Professional Documents
Culture Documents
Surgery treatmeant
Equinus Foot
There are cases where the paralysis produced by the CMT is extensive
producing a horse or foot drop, although in these cases the muscles do
not work, we are able to transfer tendons on the back to make the
walk not fall. You should never fix the ankle, it is a big mistake and very
difficult gait of patients with CMT
Claw Toes
Generally when fingers are fixed in claw, these joints are not usually
set. What works best is to release the joint capsule and tendon
transfer that balance muscle forces on the fingers.
Skin transplant
In patients with severely deformed cavus varus feet and inelastic. By
aligning the foot, the skin of the middle part is shrunk, so that putting
the right foot, can happen in exceptional cases, you can not close the
medial incision. In these cases the same operation is needed to
remove small skin grafts, from the leg and place them on areas that
can not be closed.
Anesthesia
All patients are operated with the use of local anesthetics and deep
sedation. General anesthesia with intubation is used. Local
anesthetics are used by blocking the nerves of the leg, with the
placement of small tubes called catheters next to the nerves, which
are located using nerve stimulators.