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Objective To investigate the surgical treatment of congential children megalodactylia.Method Retrospective analysis of 14 cases of children megalodactylia were done.Several surgeries were summarized including epiphyseal arrest and resection,partial amputation.Result 14 fingers and 6 toes of 9 cases were operated by using epiphyseal arrest and resection and soft tissue excision.6 fingers and 10 toes of 5 cases were carried out by using partial amputation and soft tissue excision.The results of 10 digits developed secondary cauaslgia after 2 years.Conclusion Epiphyseal arrest would be a favorable choice for the congenital children megalodactylia.