关键词: Cavovarus Charcot-Marie-Tooth Osteotomies Soft tissue release Tendon transfer

Mesh : Humans Foot Deformities, Acquired / surgery Charcot-Marie-Tooth Disease / diagnosis surgery Tendon Transfer / methods

来  源:   DOI:10.1016/j.fcl.2023.05.005

Abstract:
In Charcot-Marie-Tooth (CMT) cavovarus surgery, a regimented approach is critical to create a plantigrade foot, restore hindfoot stability, and generate active ankle dorsiflexion. The preoperative motor examination is fundamental to the algorithm, as it is not only guides the initial surgical planning but is key in the decision making that occurs throughout the operation. Surgeons need to be comfortable with multiple techniques to achieve each surgical goal. There is no one operation that works for all patients with CMT. A plantigrade foot is the most important of the surgical goals as hindfoot stability and ankle dorsiflexion can be augmented with bracing.
摘要:
在Charcot-Marie-Tooth(CMT)cavovarus手术中,有条理的方法对于创造一个平坦的脚至关重要,恢复后脚的稳定性,并产生积极的踝关节背屈。术前运动检查是算法的基础,因为它不仅指导最初的手术计划,而且是整个手术决策的关键。外科医生需要熟悉多种技术以实现每个手术目标。没有一种手术适用于所有CMT患者。由于后足的稳定性和踝关节背屈可以通过支撑来增强,因此,足足是最重要的手术目标。
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