Operative Management of Y-Shaped Metatarsal with Biphalangeal Sixth Toe

BACKGROUND: In the literature, there is no consensus regarding the surgical management of postaxial polydactyly, and few cases of polymetatarsia with polydactyly have been reported. Treatment of the complete deformity will prevent further foot and gait disorders. OBJECTIVE: To identify literature re...

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Autores: Montaño Jiménez, Pedro, Pérez Belloso, Ana Juana, Muriel-Sánchez, Juan Manuel, Marquez Reina, Salvador, Gómez-Carrión, Alvaro, Coheña Jiménez, Manuel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/158974
Acceso en línea:https://hdl.handle.net/11441/158974
https://doi.org/10.1097/ASW.0000000000000148
Access Level:acceso abierto
Palabra clave:Foot
Malformation
Metatarsal
Polydactyly
Polymetatarsia
Surgery
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spelling Operative Management of Y-Shaped Metatarsal with Biphalangeal Sixth ToeMontaño Jiménez, PedroPérez Belloso, Ana JuanaMuriel-Sánchez, Juan ManuelMarquez Reina, SalvadorGómez-Carrión, AlvaroCoheña Jiménez, ManuelFootMalformationMetatarsalPolydactylyPolymetatarsiaSurgeryBACKGROUND: In the literature, there is no consensus regarding the surgical management of postaxial polydactyly, and few cases of polymetatarsia with polydactyly have been reported. Treatment of the complete deformity will prevent further foot and gait disorders. OBJECTIVE: To identify literature relevant to the operative management of Y-shaped metatarsal with biphalangeal sixth toe and related skin and wound care to improve surgical treatment protocols from a clinical experience perspective. DATA SOURCES: The authors searched several electronic databases in December 2022 for articles related to postaxial polysyndactyly in the feet and polymetatarsia. Databases searched included PubMed, SciELO, ScienceDirect, Cochrane Database of Systematic Reviews, and Google Scholar gray literature. STUDY SELECTION: Two independent researchers conducted the searches and read the article titles and abstracts. Studies were included if they were narrative reviews, case studies, or observational studies; written in English or Spanish; and published between 2012 and 2022. Nonhuman studies were excluded. Studies that met the inclusion criteria were fully evaluated. Disagreements between reviewers were resolved by consensus, and when there was no consensus, a senior researcher was consulted. DATA EXTRACTION: The following data were extracted from the included studies using a standardized form: author and year of publication, study type, number of participants, sex, polydactyly location, polymetatarsia, type of polydactyly, participants’ history of hereditary associated diseases or malformations, treatment, removal criteria, and timing of surgery. DATA SYNTHESIS: Authors evaluated 11 studies of postaxial polydactyly that included a total of 153 participants (64 men, 89 women). They also document their clinical experience with a surgical technique used in cases of bilateral postaxial polydactyly of the foot with a Y-shaped metatarsal with biphalangeal sixth toe. CONCLUSIONS: Surgical correction with lateral removal of the sixth toe is a resolutive treatment to improve the functionality of the foot, its aesthetic appearance, and the patient’s quality of life. Case-specific treatment should be applied and tailored to meet the individual needs. The biomechanics of gait and shoe problems in these patients improve with surgical treatment, without presenting secondary aesthetic problems in skin care.Lippincott Williams & WilkingsPodología2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/158974https://doi.org/10.1097/ASW.0000000000000148reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésAdvances in Skin & Wound Care, 37 (6), 1-8.https://doi.org/10.1097/ASW.0000000000000148info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1589742026-06-17T12:51:07Z
dc.title.none.fl_str_mv Operative Management of Y-Shaped Metatarsal with Biphalangeal Sixth Toe
title Operative Management of Y-Shaped Metatarsal with Biphalangeal Sixth Toe
spellingShingle Operative Management of Y-Shaped Metatarsal with Biphalangeal Sixth Toe
