Long-term walking ability and patient satisfaction after lower limb functional surgery in patients affected by Charcot-Marie-Tooth disease: A retrospective study
| Autor: | Francesco Ferraro, Irene Carantini, Luca Gaiani, Paolo Zerbinati, Donatella Esposito, Andrea Merlo |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Adolescent Arthrodesis medicine.medical_treatment Walking 03 medical and health sciences Tooth disease Young Adult 0302 clinical medicine Patient satisfaction Charcot-Marie-Tooth Disease Internal medicine Outcome Assessment Health Care Medicine Humans In patient Orthopedic Procedures Aged Retrospective Studies business.industry Foot Deformities Acquired General Neuroscience Retrospective cohort study Middle Aged Gait Lower Extremity Patient Satisfaction 030220 oncology & carcinogenesis Functional surgery Female Neurology (clinical) business 030217 neurology & neurosurgery Foot (unit) |
| Zdroj: | Journal of the peripheral nervous system : JPNSREFERENCES. 25(3) |
| ISSN: | 1529-8027 |
| Popis: | Structural foot deformities consequent to Charcot Marie Tooth (CMT) can be treated by functional surgery (FS). This study aims to evaluate both long-term walking ability and patients' satisfaction in CMT subjects who underwent FS during their lifetime. We conducted a retrospective observational study. Age, sex, CMT type, comprehensive surgical history, current walking ability assessed by the Walking Handicap Scale (WHS) and patients' global impression of change (pGIC) were retrieved from a custom database managed at our institution. WHS and pGIC were assessed between mid-2018 and mid-2019. Data from 79 patients were screened and 63 were included, 35W-28M, mean age 42 (15), with demyelinating (75%), axonal (20%), and other types (5%) of CMT, who underwent FS between 1967 and 2018. FS evolved significantly over the years from bone-related procedures (e.g., arthrodesis) to both bone and soft tissues-related procedures. The re-intervention rate decreased from 70% before 2000 to 32% in the last decade. Complications arose in five cases. FS was mainly performed on adults (73%). WHS was ≥ 5 in three-quarters of the sample (range 1-6) and was significantly affected by age groups in patients with demyelinating CMT (n=47, p |
| Databáze: | OpenAIRE |
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