CMT 1A: Surgical management of pes cavus deformity with an underlying neurologic

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J Foot Ankle Surg. 2011 Mar-Apr;50(2):235-40.

Surgical management of pes cavus deformity with an underlying neurological

disorder: a case presentation.

Hewitt SM, Tagoe M.

Specialist Registrar Podiatric Surgery, West Middlesex University Hospital,

London, UK.

Abstract

Charcot-Marie-Tooth disease is a complex group of motor and sensory disorders

presenting with varying levels of deformity dependent on the chronology and

specific subgroup of the disease. In this report, we discuss a 19-year-old man

with Charcot-Marie-Tooth 1A, a progressive and aggressive form of hereditary

sensorimotor neuropathy, with rigid forefoot and rearfoot deformity.

The authors discuss the etiology, tests, and sequential surgical management of

this condition, focusing on a triple arthrodesis including a closingwedge

subtalar joint fusion and a dorsal closing wedge osteotomy of the first

metatarsal.