轴后多趾合并第4、5趾并趾是一种常见的先天畸形,应切除哪一趾或通过外科方法治疗,作者提出了一种新方法,这个方法包括切除最外侧发育不良的第6趾骨及趾甲组织,同时保留发育较好的第5趾和形成第4趾蹼。病人和方法 应用这一方法治疗7例,男5例7只足,女2例3只足,平均年龄2.8岁,平均随访10个月,所有病人均为轴后多趾并第4、5趾并趾,第6趾较第5趾短且外翻倾斜,X片显示2个趾骨,病人均无家族史及相关先天畸形。 在并趾趾蹼背侧切取三角皮瓣a,第一切口自第4跖骨头外侧端至第4趾近侧趾间关节中央,长度与趾间皱襞一致,第 Posterior multi-toothed combined fourth and fifth toe toes is a common congenital malformation, which toe should be excised or surgically treated with, and the authors propose a new approach that includes resection of the most developed dysplastic sixth Phalanges and toenails, while retaining the well-developed fifth toe and forming the fourth toe web. The patients and methods were treated with this method in 7 cases, 5 males and 7 females, 2 females and 3 females, mean age 2.8 years, with an average follow-up of 10 months. All patients were axial multi-toe and 4,5th toe And toe, the sixth toe shorter than the 5th toe and valgus tilt, X showed two phalanges, the patient had no family history and related congenital malformations. In the dorsal toe webbed dorsal triangular flap a, the first incision from the fourth metatarsal head lateral to the fourth toe proximal interphalangeal joint, the length of the interdental fold, consistent with the first