POLYMETATARSIA FOOT - A COMPILATION AND THE SOLUTION TO THE MYSTERY, AS TO WHEN AND WHEN NOT TO; SURGICALLY INTERVENE.

Abstract

Post-axial polydactyly is an unusual, congenitally inherited deformity. We present some rare IV metatarsal variants of supernumerary osseous toe digit, in which, the additional osseous element from the IVth bony metatarsal, also articulates with the lateral most ray's proximal phalanx. We deliberate about the operative management, of these types of deformities using an osseous transfer from the additional osseous metatarsal, to within the midfoot, so as to reconstruct a near normal metatarsal anatomical structure. There are only a few reported cases of the IVth Osseous metatarsal variant, of supernumerary metatarsal variant, surgically intervened by osseous transfer, of the extra osseous metatarsal, secured by ORIF to replicate a near normal MTP articulation. The usual positional alignment of the MTP joint, and its cosmesis are signicant determinants, while choosing the bone to be excised, in these rare instances, of lateral ray foot polymetatarsia, without poly-dactyly