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We report the results of the treatment of 23 patients with macrodactyly.Eighteen had a two-stage bulk-reducing (defatting) procedure; phalangectomy was used to shorten the digits.

At a mean follow-up of nine years (2 to 12), two patients had been lost to follow-up, and three await a second-stage procedure. Good cosmetic correction was achieved in 12 patients, with satisfactory results in seven; two patients had poor results and required amputation.

J Bone Joint Surg [Br] 1998;80-B:651-3.

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