail flap</kwd>
<kwd>Deformity</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2015</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Espagne</li>
</country>
</list>
<tree><country name="Espagne"><noRegion><name sortKey="Downey Carmona, Francisco Javier" sort="Downey Carmona, Francisco Javier" uniqKey="Downey Carmona F" first="Francisco Javier" last="Downey-Carmona">Francisco Javier Downey-Carmona</name>
</noRegion>
<name sortKey="Farrington Rueda, David" sort="Farrington Rueda, David" uniqKey="Farrington Rueda D" first="David" last="Farrington-Rueda">David Farrington-Rueda</name>
<name sortKey="Lagares, Araceli" sort="Lagares, Araceli" uniqKey="Lagares A" first="Araceli" last="Lagares">Araceli Lagares</name>
<name sortKey="Lirola Criado, Jose" sort="Lirola Criado, Jose" uniqKey="Lirola Criado J" first="José" last="Lirola-Criado">José Lirola-Criado</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Pmc/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001155 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 001155 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Pmc |étape= Checkpoint |type= RBID |clé= PMC:4549351 |texte= Island nail flap in the treatment of foot macrodactyly of the first ray in children: report of two cases }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:26238609" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \ | NlmPubMed2Wicri -a LymphedemaV1
![]() | This area was generated with Dilib version V0.6.31. | ![]() |