Journal of Aesthetic & Reconstructive Surgery

Study of Macrodactyly in the Plastic and Reconstructive Surgery Department of Aristide Le Dantec Hospital in Dakar: About 22 Cases

Background: Macrodactyly is a congenital enlargement of the digital volume involving both the soft parts and the skeleton. The therapeutic prognosis, despite conservative treatment, is disappointing, sometimes leading to the choice of a radical procedure such as amputation. The aim of our study was to evaluate the epidemiological, clinical and therapeutic aspects of macrodactyly in our department.

Patients and Methods: We collected the records of 22 patients with macrodactyly, received between 2007 and 2022 in the department of plastic, reconstructive and aesthetic surgery of the National university hospital Aristide Le Dantec in Dakar. The parameters studied were age, sex, location of the disease, number of fingers or toes affected, and surgical management.

Results: The mean age of the patients at the first consultation was 6.9 years. The sex ratio was 1. The mean time to consultation was 78 months. The average number of affected fingers or toes was 1.53. We found as many macrodactylies on the right as on the left. Toes were more frequently affected than fingers with 71.8% of macrodactyly. In terms of treatment, 63.6% of the patients seen in consultation were treated. A reduction plasty alone was performed in 18.2% of patients, a plasty associated with an epiphysiodesis in 18.2% of patients and an amputation in 22.7% of patients. Post-operative care was simple in all patients. With an average follow-up of 12 months, a majority of patients were satisfied with a good recovery of the functionality of the affected limb.

Conclusion: Macrodactyly is one of the most difficult congenital limb defects to manage. The complex treatment and uncertain results often force the practitioner to opt for radical treatment.

Author(s): Ndiaye Ai1,2*, Foba ML1,2, Ndiaye MS2, Ndiaye L1,2, Sankale AA1,2

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