Long term results of the revisited Meary closing wedge tarsectomy for the treatment of the fixed cavo-varus foot in adolescent with Charcot-Marie-Tooth disease.
Adolescent
Charcot-Marie-Tooth foot
Fixed cavovarus
Salvage procedure
Tarsectomy
Journal
Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
26
01
2018
revised:
28
10
2018
accepted:
05
11
2018
pubmed:
30
11
2018
medline:
12
3
2020
entrez:
29
11
2018
Statut:
ppublish
Résumé
Various techniques have been proposed for the treatment of cavovarus feet (CVF). The aim of this study was to report outcomes of the revisited Meary's dorsal closing wedge tarsectomy for fixed CVF secondary to Charcot-Marie-Tooth (CMT) disease. All CVF operated on between 1977 and 2011 were included. The tarsectomy design was modified from its original description and systemically combined with a plantar fascia release, a Dwyer osteotomy and a proximal extension osteotomy of the 1st metatarsal bone if required. Outcomes were assessed by 2 functional scores and radiographically. Among the 26 feet (20 patients), the Wicart and Seringe score was very good or good, fair and poor in respectively 58%, 23% and 19% of the feet. Hindfoot and midfoot AOFASs were of 95.5 and 75 respectively. All radiographic measures were significantly improved. This complete revisited procedure is an efficient and safe surgical technique for the treatment of the CMT disease CVF. Level IV.
Sections du résumé
BACKGROUND
BACKGROUND
Various techniques have been proposed for the treatment of cavovarus feet (CVF). The aim of this study was to report outcomes of the revisited Meary's dorsal closing wedge tarsectomy for fixed CVF secondary to Charcot-Marie-Tooth (CMT) disease.
METHODS
METHODS
All CVF operated on between 1977 and 2011 were included. The tarsectomy design was modified from its original description and systemically combined with a plantar fascia release, a Dwyer osteotomy and a proximal extension osteotomy of the 1st metatarsal bone if required. Outcomes were assessed by 2 functional scores and radiographically.
RESULTS
RESULTS
Among the 26 feet (20 patients), the Wicart and Seringe score was very good or good, fair and poor in respectively 58%, 23% and 19% of the feet. Hindfoot and midfoot AOFASs were of 95.5 and 75 respectively. All radiographic measures were significantly improved.
CONCLUSIONS
CONCLUSIONS
This complete revisited procedure is an efficient and safe surgical technique for the treatment of the CMT disease CVF.
LEVEL OF EVIDENCE
METHODS
Level IV.
Identifiants
pubmed: 30482439
pii: S1268-7731(18)30487-9
doi: 10.1016/j.fas.2018.11.005
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
834-841Informations de copyright
Copyright © 2018 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.