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Charcot arthropathy in spina bifida.
D G Nagarkatti1, J V Banta, J D Thomson
1Newington Department of Orthopedic Surgery, Connecticut Children's Medical Center, Hartford 06106, USA.
Journal of Pediatric Orthopedics
|January 21, 2000
Summary
Charcot arthropathy affects 1% of spina bifida patients, commonly impacting ankles. Treatment success in Charcot joint disease depends on patient compliance with bracing and orthotic modifications.
Area of Science:
- Orthopedics
- Neurology
- Rehabilitation Medicine
Background:
- Charcot arthropathy is a debilitating condition affecting joints.
- Spina bifida is a congenital condition that can lead to neurological deficits and increased risk of joint complications.
Purpose of the Study:
- To determine the prevalence of Charcot arthropathy in individuals with spina bifida.
- To analyze the relationship between neurosegmental level, ambulatory status, and joint involvement in spina bifida-related Charcot arthropathy.
- To evaluate treatment outcomes and provide recommendations for managing Charcot arthropathy in this population.
Main Methods:
- A multicenter study identified 16 patients with Charcot arthropathy meeting clinical and radiographic criteria.
- Data collected included patient age, neurosegmental level, ambulatory level, and joint distribution.
- Treatment interventions and follow-up outcomes were assessed over a mean period of 4 years and 9 months.
Main Results:
- The prevalence of Charcot arthropathy in the spina bifida population was found to be 1%.
- The most commonly affected joints were ankles (15), followed by knees (7) and hips (4).
- Treatment outcomes were significantly better in compliant patients who adhered to brace modifications, with 13 patients showing good or fair results.
Conclusions:
- Charcot arthropathy is a notable complication in the spina bifida population, particularly affecting the ankles.
- Effective management and improved outcomes for Charcot joint disease in spina bifida patients are strongly linked to consistent adherence to prescribed orthotic devices and treatment plans.