This is what my patients usually ask me if 5 years later their cavus feet by Charcot-Marie-Tooth are still corrected. And the answer is always YES, it is not necessary to perform several operations over time, to obtain stable feet, well aligned and with balanced muscles. These are the advantages of modern Neuro-Orthopedics techniques, which we practice and innovate with new procedures.
Still like this young patient who came with both feet badly operated, with multiple scars. They were never functional after several operations done in a hospital in their city. As I have written before, the problem of success or failure is not to apply a surgical technique or another. If not follow a principles of reconstruction, since applying techniques without proper principles usually leads to failure.
As you can see in the video this young patient came with her older brother who was also affected and to walk they had to support each other. The equine cavuss varuss feet or as they are denominated in German Hohlfuß.
In the preoperative x-rays, the previous surgeries had not corrected the bad disposition of the hindfoot bones that remained poorly placed, with the talus superimposed on the calcaneus. This made the feet supinated and even in the left one had a stress fracture of the 2nd metatarsal.
The cavus varus feet are the most common deformity that occurs in children with Charcot-Marie-Tooth, type 1 autosomal recessive and that appears before ten years old. The consequence of not being treated adequately or with techniques that do not follow the principles of reconstruction, is the reappearance of the deformity. It gets worse when you reach puberty, as it increases the weight of the body with growth, resulting in falls and twists of the ankles.
It has been more than 5 and a half years since we operated her, removing the arthrodesis that had been done and placing the bones of the hindfoot in the correct position. In addition, the supination of the foot was corrected so that it stepped on the big toe and balanced the muscles of the foot, transferring three muscles to the back, to lift it when walking. Not only, it has not lost anything of the correction that we obtained with the operation, if not that the musculature has increased remarkably. Now she doesn’t have instability, she doesn’t stumble when walking, doesn’t have to lift his legs in a marked way to avoid falling. So, she is able to walk longer distances without getting tired as before.
What do these things sound to all of you who suffer from Charcot-Marie-Tooth? because all that is maintained once the feet are corrected, with the principles and techniques that we apply. That’s why it’s not strange to us that our patients operated 5 years later, their cavus varus feet by Charcot-Marie-Tooth are still corrected. This is the success of the modern Neuro-Orthopedics in neurological patients, which does not reproduce the deformity, it is more like the good wines, with the passage of the years they improve the results even more.