Montaño Jiménez, Pedro
Foot
Malformation
Metatarsal
Polydactyly
Polymetatarsia
Surgery
title_short Operative Management of Y-Shaped Metatarsal with Biphalangeal Sixth Toe
title_full Operative Management of Y-Shaped Metatarsal with Biphalangeal Sixth Toe
title_fullStr Operative Management of Y-Shaped Metatarsal with Biphalangeal Sixth Toe
title_full_unstemmed Operative Management of Y-Shaped Metatarsal with Biphalangeal Sixth Toe
title_sort Operative Management of Y-Shaped Metatarsal with Biphalangeal Sixth Toe
dc.creator.none.fl_str_mv Montaño Jiménez, Pedro
Pérez Belloso, Ana Juana
Muriel-Sánchez, Juan Manuel
Marquez Reina, Salvador
Gómez-Carrión, Alvaro
Coheña Jiménez, Manuel
author Montaño Jiménez, Pedro
author_facet Montaño Jiménez, Pedro
Pérez Belloso, Ana Juana
Muriel-Sánchez, Juan Manuel
Marquez Reina, Salvador
Gómez-Carrión, Alvaro
Coheña Jiménez, Manuel
author_role author
author2 Pérez Belloso, Ana Juana
Muriel-Sánchez, Juan Manuel
Marquez Reina, Salvador
Gómez-Carrión, Alvaro
Coheña Jiménez, Manuel
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Podología
dc.subject.none.fl_str_mv Foot
Malformation
Metatarsal
Polydactyly
Polymetatarsia
Surgery
topic Foot
Malformation
Metatarsal
Polydactyly
Polymetatarsia
Surgery
description BACKGROUND: In the literature, there is no consensus regarding the surgical management of postaxial polydactyly, and few cases of polymetatarsia with polydactyly have been reported. Treatment of the complete deformity will prevent further foot and gait disorders. OBJECTIVE: To identify literature relevant to the operative management of Y-shaped metatarsal with biphalangeal sixth toe and related skin and wound care to improve surgical treatment protocols from a clinical experience perspective. DATA SOURCES: The authors searched several electronic databases in December 2022 for articles related to postaxial polysyndactyly in the feet and polymetatarsia. Databases searched included PubMed, SciELO, ScienceDirect, Cochrane Database of Systematic Reviews, and Google Scholar gray literature. STUDY SELECTION: Two independent researchers conducted the searches and read the article titles and abstracts. Studies were included if they were narrative reviews, case studies, or observational studies; written in English or Spanish; and published between 2012 and 2022. Nonhuman studies were excluded. Studies that met the inclusion criteria were fully evaluated. Disagreements between reviewers were resolved by consensus, and when there was no consensus, a senior researcher was consulted. DATA EXTRACTION: The following data were extracted from the included studies using a standardized form: author and year of publication, study type, number of participants, sex, polydactyly location, polymetatarsia, type of polydactyly, participants’ history of hereditary associated diseases or malformations, treatment, removal criteria, and timing of surgery. DATA SYNTHESIS: Authors evaluated 11 studies of postaxial polydactyly that included a total of 153 participants (64 men, 89 women). They also document their clinical experience with a surgical technique used in cases of bilateral postaxial polydactyly of the foot with a Y-shaped metatarsal with biphalangeal sixth toe. CONCLUSIONS: Surgical correction with lateral removal of the sixth toe is a resolutive treatment to improve the functionality of the foot, its aesthetic appearance, and the patient’s quality of life. Case-specific treatment should be applied and tailored to meet the individual needs. The biomechanics of gait and shoe problems in these patients improve with surgical treatment, without presenting secondary aesthetic problems in skin care.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/158974
https://doi.org/10.1097/ASW.0000000000000148
url https://hdl.handle.net/11441/158974
https://doi.org/10.1097/ASW.0000000000000148
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Advances in Skin & Wound Care, 37 (6), 1-8.
https://doi.org/10.1097/ASW.0000000000000148
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Lippincott Williams & Wilkings
publisher.none.fl_str_mv Lippincott Williams & Wilkings
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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