Joint sparing correction of cavovarus feet in Charcot-Marie-Tooth disease: what are the limits?
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Published on: January 24, 2018
1Department of Trauma and Orthopaedics, Royal United Hospital Bath NHS Trust, Combe Park, Bath, BA1 3NG, UK.
Abstract:
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.
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