Dear Friends
Kindly suggest what can be done
5 yr old boy
Local gigantism L big toe and now increasing size- Understandably difficulty in getting & wearing shoes. Investigated by cardio thoracic dept for AV malformation found none and referred to us
What can be done? Being great toe the only option I can think of epiphysiodesis of I metatarsal and phalanges of big toe[ I don’t know if its going to be really effective]
Attaching x-rays and clin pics
Regards
DR C CHERIYAN KOVOOR
KOCHI
INDIA