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A prospective study on surgical management of foot deformities in Charcot Marie tooth disease
Author(s) -
Ramdharry Gita,
Singh Dishan,
Gray Julia,
Kozyra Damian,
Skorupinska Mariola,
Reilly Mary M.,
Laurá Matilde
Publication year - 2021
Publication title -
journal of the peripheral nervous system
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1
H-Index - 67
eISSN - 1529-8027
pISSN - 1085-9489
DOI - 10.1111/jns.12437
Subject(s) - medicine , foot (prosody) , ankle , foot and ankle surgery , quality of life (healthcare) , physical therapy , guideline , surgery , deformity , orthopedic surgery , foot deformity , nursing , philosophy , linguistics , pathology
Abstract Foot deformities are frequently observed in patients with Charcot Marie tooth disease (CMT) and orthopaedic surgery is often required. Currently there is no evidence‐based guideline on surgical management and only a few studies which have evaluated long‐term outcomes of surgical procedures. The aim of the study was to evaluate longitudinally the effect of foot surgery in a cohort of CMT patients. Twenty‐five CMT adult patients were assessed using a comprehensive group of validated scales and questionnaires before and after surgery. A wide range of surgical procedures was performed by one team of dedicated foot ankle orthopaedic surgeons. Foot alignment as measured by the foot posture index, pain, quality of life and callosities significantly improved after one year and the improvement was maintained up to 4 years after surgery. There was a trend towards a reduction in the number of falls post‐operatively. Surgery had no effect on fatigue, balance and CMT examination score. Our findings showed significant improvement of pain, foot alignment, callosities and quality of life after surgery and suggested that foot deformity correction in adults with CMT performed in a specialised foot and ankle unit is beneficial.