PMID- 33517731
OWN - NLM
STAT- MEDLINE
DCOM- 20210215
LR  - 20210215
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 103-B
IP  - 2
DP  - 2021 Feb
TI  - Mid-term foot function and pedobarographic analysis of 52 feet after polydactyly 
      resection in childhood.
PG  - 415-420
LID - 10.1302/0301-620X.103B2.BJJ-2020-1341.R2 [doi]
AB  - AIMS: The aims of this study is to report the clinical and radiological outcomes 
      after pre-, central-, and postaxial polydactyly resection in children from a 
      tertiary referral centre. METHODS: All children who underwent resection of a 
      supernumerary toe between 2001 and 2013 were prospectively enrolled and invited 
      for a single re-assessment. Clinical parameters and several dedicated outcome 
      scores (visual analogue scale (VAS), Paediatric Outcomes Data Collection 
      Instrument (PODCI), Activities Scale for Kids (ASK), and American Orthopaedic 
      Foot and Ankle Society Score (AOFAS)) were obtained, as were radiographs of the 
      operated and non-operated feet along with pedobarographs. RESULTS: In all, 39 
      children (52 feet) with a mean follow-up of 7.2 years (3.1 to 13.0) were included 
      in the study. Resection of a duplicated great toe was performed in ten children, 
      central polydactyly in four, and postaxial polydactyly in 26. The mean 
      postoperative VAS (0.7; 0 to 7), ASK (93.7; 64.2 to 100), and AOFAS range (85.9 
      to 89.0) indicated excellent outcomes among this cohort and the PODCI global 
      functioning scale (95.7; 75.5 to 100) was satisfactory. No significant 
      differences were found regarding outcomes of pre- versus postaxial patients, nor 
      radiological toe alignment between the operated and non-operated sides. Minor 
      complications were observed in six children (15%). There were seven surgical 
      revisions (18%), six of whom were in preaxial patients. In both groups, below the 
      operation area, a reduced mean and maximum force was observed. Changes in the 
      hindfoot region were detected based on the prolonged contact time and reduced 
      force in the preaxial group. CONCLUSION: Excellent mid-term results can be 
      expected after foot polydactyly resection in childhood. However, parents and 
      those who care for these children need to be counselled regarding the higher risk 
      of subsequent revision surgery in the preaxial patients. Also, within the study 
      period, the plantar pressure distribution below the operated part of the foot did 
      not return to completely normal. Cite this article: Bone Joint J 
      2021;103-B(2):415-420.
FAU - Farr, Sebastian
AU  - Farr S
AUID- ORCID: 0000-0003-3250-2593
AD  - Department of Paediatric Orthopaedics and Foot and Ankle Surgery, Orthopaedic 
      Hospital Speising, Vienna, Austria.
FAU - Jauker, Fridolin
AU  - Jauker F
AD  - Herz-Jesu Hospital, Vienna, Austria.
FAU - Ganger, Rudolf
AU  - Ganger R
AD  - Department of Paediatric Orthopaedics and Foot and Ankle Surgery, Orthopaedic 
      Hospital Speising, Vienna, Austria.
FAU - Kranzl, Andreas
AU  - Kranzl A
AUID- ORCID: 0000-0002-1665-6958
AD  - Orthopaedic Hospital Speising, Laboratory for Gait and Movement Analysis, Vienna, 
      Austria.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Follow-Up Studies
MH  - Foot/*physiopathology/surgery
MH  - Humans
MH  - Infant
MH  - Male
MH  - *Orthopedic Procedures
MH  - Polydactyly/diagnosis/*physiopathology/*surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Duplicated toe
OT  - Hallux varus
OT  - Pedobarography
OT  - Plantar pressure
OT  - Polydactyly
EDAT- 2021/02/02 06:00
MHDA- 2021/02/16 06:00
CRDT- 2021/02/01 05:29
PHST- 2021/02/01 05:29 [entrez]
PHST- 2021/02/02 06:00 [pubmed]
PHST- 2021/02/16 06:00 [medline]
AID - 10.1302/0301-620X.103B2.BJJ-2020-1341.R2 [doi]
PST - ppublish
SO  - Bone Joint J. 2021 Feb;103-B(2):415-420. doi: 
      10.1302/0301-620X.103B2.BJJ-2020-1341.R2.