Syndactylisation with internal bracing using a suture-button construct for severe cleft foot (Ectrodactyly): A 3-year follow-up case report

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-12-01 Epub Date: 2025-10-21 DOI:10.1016/j.jcot.2025.103243

Arpit Sahu , Siva Srivastava Garika , Vikrant Manhas

{"title":"Syndactylisation with internal bracing using a suture-button construct for severe cleft foot (Ectrodactyly): A 3-year follow-up case report","authors":"Arpit Sahu , Siva Srivastava Garika , Vikrant Manhas","doi":"10.1016/j.jcot.2025.103243","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Ectrodactyly, or split foot malformation, is a rare congenital limb anomaly characterized by absence or hypoplasia of central digits, leading to functional limitations and cosmetic concerns. Surgical management aims to restore alignment, improve stability, and allow regular footwear usage. This report presents a novel approach using syndactylisation with internal bracing in a pediatric case.</div></div><div><h3>Case presentation</h3><div>A 7-year-old girl with non-syndromic ectrodactyly of the right foot presented with difficulty in ambulation and footwear use. Clinical and radiographic assessment revealed a wide central cleft, absent second and third toes, and divergent first and fourth metatarsals. Surgical treatment included excision of the malformed third metatarsal, syndactylisation of the first and fourth rays, and internal bracing using the ButtonFix-F suture-button system.</div></div><div><h3>Conclusion</h3><div>Syndactylisation reinforced with the ButtonFix-F implant provides a promising treatment option for pediatric ectrodactyly. The method ensures functional restoration, cosmetic improvement, and durable correction in growing children.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"71 ","pages":"Article 103243"},"PeriodicalIF":0.0000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Orthopaedics and Trauma","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0976566225003418","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/21 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

Ectrodactyly, or split foot malformation, is a rare congenital limb anomaly characterized by absence or hypoplasia of central digits, leading to functional limitations and cosmetic concerns. Surgical management aims to restore alignment, improve stability, and allow regular footwear usage. This report presents a novel approach using syndactylisation with internal bracing in a pediatric case.

Case presentation

A 7-year-old girl with non-syndromic ectrodactyly of the right foot presented with difficulty in ambulation and footwear use. Clinical and radiographic assessment revealed a wide central cleft, absent second and third toes, and divergent first and fourth metatarsals. Surgical treatment included excision of the malformed third metatarsal, syndactylisation of the first and fourth rays, and internal bracing using the ButtonFix-F suture-button system.

Conclusion

Syndactylisation reinforced with the ButtonFix-F implant provides a promising treatment option for pediatric ectrodactyly. The method ensures functional restoration, cosmetic improvement, and durable correction in growing children.

查看原文本刊更多论文

使用缝合线-钮扣结构的内支具治疗严重裂足（指外畸形）：3年随访病例报告

趾外畸形，或称裂足畸形，是一种罕见的先天性肢体畸形，其特征是中央指缺失或发育不全，导致功能限制和美容问题。手术处理的目的是恢复对齐，提高稳定性，并允许正常的鞋类使用。本报告提出了一种新颖的方法，在儿童病例中使用内支架并指化。病例介绍：1例7岁女童，右脚无综合征性外指畸形，行走和穿鞋困难。临床和x线检查显示中心裂宽，第二和第三趾缺失，第一和第四跖骨分叉。手术治疗包括切除畸形的第三跖骨，将第一和第四线并指，并使用ButtonFix-F缝合-按钮系统进行内部支撑。结论ButtonFix-F种植体强化并指术是治疗小儿指外畸形的一种有效方法。该方法确保功能恢复，美容改善，持久的矫正成长中的儿童。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.