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Prevalence and orthopedic management of foot and ankle deformities in Charcot–Marie–Tooth disease
Author(s) -
Laurá Matilde,
Singh Dishan,
Ramdharry Gita,
Morrow Jasper,
Skorupinska Mariola,
Pareyson Davide,
Burns Joshua,
Lewis Richard A.,
Scherer Steven S.,
Herrmann David N.,
Cullen Nicholas,
Bradish Christopher,
Gaiani Luca,
Martinelli Nicolò,
Gibbons Paul,
Pfeffer Glenn,
Phisitkul Phinit,
Wapner Keith,
Sanders James,
Flemister Sam,
Shy Michael E.,
Reilly Mary M.
Publication year - 2018
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.25724
Subject(s) - orthopedic surgery , medicine , foot (prosody) , ankle , tooth disease , foot and ankle surgery , surgery , orthopedic procedures , physical therapy , disease , linguistics , philosophy
Foot deformities are frequent complications in Charcot–Marie–Tooth disease (CMT) patients, often requiring orthopedic surgery. However, there are no prospective, randomized studies on surgical management, and there is variation in the approaches among centers both within and between countries. Methods: In this study we assessed the frequency of foot deformities and surgery among patients recruited into the Inherited Neuropathies Consortium (INC). We also designed a survey addressed to orthopedic surgeons at INC centers to determine whether surgical approaches to orthopedic complications in CMT are variable. Results: Foot deformities were reported in 71% of CMT patients; 30% of the patients had surgery. Survey questions were answered by 16 surgeons working in different specialized centers. Most of the respondents were foot and ankle surgeons. There was marked variation in surgical management. Discussion: Our findings confirm that the approaches to orthopedic management of CMT are varied. We identify areas that require further research. Muscle Nerve 57 : 255–259, 2018