ABSTRACT
INTRODUCTION@#Polydactyly of the foot is not uncommon, with the preaxial type or hallux duplication comprising 15% of cases.2 Metatarsal type preaxial polydactyly (MTPP) accounts for an estimated third of all reported preaxial polydactyly cases. Traditional surgical procedures for this condition frequently have drawbacks that include varying degrees of hallux varus and a bigger forefoot.1 Due to these disadvantages, developed a simple and effective technique for the reconstruction of MTPP.@*CASE REPORT@#Amalgamating osteotomy procedures were done for bilateral MTPP in an 18-month old girl who had been experiencing shoe ware difficulty. An excellent and pain-free functional outcome was achieved with good cosmetic appearance and an improved ability to wear various kinds of footwear.@*CONCLUSION@#Amalgamating osteotomy could be the procedure of choice for the reconstruction of metatarsal type preaxial polydactyly. Case series and long-term follow-ups should be done to compare outcomes with other surgical techniques.