Neuropathic foot ulceration in patients with myelodysplasia
Maynard, M.J.; Weiner, L.S.; Burke, S.W.
Journal of Pediatric Orthopedics 12(6): 786-788
1992
ISSN/ISBN: 0271-6798 PMID: 1452751 Document Number: 398763
To determine if a significant relationship existed between type of operation and eventual development of pedal skin breakdown in a spina bifida patient population, 72 feet in 36 ambulatory patients with low lumbar or sacral myelomeningocele were followed for an average of 14 years 5 months. Using a clinical classification for foot suppleness and position, we determined that foot rigidity, nonplantigrade position, and performance of surgical arthrodesis were clinical indicators that had a strong statistical relationship with eventual development of neuropathic skin changes.