Neuropathic osteonecrosis of the knee in childhood: Two cases of myelomeningocele

This multicenter study was undertaken to identify the prevalence of Charcot arthropathy in the spina bifida population; to evaluate the relationship of neurosegmental level, ambulatory level, and distribution of joint involvement; and to assess treatment results and make treatment recommendations. Sixteen patients were identified with Charcot arthropathy based on clinical and radiographic criteria ranging in age from 9 to 42 years. There were 15 ankles, seven knees, and four hips identified with Charcot arthropathy. Six patients underwent surgery and modification of orthoses, eight had a modification of orthoses only, one had no modification, and one was lost to follow-up. Mean follow-up was 4 years and 9 months (with four good, 17 fair, and five poor results). The best results were seen in 13 compliant patients with a brace modification, whereas poor results were seen in three patients with poor brace compliance. Based on our study, we have noted the prevalence of Charcot arthropathy in spina bifida to be one in 100 cases.

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Charcot Arthropathy in Spina Bifida

Nagarkatti

Banta

Thomson

2000

Journal of Pediatric Orthopaedics

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Neuropathic osteonecrosis of the knee in childhood: Two cases of myelomeningocele

Cited by 3 publications

References 7 publications

Charcot arthropathy in children

Charcot arthropathy in children

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Charcot Arthropathy in Spina Bifida

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