《2020北美Charcot-Marie-Tooth病协会CMT病高弓内翻足管理共识》的解读  

Interpretation of surgical management strategy of 2020 CMT consensus statement on the treatment of cavovarus foot deformity of Charcot-Marie-Tooth disease

作　　者：赵晶晶 方真华 黄若昆 郝铖 谢鸣 Zhao Jingjing;Fang Zhenhua;Huang Ruokun;Hao Cheng;Xie Ming(Department of orthopaedics,Wuhan Fourth Hospital,Pu'Ai Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430033,China)

机构地区：[1]武汉市第四医院/华中科技大学同济医学院附属普爱医院骨科,湖北武汉430033

出　　处：《足踝外科电子杂志》2021年第3期5-11,共7页Electronic Journal of Foot and Ankle Surgery

基　　金：武汉市卫生计生委科研计划资助项目(WX20C07)。

摘　　要：Charcot-Marie-Tooth(CMT)病是一种遗传性的运动感觉神经病变,易引起高弓内翻足畸形。有关CMT病高弓内翻足治疗的高质量研究证据比较缺乏,因此,CMT病协会召集了经验丰富的足踝外科医生和神经病学家,基于发表的文献和个人经验,讨论了CMT病的诊疗和手术治疗的诸多事项,达成了《2020北美Charcot-Marie-Tooth病协会CMT病高弓内翻足管理共识》。该共识统一了CMT病高弓内翻足相关的专用术语,商定了病史和体格检查的标准,推荐了CMT病高弓内翻足畸形的综合治疗方案。本文从足踝外科医生这一角度对这部共识进行解读,对共识提到的几个临床上的重点内容进行了梳理,力争为国内同行提供一个简明、可操作的指引。Charcot-Marie-Tooth (CMT) disease is a hereditary motor-sensory neuropathy,that is often associated with a cavovarus foot deformity.Limited evidence exists for the orthopedic management of these patients.The experienced,board-certified orthopedic foot and ankle surgeons and neurologists specializing in CMT disease convened at a meeting.The group discussed clinical and surgical considerations based upon existing literature and individual experience.The group defined consensus terminology,agreed upon standardized templates for history and physical examination,and recommended a comprehensive approach to surgery.This paper illustrated the consensus from the perspective of foot and ankle surgeons,elucidated several clinical key contents mentioned in the consensus,in order to provide a concise and operable guide for domestic peers.

关 键 词：CHARCOT-MARIE-TOOTH病 高弓内翻足 手术矫形 

分 类 号：R682.16[医药卫生—骨科学]