Fig. 7.

a A 2-year-old female with foot preaxial polydactyly. She underwent excision of bilateral preaxial polydactyly and reconstruction of the great toe at nineteen months. b At age two the patient is noted to have a bracket of the proximal phalanx with early ossification. The patient then underwent excision of the hallux bracket epiphysis. c Intra-operative fluoroscopy demonstrating placement of two needles at edges of bracket. d Following excision of the bracket, a Kirschner wire was placed which transversely through the proximal phalanx. e PMMA was then placed around the Kirschner wire