Surgical Treatment of Foot Deformity in Charcot Marie Tooth Syndrome

Document Type : Original Article

Authors

1 M.B.B.CH; Faculty of Medicine, Sirt University, Libya

2 Department of Orthopedic, Surgery, Faculty of Medicine, Zagazig University, Egypt

Abstract

Background: Foot deformities were regularly seen in patients with Charcot Marie tooth disease (CMT), also, orthopedic surgery frequently needed. Right now there was no proof based on guideline for surgery treatment and a small researches studied the long-term effects of surgery intervention. This study aimed to assess the early functional and anatomical results of surgical treatment of foot deformities in Charcot Marie Tooth syndrome patients. Patients and Methods: A prospective study was carried at the Orthopedic Surgery Department, Faculty of Medicine, Zagazig University on 18 cases with Charcot Marie tooth disease (CMT) in the period from January 2022 to January 2023 to evaluate surgery treatment for Charcot-Marie-Tooth syndrome's foot deformity. Results: There is highly statistical significant decrease (improvement) in the Meary's angle, the AP Talocalcaneal angle (Kite's angle), the lateral talocalcaneal angle, the calcaneal pitch angle, the AP talo first metatarsal angle. 38.9% of patients had a good outcome, 22.2% had excellent outcome, 27.8% had a fair outcome while only 11.1% had a poor outcome. Conclusion: Surgical foot deformities management in a CMT patients has a significant reduction of pain, alignment of foot and patients satisfaction.

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