Effect of proximal phalangeal epiphysiodesis in the treatment of macrodactyly

Tamara A. Topoleski, Abraham Ganel, Dennis P. Grogan*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


The recommended treatment for macrodactyly of the foot will often include epiphysiodesis of the proximal phalanx in an attempt to halt further longitudinal growth of the toe. Nine patients who underwent open epiphysiodesis and debulking of the excess soft tissue involving 11 toes were reviewed to evaluate the effectiveness of this procedure. In 9 of 11 toes, overall length of the proximal phalanx did not change after surgery. Two toes demonstrated continued growth; one of these toes underwent a repeat epiphysiodesis of the phalanx, and the other foot underwent epiphysiodesis of the affected metatarsal. Overall, this surgical approach led to radio- graphic results that satisfied the surgical goals.

Original languageEnglish
Pages (from-to)500-503
Number of pages4
JournalFoot and Ankle International
Issue number8
StatePublished - 1997
Externally publishedYes


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