Digital shortening for macrodactyly (Barsky). A, L-shaped midlateral and dorsal incisions allow removal of excess dorsal tissue, distal half of middle phalanx, and proximal portion of distal phalanx (shaded area). B, Bone ends are prepared for pencil-cone reduction. C, Distal phalanx is reduced on middle phalanx and secured with Kirschner wire. SEE TECHNIQUE 80.60.