The German physician Friedrich Schulz, already described in 1884 the cases of children with Charcot-Marie-Tooth and misalignment of the legs and flat feet. They are patients with type 1 of the disease, which manifests itself mainly before and at the onset of puberty. They begin with shortening of the calf muscles and then the body weight, helps the foot to become flat valgus and equine. If we add to this the weakness of the leg muscles and misalignment. The result is an important inability to walk and move.
Thus conservative treatments can be applied initially with orthoses or modified shoes, but the deformity is reproduced so in the case of and misalignment of the legs and flat feet, it is necessary to operate them and to correct their deformities. In this way we manage to improve gait stability and prevent the deformity from progressing with growth and increase in body weight.
How have we operated?
What we have done with this boy, has been to correct in a single surgery the two tibias in varus and external rotation and the two flat flat feet. For the tibias we had to cut to two levels, one close to the knee to correct the varus and another above the ankle to correct the excess external rotation. We then lengthen the calf muscles, correct valgus flat foot by artroerresis with a screw, and transfer tendons to the dorsum of the foot and other minor procedures.
The most important thing is that now, 5 months after the operation, our patient has substantially improved the way he walks. His legs are aligned and the feet already have a normal plantar arch. He has started his training with a personal trainer, to maximize his muscles and improve his physical condition. In addition to performing swimming and stationary cycling on a daily basis.
Thus, the modern Neuro-Orthopedics, applies what we call retro innovation, which is to use good procedures of the past, to combine them with the current ones. In this way we stumble on the invention of new techniques based on the experience of operating many patients with Charcot-Marie-Tooth, in addition to being helped by the current technology.
Once patients with Charcot-Marie-Tooth have been operated on, they stop using Dafos¡Tweet it!
There are many teenagers and children with Charcot-Marie-Tooth and poor alignment of the legs and flat feet, who can benefit from these techniques. To prevent their deformities from progressing and further deteriorating their quality of life. For this the doctors who work in the IICOP of Madrid work intensely with our patients.