Medhat M A, Krantz H
Department of Rehabilitation Medicine, Kansas University Medical Center, Kansas City.
Orthop Rev. 1988 Sep;17(9):873-80.
Charcot-Marie-Tooth disease results in pes cavus or equinocavovarus deformity. An accepted surgical correction is triple arthrodesis of the foot. In a retrospective study of 45 Charcot-Marie-Tooth patients, two cases developed neuropathic ankle joint after triple arthrodesis. This procedure prevents mobility of the tarsal joint and consequently increases stress on the ankle joint. If coupled with decreased joint sensation, it may predispose the ankle to neuroarthropathy. This paper emphasizes joint position sense as an important consideration before triple arthrodesis or any other surgical procedure.
夏科-马里-图思病会导致高弓足或马蹄内翻足畸形。一种公认的手术矫正方法是足部三关节融合术。在一项对45例夏科-马里-图思病患者的回顾性研究中，有2例患者在三关节融合术后出现了神经性踝关节病变。该手术会阻止跗关节活动，从而增加踝关节的压力。如果再加上关节感觉减退，可能会使踝关节易患神经关节病。本文强调关节位置觉是三关节融合术或任何其他外科手术前的一个重要考量因素。
