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Journal of Bone and Joint Surgery, 1973;55:1396-1410.
© 1973 by The Journal of Bone and Joint Surgery, Inc

The Role of Foot Surgery in Progressive Neuromuscular Disorders in Children

RICHARD L. LEVITT M.D.1, S. T. CANALE M.D.1, ALFRED J. COOKE JR. M.D.1, and JOHN J. GARTLAND M.D.1

1 From the Pennsylvania State Hospital for Crippled Children, Elizabethtown, and the Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia

Fifteen children with either Charcot-Marie-Tooth disease or Friedreich's ataxia were evaluated in a long-term follow-up after having undergone surgery to correct their foot deformities. Soft-tissue procedures and bone procedures by themselves, excluding triple arthrodesis, did not stand the test of time. The one indication for their use was as a part of a staged plan of treatment. Of the twelve patients with satisfactory results, eleven ultimately had a triple arthrodesis at skeletal maturity. The operative results are discussed in relation to the heredofamilial modes of transmission and the variable progression of the two diseases.


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