At this point, if he has good function, I probably would not recommend surgical debulking or finger amputation. Although you could potentially fuse his right thumb in a more flexed/functional position, there would be risks with such surgery. Macrodactyly is a very difficult condition to treat, and we generally manage it without surgery if it does not compromise the patient's function. Surgery can certainly help in select cases, but typically cannot create a normal digit that matches the others.
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