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The results of Grice Green subtalar arthrodesis of valgus foot in spina bifida.

Küçükdurmaz F, Ağır I, Saygı B, Bezer M - Indian J Orthop (2012)

Bottom Line: Mean preoperative talocalcaneal and calcaneal pitch angles were 48.5° and 31.9°, respectively, which decreased to 38.5° and 29.1°, respectively, postoperatively.The decrease in talocalcaneal angle and calcaneal pitch was significant between preoperative and postoperative measurements (P<0.05).In this study, we found more encouraging results in older patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics and Traumatology, Bezmi Alem Vakif University School of Medicine, Üsküdar, Turkey.

ABSTRACT

Background: Valgus foot is a common foot deformity in spina bifida. The most popular operation for the valgus deformity has been the Grice talocalcaneal blocking. It has not been studied primarily in children with spina bifida. We report a prospective series, we present the results of hind foot valgus deformity of children with spina bifida, using Grice talocalcaneal arthrodesis with a tricortical iliac bone graft.

Materials and methods: Between May 2000 and December 2003, 21 patients with bilateral (42 feet) valgus deformity of feet underwent surgery. There were 7 males and 14 females. The mean age of patients was 67.7 months (range 50-108 months).

Results: The total number of feet that had nonunion was 11, in 7 of them the grafts were completely reabsorbed and the outcome of all these feet was unsatisfactory. Four feet had partial union of which three had unsatisfactory and one had satisfactory outcome. Sixteen feet had residual valgus deformity at the last followup visit, 10 patients had nonunion, and 6 had inadequate correction. Mean preoperative talocalcaneal and calcaneal pitch angles were 48.5° and 31.9°, respectively, which decreased to 38.5° and 29.1°, respectively, postoperatively. The decrease in talocalcaneal angle and calcaneal pitch was significant between preoperative and postoperative measurements (P<0.05).

Conclusion: Grice subtalar arthrodesis technique is still a valuable option for valgus foot in patients with spina bifida. In this study, we found more encouraging results in older patients.

No MeSH data available.


Related in: MedlinePlus

X-ray ankle joint anteroposterior view showing partial union i.e. union of graft to calcaneus but no union to talus (black arrow)
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Figure 3: X-ray ankle joint anteroposterior view showing partial union i.e. union of graft to calcaneus but no union to talus (black arrow)

Mentions: At 12th week, most of the unions were judged by clinical and radiographic examination. The positive bony union was considered in patients with union of graft to both talus and calcaneus16 [Figure 2]. If graft union was seen in only at one of them [Figure 3], it was considered as a partial union.


The results of Grice Green subtalar arthrodesis of valgus foot in spina bifida.

Küçükdurmaz F, Ağır I, Saygı B, Bezer M - Indian J Orthop (2012)

X-ray ankle joint anteroposterior view showing partial union i.e. union of graft to calcaneus but no union to talus (black arrow)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3377146&req=5

Figure 3: X-ray ankle joint anteroposterior view showing partial union i.e. union of graft to calcaneus but no union to talus (black arrow)
Mentions: At 12th week, most of the unions were judged by clinical and radiographic examination. The positive bony union was considered in patients with union of graft to both talus and calcaneus16 [Figure 2]. If graft union was seen in only at one of them [Figure 3], it was considered as a partial union.

Bottom Line: Mean preoperative talocalcaneal and calcaneal pitch angles were 48.5° and 31.9°, respectively, which decreased to 38.5° and 29.1°, respectively, postoperatively.The decrease in talocalcaneal angle and calcaneal pitch was significant between preoperative and postoperative measurements (P<0.05).In this study, we found more encouraging results in older patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics and Traumatology, Bezmi Alem Vakif University School of Medicine, Üsküdar, Turkey.

ABSTRACT

Background: Valgus foot is a common foot deformity in spina bifida. The most popular operation for the valgus deformity has been the Grice talocalcaneal blocking. It has not been studied primarily in children with spina bifida. We report a prospective series, we present the results of hind foot valgus deformity of children with spina bifida, using Grice talocalcaneal arthrodesis with a tricortical iliac bone graft.

Materials and methods: Between May 2000 and December 2003, 21 patients with bilateral (42 feet) valgus deformity of feet underwent surgery. There were 7 males and 14 females. The mean age of patients was 67.7 months (range 50-108 months).

Results: The total number of feet that had nonunion was 11, in 7 of them the grafts were completely reabsorbed and the outcome of all these feet was unsatisfactory. Four feet had partial union of which three had unsatisfactory and one had satisfactory outcome. Sixteen feet had residual valgus deformity at the last followup visit, 10 patients had nonunion, and 6 had inadequate correction. Mean preoperative talocalcaneal and calcaneal pitch angles were 48.5° and 31.9°, respectively, which decreased to 38.5° and 29.1°, respectively, postoperatively. The decrease in talocalcaneal angle and calcaneal pitch was significant between preoperative and postoperative measurements (P<0.05).

Conclusion: Grice subtalar arthrodesis technique is still a valuable option for valgus foot in patients with spina bifida. In this study, we found more encouraging results in older patients.

No MeSH data available.


Related in: MedlinePlus