MANAGING ORTHOPAEDIC COMPLICATIONS IN CHARCOT MARIE TOOTH DISEASE. Issue 12 (15th November 2016)

• Record Type: Journal Article
• Authors: Laura, Matilde; Ramdharry, Gita; Singh, Dishan; Skorupinska, Mariola; Reilly, Mary
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 87:Issue 12(2016)
• Page Start: e1
• Page End: e1
• Publication Date: 2016-11-15
• Subjects: Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp-2016-315106.180
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : Charcot-Marie-Tooth (CMT) disease is the most common inherited peripheral neuropathy. Foot deformities are frequent complications and orthopaedic surgery is often required. However there are no evidence based guidelines on the type or timing of the surgery. Evidence regarding optimal surgical management of these patients is lacking. Aims: To prospectively study surgical management of CMT patients. Methods: Collection of data and assessment of patients before and after surgery. Data included: history of ankle instability, pain, skin condition, details of physiotherapy and orthotic management, assessment of lower limb strength, Charcot-Marie-Tooth examination score (CMTES), foot posture index, ankle dorsiflexion range of movement, questionnaires (foot index and Manchester-Oxford foot questionnaire, modified fatigue severity scale and modified falls efficacy scale), details of surgical procedures. Results: 16 patients were evaluated prior to surgery, 1 patient was assessed after 1 year, 4 patients after 2 years and 3 patients after 3 years from surgery. A wide range of surgical procedures were performed by one dedicated orthopaedic surgeon. Preliminary results showed improvement of foot alignment and pain after surgery. Analysis of prospective assessments is still ongoing. Conclusions: The results of the study will help developing orthopaedic intervention guidelines and inform questions for further research.