Joint sparing correction of cavovarus feet in Charcot-Marie-Tooth disease: what are the limits?
Charcot-Marie-Tooth disease is an inherited neuropathy that results in lower limb muscle imbalance and a resultant cavovarus deformity of the foot. With recognized poor outcomes of triple arthrodeses in the young patient, joint sparing surgery is preferred, which takes the form of osteotomies, soft-tissue releases, and tendon transfers to achieve a plantigrade and balanced foot. Due to the variability in muscle involvement and the presence of both mobile and fixed deformities, surgery must be individualized to each patient.
Department of Trauma and Orthopaedics, Royal United Hospital Bath NHS Trust, Combe Park, Bath, BA1 3NG, UK. Electronic address: tristan_barton@hotmail.com.
Tristan
T
Barton
Ian
I
Winson
D002607:Charcot-Marie-Tooth Disease / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D005531:Foot Deformities, Acquired / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans
Arthrodesis; Cavovarus; Charcot-Marie-Tooth; Osteotomy; Tendon transfers