What is the treatement for the absence of phalanges?

Q: What is the treatment for congenital absence of phalanges in the fingers of the left hand of a 6+ year old boy. The boy is in class two and otherwise ok in almost all respects.

A:Many options are available e.g. toe transfer, distraction lengthening. I need further details about the absent phalanges and need to see his X-ray before advising further treatment.