Epiphyseal bracket. A, Foot with preaxial polydactyly had reconstruction. B, Several months later an epiphyseal bracket of the proximal phalanx was noted with early ossification. C, The patient had excision of the hallux bracket. Intraoperative imaging demonstrating two needles at edges of bracket. D, Kirschner wire placed transversely through proximal phalanx. E, Polymethyl methacrylate cement was placed around wire.