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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia Del Piede 2005 March;29(1):25-34

language: Italian

The Civinini-Morton Syndrome: anatomical and pathological findings and clinical. Results in a 15-year series

Parino E., Sgrambiglia R., Pisani P. C.


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Aim. One hundred and sixty-five patients suffering from Civinini-Morton syndrome were operated on at the Prof. G. Pisani Foot Surgery centre from October 1987 to February 2003, for a total of 189 operations.
Methods. A retrospective review was carried out of all cases, with a mean follow-up of 6 years.
Results. Special attention was paid to analysing the clinical, anatomical and surgical features of the 2 forms, pseudoneuromatous and fibrotic, with the intention of offering a contribution to the identification of a possible aetiopathogenetic and clinical differential. The presence of shared clinical signs and symptoms in the 2 hypertrophic and atrophic forms might suggest the presence of the same pathogenetic agent as the cause of a degenerative process with different stages of evolution.
Conclusion. On the basis of the results obtained in the analysis of clinical cases, we can confirm the effectiveness of the transverse plantar route given the small number of relapses and complications observed. The plantar route also gives us the opportunity to explore the adjacent intermetatarsal spaces during the same operation without undermining the biomechanics and stability of the forefoot. This opportunity seems able to reduce the percentage of long-term re-operations. In total, 80% of patients expressed their satisfaction with the treatment received.

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