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Updated: Jul 15, 2026

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Evaluating the Function of the Foot Core System in the Elderly
Published on: March 11, 2022
Polydactyly of the foot.
Sisto Turra1, Cosimo Gigante, Gianluca Bisinella
1Paediatric Orthopaedic and Traumatology Unit, University of Padova, Padova, Italy.
Journal of Pediatric Orthopedics. Part B
|April 7, 2007
Summary
This study analyzed duplicated toes, finding postaxial duplication most common. Surgical outcomes for toe duplication are generally satisfactory, though individualization is key for optimal results.
Area of Science:
- Orthopedics
- Pediatric Surgery
- Anatomy
Background:
- Toe duplication, a congenital anomaly, presents diverse anatomical variations.
- Postaxial duplication is more prevalent than preaxial duplication.
Purpose of the Study:
- To analyze the anatomical patterns of toe duplications.
- To evaluate the long-term clinical and radiographic outcomes of surgical treatment for toe duplication.
- To identify factors influencing surgical success.
Main Methods:
- Analysis of 56 patients with 72 duplicated toes.
- Clinical and radiographic evaluation of 42 patients (55 duplications) at long-term follow-up (mean 22.5 years).
Main Results:
- Postaxial duplication occurred in 79% of cases.
- The most common pattern involved proximal phalanx duplication with a wide metatarsal head.
- 91% of patients achieved satisfactory long-term results.
- Preaxial polydactyly was associated with poorer outcomes due to hallux varus.
Conclusions:
- Surgical treatment for toe duplication yields high satisfaction rates.
- Individualized surgical approaches are crucial for optimal outcomes.
- Awareness of specific anatomical details and potential complications like hallux varus is important for successful management.
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