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Management

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The surgical treatment of brachydactyly is rarely indicated. Usually, the patient presents late with good function and little in the way of functional impairment. Surgery addresses specific issues:

  • angulated digits:
    • often due to longitudinally bracketed epiphyses; epiphysiolysis may permit adequate subsequent growth in the child
    • mature defects may require opening wedge osteotomies with or without bone grafts
  • cosmetically short digit:
    • rarely is surgery indicated
    • can be addressed with techniques such as:
      • distraction osteogenesis; substantial lengths can be obtained
      • single-stage lengthening with bone grafts
      • nonvascularised toe phalangeal transfers

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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