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Mirror Foot: Surgical Approach for Esthetic and Functional Improvement.

Lucas Almeida Guerra1, Jefferson Soares Martins2,3, Igor Matsuy Pacheco Lehnen1

  • 1Departamento de Ortopedia e Traumatologia, Hospital das Clínicas da Universidade Federal de Goiás/Empresa Brasileira de Serviços Hospitalares (EBSERH), Goiânia, GO, Brasil.

Revista Brasileira De Ortopedia
|June 24, 2024
PubMed
Summary

This study details surgical correction for mirror foot, a rare congenital polydactyly. The procedure successfully reduced extra digits, improving function and aesthetics for a young patient.

Keywords:
bone wirescongenital foot deformitiespolydactyly

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Area of Science:

  • Orthopedics
  • Congenital Anomalies
  • Pediatric Surgery

Background:

  • Mirror foot is a rare congenital anomaly within the spectrum of complex foot polydactyly.
  • It can occur independently or with other malformations, with limited literature on its treatment.
  • This condition presents challenges in shoe wear and can cause social stigma.

Purpose of the Study:

  • To describe the surgical management of a pediatric case of mirror foot.
  • To achieve functional and esthetic improvement for better shoe adaptation and social integration.

Main Methods:

  • Surgical resection of three supranumerary rays (metatarsi and phalanges) using a V-shaped incision.
  • Preservation of normally appearing digits and intermetatarsal ligament repair.
  • Transmetatarsal fixation with Kirschner wires for reduction maintenance.

Main Results:

  • Successful reduction in foot width and preservation of functional digits.
  • Postoperative recovery without complications, with Kirschner wire removal at twelve weeks.
  • Improved ability to wear closed shoes and positive esthetic outcome.

Conclusions:

  • Surgical intervention can effectively address mirror foot deformities.
  • The described technique offers functional and esthetic benefits for patients.
  • Early surgical correction can improve quality of life and social acceptance.