Treatment of cleft foot deformity using fish mouth incision and suture-button in paediatric foot : A case report

Abstract EN

Cleft foot is a congenital anomaly characterised by absence of the metatarsal bones and phalanges.

It is commonly seen in children with ectrodactyly-ectodermal dysplasia-clefting syndrome ranging from a median cleft up to the mid metatarsals to a deep cleft up to the tarsal bones.

Surgical treatment in the form of cleft closure, excision of the rudimentary metatarsal bone and cross K-wire fixation of metatarsal bones have been tried for the management of such cases.

We report a one-year-old child who presented to the paediatric orthopaedic clinic at a medical college in New Delhi, India, in 2018 with type III cleft foot with four metatarsals.

The patient was treated with a suture-button system using three transverse tunnels in the second and third metatarsal bones in order to bring them closer together.

A satisfactory outcome was achieved with normal fitting footwear.