Prevalence and orthopedic management of foot and ankle deformities in Charcot-Marie-Tooth disease.

Abstract

INTRODUCTION:

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.

• Authors: Matilde Laurá, Dishan Singh, Gita Ramdharry, Jasper Morrow, Mariola Skorupinska, Davide Pareyson, Joshua Burns, Richard A Lewis, Steven S Scherer, David N Herrmann, Nicholas Cullen, Christopher Bradish, Luca Gaiani, Nicolò Martinelli, Paul Gibbons, Glenn Pfeffer, Phinit Phisitkul, Keith Wapner, James Sanders, Sam Flemister, Michael E Shy, Mary M Reilly, Inherited Neuropathies Consortium
• Journal: Muscle & nerve (Muscle Nerve) Vol. 57 Issue 2 Pg. 255-259 (02 2018) ISSN: 1097-4598 [Electronic] United States
• PMID: 28632967 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
• Copyright: © 2017 The Authors Muscle & Nerve Published by Wiley Periodicals, Inc.

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Ankle (abnormalities, surgery)
• Attitude of Health Personnel
• Charcot-Marie-Tooth Disease (epidemiology, surgery, therapy)
• Child
• Child, Preschool
• Female
• Foot Deformities, Congenital (etiology, surgery, therapy)
• Humans
• Infant
• Male
• Middle Aged
• Orthopedic Procedures (methods)
• Prevalence
• Surgeons
• Surveys and Questionnaires
• Young Adult