Meary 闭合楔形跟骨截骨术治疗青少年 Charcot-Marie-Tooth 病固定性 cavo-varus 足的随访研究长期结果。
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.
机构信息
Pediatric Orthopedic Department, Robert Debré University Hospital, Assistance Publique - Hôpitaux de Paris, 48 Bd Sérurier, 75019 Paris, France.
Pediatric Orthopedic Department, Saint Vincent de Paul Hospital, Assistance Publique - Hôpitaux de Paris, Paris Descartes University, 74 Avenue Denfert-Rochereau, 75015 Paris, France.
出版信息
Foot Ankle Surg. 2019 Dec;25(6):834-841. doi: 10.1016/j.fas.2018.11.005. Epub 2018 Nov 15.
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
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
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
This complete revisited procedure is an efficient and safe surgical technique for the treatment of the CMT disease CVF.
LEVEL OF EVIDENCE
Level IV.
背景
已经提出了各种技术来治疗 Cavovarus 足（CVF）。本研究的目的是报告对 Charcot-Marie-Tooth（CMT）疾病引起的固定 CVF 进行改良 Meary 背侧闭合楔形跟骨切除术的结果。
方法
纳入了 1977 年至 2011 年间进行的所有 CVF 手术。该跟骨切除术的设计从其原始描述进行了修改，并系统地与足底筋膜松解、Dwyer 截骨术和第一跖骨近端延伸截骨术相结合，如果需要的话。通过 2 个功能评分和影像学评估来评估结果。
结果
在 26 只脚（20 名患者）中，Wicart 和 Seringe 评分分别在 58%、23%和 19%的脚部中为非常好或好、一般和差。后足和中足 AOFAS 分别为 95.5 和 75。所有影像学测量均显著改善。
结论
这种全面的改良手术是治疗 CMT 疾病 CVF 的有效且安全的手术技术。
证据水平
IV 级。
Zotero 插件