Cirugía del pie neurológico: nuestra experiencia y resultados

Abstract

ObjectiveTo study the results of the treatment of foot deformities caused by neurological disease. Material and methodsWe conducted a retrospective review of patients undergoing a neurological foot, being diagnosed with some kind of neurologic disease with an average follow-up time of 18 months. We found 3 patients diagnosed with Charcot-Marie-Tooth disease, 3 patients with diabetic neuro-arthropathy, 2 men suffering from cerebral palsy; a male patient diagnosed with Wilson's disease; 2 sequels of previous surgery for deformities other three patients with secondary deformities acquired neurological diseases. As for the type of surgery performed, a triple ankle arthrodesis was performed in 5 patients; in 2 cases a lengthening of the Achilles tendon, techniques for soft tissues release were used in one of the patients; tarsal osteotomies were made in a patient and combined techniques were required in 5 more patients. ResultsOf the 14 patients who were operated we only recorded major complications in 2 of them, particularly the major amputation suffered by 2 patients. The remaining patients showed good clinical and radiological evolution and had no hassle. This allowed them to have better support and walking plantigrade. ConclusionsNeurological foot is currently underdiagnosed. In most cases surgery is needed for correcting foor deformity as conservative treatments are not very effective in the medium-to-long term.