Abstract

PARRA-TELLEZ, P; HERNANDEZ-GONZALEZ, JL; LOPEZ-GAVITO, E  and  VAZQUEZ-ESCAMILLA, J. Surgical management of anterior cavus foot in Charcot-Marie-Tooth patients. Five-year follow-up. Acta ortop. mex [online]. 2015, vol.29, n.2, pp.97-102. ISSN 2306-4102.

Hereditary sensorimotor neuropathy involves foot deformities such as varus and cavus foot and claw toes. Several surgical techniques have been described to treat Charcot-Marie-Tooth disease. Objective: To assess the clinical and functional result of "V" basal osteotomy of the central metatarsals with elevation of the first metatarsal, dorsal osteotomy plus closing osteotomy, and elevation of the fifth metatarsal in Charcot-Marie-Tooth patients during a five-year period. Material and methods: Prospective, randomized, longitudinal, observational and descriptive study conducted during a five-year period. Twenty-four patients met the inclusion criteria: 16 males and 8 females. Seven underwent the surgical procedure in the right foot, seven in the left, and 10 in both feet, for a total of 34 feet treated. Results: The Pearson correlation coefficient was -0.1 and T = 1.71. A statistically significant difference was seen between the variables, which meant that, in the six-month follow-up, surgical treatment had representative benefits. Conclusions: The study found a statistically significant value for function, pain and alignment in patients who underwent surgical treatment, compared with their status prior to surgery. It is therefore recommended to continue using this technique in all patients presenting with anterior cavus foot.

Keywords : anterior cavus foot; Charcot-Marie-Tooth; clinical results; surgical treatment.