Practical approach to a rare deformity: macrodactyly

Macrodactyly, the exact etiology of which is unknown, is a rare congenital deformity. Four basic surgical approaches to correction have been considered. When the first and second digits are involved, Dr. Figura believes that amputation should not be considered as these two digits are necessary for stability. He believes the worm advancement of Tsuge, which can be performed on any toe, to be the procedure of choice, both functionally and cosmetically. The metatarsophalangeal joint is not disturbed, the digit is not syndactylized into a bulbous mass, the nail is left intact, and the functions are preserved.