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Conservative treatment of Charcot artroparthy in a series of spina bifida patients: the experience of one center and review of the literature.
J Pediatr Orthop B. 2007 Sep; 16(5):373-9.JP

Abstract

The present study was performed to evaluate the use of patellar tendon-bearing ankle foot orthesis for the treatment of Charcot arthropathy in a series of patients with spina bifida. A cohort of 350 spina bifida patients, ages ranging between 12 months and 22 years were evaluated in our clinic between June 1993 and March 2004. Charcot arthropathy was seen in five of these children. Treatment was initiated with nonsteroidal anti-inflammatory drugs, oral bisphosphonates and immobilization. No change was observed in the patients' symptoms after a month of treatment. At this time, a patellar tendon-bearing ankle foot orthesis was prescribed and used for a period of 6 to 24 months. All patients improved within 2 months. At the end of 2 years of follow-up, three patients are still using the brace without any complaints. One patient still has symptoms, although she is wearing her brace, but she has had significant improvement compared with the initiation of therapy. Non-weight-bearing, immobilization and surgery are the known treatment choices in Charcot arthropathy. Little experience exists about this entity and its treatment. Our experience reveals that the patellar tendon-bearing ankle foot orthesis leads to significant improvement in children with Charcot arthropathy without surgery and immobilization.

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Authors+Show Affiliations

Yalcin S
Department of Orthopedic Surgery, Marmara University School of Medicine, Istanbul, Turkey.
Kocaoglu B
No affiliation info available
Berker N
No affiliation info available
Erol B
No affiliation info available

MeSH

AdolescentAdultArthropathy, NeurogenicBracesChildFemaleFoot Deformities, AcquiredHumansMaleRadiographySpinal DysraphismTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17762679

Citation

Yalcin, Selim, et al. "Conservative Treatment of Charcot Artroparthy in a Series of Spina Bifida Patients: the Experience of One Center and Review of the Literature." Journal of Pediatric Orthopedics. Part B, vol. 16, no. 5, 2007, pp. 373-9.
Yalcin S, Kocaoglu B, Berker N, et al. Conservative treatment of Charcot artroparthy in a series of spina bifida patients: the experience of one center and review of the literature. J Pediatr Orthop B. 2007;16(5):373-9.
Yalcin, S., Kocaoglu, B., Berker, N., & Erol, B. (2007). Conservative treatment of Charcot artroparthy in a series of spina bifida patients: the experience of one center and review of the literature. Journal of Pediatric Orthopedics. Part B, 16(5), 373-9.
Yalcin S, et al. Conservative Treatment of Charcot Artroparthy in a Series of Spina Bifida Patients: the Experience of One Center and Review of the Literature. J Pediatr Orthop B. 2007;16(5):373-9. PubMed PMID: 17762679.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Conservative treatment of Charcot artroparthy in a series of spina bifida patients: the experience of one center and review of the literature. AU - Yalcin,Selim, AU - Kocaoglu,Baris, AU - Berker,Nadire, AU - Erol,Bulent, PY - 2007/9/1/pubmed PY - 2007/10/12/medline PY - 2007/9/1/entrez SP - 373 EP - 9 JF - Journal of pediatric orthopedics. Part B JO - J Pediatr Orthop B VL - 16 IS - 5 N2 - The present study was performed to evaluate the use of patellar tendon-bearing ankle foot orthesis for the treatment of Charcot arthropathy in a series of patients with spina bifida. A cohort of 350 spina bifida patients, ages ranging between 12 months and 22 years were evaluated in our clinic between June 1993 and March 2004. Charcot arthropathy was seen in five of these children. Treatment was initiated with nonsteroidal anti-inflammatory drugs, oral bisphosphonates and immobilization. No change was observed in the patients' symptoms after a month of treatment. At this time, a patellar tendon-bearing ankle foot orthesis was prescribed and used for a period of 6 to 24 months. All patients improved within 2 months. At the end of 2 years of follow-up, three patients are still using the brace without any complaints. One patient still has symptoms, although she is wearing her brace, but she has had significant improvement compared with the initiation of therapy. Non-weight-bearing, immobilization and surgery are the known treatment choices in Charcot arthropathy. Little experience exists about this entity and its treatment. Our experience reveals that the patellar tendon-bearing ankle foot orthesis leads to significant improvement in children with Charcot arthropathy without surgery and immobilization. SN - 1060-152X UR - https://www.unboundmedicine.com/medline/citation/17762679/Conservative_treatment_of_Charcot_artroparthy_in_a_series_of_spina_bifida_patients:_the_experience_of_one_center_and_review_of_the_literature_ L2 - https://doi.org/10.1097/01.bpb.0000218029.81395.95 DB - PRIME DP - Unbound Medicine ER -