整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
長腓骨筋腱短縮術を併用したCharcot-Marie-Tooth 病の 1 症例
馬場 美奈子福永 拙黒木 隆則佐竹 孝之
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54 巻 (2005) 4 号 p. 788-790

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We experienced a case of transferring the peroneus longus tendon to the peroneus brevis with soft-tissue release in Charcot-Marie-Tooth (CMT) disease. The patient was an 8-year-old girl who had bilateral cavovarus foot deformity with predominantly anterior cavus. Hindfoot varus was flexible in the Coleman block test. So we performed surgery by soft-tissue procedures alone which not only may restore more normal biomechanics and posture of foot, but prevent or delay the need for extensive bony procedures. It was performed on the right foot, at first and after one month, it was combined with peroneus longus transfer to sufficiently restore ankle eversion strength in the left foot. Three months after the operation, the left foot showed further correction, and the patient was more satisfied. The transfer of the peroneus longus tendon is useful for correcting cavovarus deformity in CMT.

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© 2005 西日本整形・災害外科学会
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