Centre for Neuromuscular Diseases, Department of Neuromuscular Diseases, UCL Queen Square Institute of Neurology, London, UK
Foot & Ankle Unit, Royal National Orthopaedic Hospital Stanmore Site, Stanmore, UK.
Pract Neurol. 2024 Jul 16;24(4):275-284. doi: 10.1136/pn-2023-003825.
People with Charcot-Marie-Tooth (CMT) disease often undergo foot and ankle surgery, as foot deformities are common and cause a degree of functional limitations impairing quality of life. Surgical approaches are variable and there are no evidence-based guidelines. A multidisciplinary approach involving neurology, physical therapy and orthopaedic surgery is ideal to provide guidance on when to refer for surgical opinion and when to intervene. This review outlines the range of foot deformities associated with CMT, their clinical assessment, and their conservative and surgical and postoperative management.
患有遗传性运动感觉神经病(CMT)的人经常需要进行足部和踝关节手术,因为足部畸形很常见,会导致一定程度的功能受限,从而影响生活质量。手术方法多种多样,目前尚无基于证据的指南。多学科方法涉及神经科、物理治疗和矫形外科,是为提供何时转诊手术意见以及何时进行干预的指导的理想方法。本综述概述了与 CMT 相关的一系列足部畸形、其临床评估以及保守和手术治疗及术后管理。