Charcot-Marie-Tooth Disease: A Surgical Algorithm

Glenn B Pfeffer; Max P Michalski

doi:10.1016/j.fcl.2023.05.005

Charcot-Marie-Tooth Disease: A Surgical Algorithm

Foot Ankle Clin. 2023 Dec;28(4):857-871. doi: 10.1016/j.fcl.2023.05.005. Epub 2023 Jun 26.

Authors

Glenn B Pfeffer¹, Max P Michalski²

Affiliations

¹ Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, 444 South San Vicente Boulevard, Suite 603, Los Angeles, CA 90048, USA. Electronic address: Glenn.Pfeffer@cshs.org.
² Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, 444 South San Vicente Boulevard, Suite 603, Los Angeles, CA 90048, USA.

PMID: 37863540
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.

Keywords: Cavovarus; Charcot-Marie-Tooth; Osteotomies; Soft tissue release; Tendon transfer.

Publication types

Review

MeSH terms

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