FOOT & ANKLEThe use of the Tsuge procedure for pedal macrodactyly relevance in pediatric orthopedicsMorrell, Nathan T.; Fitzpatrick, Jennifer; Szalay, Elizabeth A. Author Information Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, New Mexico, USA Correspondence to Nathan T. Morrell, MD, MSC10 5600, 1 University of New Mexico, Albuquerque, NM 87131-0001, USA Tel: +1 505 272 4107; fax: +1 505 272 8098; e-mail: [email protected] Journal of Pediatric Orthopaedics B: May 2014 - Volume 23 - Issue 3 - p 260-265 doi: 10.1097/BPB.0000000000000046 Buy Metrics Abstract Pedal macrodactyly is a rare clinical entity that poses a challenge to practicing pediatric orthopedic surgeons. Many treatment options have been proposed. In 1967, Kenya Tsuge proposed a method to decrease the length, width, and circumference of a macrodactylous digit, while maintaining the cosmetic benefit of keeping the nail. We retrospectively reviewed our experience with using this technique in four children (six toes) over a 4-year period. The surgery is described and our results reviewed. We believe that the Tsuge procedure is a technically feasible, effective, single-stage reconstructive technique for pedal macrodactyly that pediatric orthopedic surgeons should have in their armamentarium. © 2014 by Lippincott Williams & Wilkins, Inc.