Charcot-Marie-Tooth (CMT) diseasearthrodesiscavovarus deformitycavus footjoint-sparing surgeryosteotomiesplantigrade footsoft-tissue releasestendon transfersweight-bearing radiographs
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Abstract (AI)
Abstract Cavovarus deformity can be classified by the severity of malalignment ranging from a subtle and flexible to a severe and fixed cavovarus deformity of the foot. In the mild cavovarus foot, careful clinical assessment is required to identify the deformity. Weight-bearing radiographs are necessary to indicate the apex of the deformity and quantify the correction required. Surgery is performed when conservative measures fail and various surgical procedures have been described, including a combination of soft-tissue releases, tendon transfers and osteotomies, all with the aim of achieving a plantigrade and balanced foot. Joint-sparing surgery is the best option in flexible cavovarus foot even in Charcot-Marie-Tooth (CMT) disease (peroneal muscular atrophy). Arthrodesis is indicated in severe rigid cavus foot or in degenerative cases. Cite this article: EFORT Open Rev 2017;2. DOI: 10.1302/2058-5241.2.160077. Originally published online at www.efortopenreviews.org
Key Findings
1
Arthrodesis is indicated for severe rigid cavus feet or cases with degenerative changes.
2
Careful clinical assessment and weight-bearing radiographs are necessary to identify mild cavovarus and locate the deformity apex and quantify correction.
3
Cavovarus deformity ranges from subtle flexible to severe fixed malalignment, requiring classification by severity.
4
Joint-sparing surgery is preferred for flexible cavovarus feet, including in Charcot–Marie–Tooth (CMT) disease.
5
Surgery, including soft-tissue releases, tendon transfers, and osteotomies, is indicated when conservative measures fail to achieve a plantigrade, balanced foot.
Research Object
Adult cavus foot (cavovarus deformity of the foot)
Research Subject
Clinical classification, assessment (including weight-bearing radiographs), and surgical management options (soft-tissue releases, tendon transfers, osteotomies, joint-sparing surgery, arthrodesis) to achieve a plantigrade, balanced foot across flexible to rigid/severe deformities
Publication Details
Publication Date
2017-05-01
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