We have treated many CHARGE patients at the Paley Institute. We focus on the orthopedic conditions that manifest in CHARGE Syndrome, which are addressed on a case-by-case approach; Tibial Hemimelia is by far the most common condition treated by us for these patients.
The primary difficulty of CMT is the cavovarus deformity of the foot. This deformity is characterized by a high arch and is due to soft-tissue contractures; it is not a boney deformity. Drs. Paley and Lamm developed a unique, comprehensive soft-tissue surgical approach for the treatment of the cavovarus deformity of the foot in patients with CMT. The surgery has two main goals
Treatment by Dr. Paley may involve correction either acutely or gradually, and may include a combination of larger open procedures and/or application of external fixator(s) to the legs. Treatment time is individualized and discussed at the time of original consultation. Occasionally, further imaging studies are required such as Magnetic Resonance studies (MRI) or Computerized Tomography (CT).
During the orthopedic treatment phase, we also keep a close watch on the child’s additional body system issues, and with the multi-disciplinary specialist available on-site atSt. Mary’s hospital St. Mary’s hospital, can assure a high degree of safety. On-site, there is available pediatric cardiac surgery, intervention cardiac catheterization, a dedicated Pediatric Intensive Care Unit (PICU) team staffed with board-certified intensivists, pediatric ear, nose throat specialists, pediatric endocrinologists and general surgeons, and pulmonologists, amongst others. In the operating room, board-certified pediatric anesthesiologists attend our surgeries.