Surgical treatment of cavus foot in Charcot-Marie-tooth disease: a review of twenty-four cases: AAOS exhibit selection

The Journal of Bone and Joint Surgery. American Volume
Cesare FaldiniSandro Giannini

Abstract

Charcot-Marie-Tooth disease is the single most common diagnosis associated with cavus foot. The imbalance involving intrinsic and extrinsic muscles has been suggested as the main pathogenetic cause of cavus foot in this disease. The goal of surgical treatment is to correct the deformity to obtain a plantigrade foot. In the presence of a flexible deformity and the absence of degenerative arthritis, preserving as much as possible of the overall range of motion of the foot and ankle is advisable. Twenty-four cavus feet in twelve patients with Charcot-Marie-Tooth disease were included in the study. Clinical evaluation was summarized with the Maryland Foot Score. Radiographic evaluation assessed calcaneal pitch, Meary angle, Hibb angle, and absence of degenerative joint changes. Only patients who had a flexible deformity, with varus of the heel reducible in the Coleman-Andreasi test, and did not have degenerative joint arthritis were included in this study. Surgical treatment consisted in plantar fasciotomy, midtarsal osteotomy, extensor hallucis longus tendon transfer to the first metatarsal (Jones procedure), and dorsiflexion osteotomy of the first metatarsal. Mean follow-up was six years (range, two to thirteen years). The mean M...Continue Reading

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Citations

May 1, 2007·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Amol Saxena, Aidan Nguyen
Jun 10, 2016·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Umur AydoganGregory S Lewis
Oct 3, 2017·Continuum : Lifelong Learning in Neurology·Sindhu Ramchandren
Feb 9, 2018·Operative Orthopädie und Traumatologie·J W K Louwerens
Jun 21, 2017·EFORT Open Reviews·Carlos MaynouAlexis Thiounn
Jul 17, 2018·Foot & Ankle International·Tonya W AnGlenn Pfeffer
Oct 5, 2018·Foot & Ankle International·Jonathan R M KaplanJohn T Campbell
Jun 2, 2020·Foot & Ankle International·Glenn B PfefferNaudereh Noori
Apr 29, 2021·Revista española de cirugía ortopédica y traumatología·P Jordà-GómezV Vicent-Carsí
Mar 3, 2021·Journal of the Peripheral Nervous System : JPNS·Gita RamdharryMatilde Laurá
Aug 23, 2021·Revista española de cirugía ortopédica y traumatología·P Jordà-GómezV Vicent-Carsí

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