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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

A clinical photograph showing satisfactory correction
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Figure 4: A clinical photograph showing satisfactory correction

Mentions: For clinical evaluation, we used the criteria of Kling et al.,18 which considers alignment and abnormal callosities. Children who were able to stand with less than 5° of residual valgus posture of the hind foot [Figure 4], had normal callosities, and pain-free mobilization without orthoses were considered as satisfactory. The foot with residual valgus more than 5°, difficulty in fitting to orthoses, or any pain without orthoses during mobilization were considered as unsatisfactory. Any pain during mobilization was considered as the requirement for usage of orthoses.


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)

A clinical photograph showing satisfactory correction
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: A clinical photograph showing satisfactory correction
Mentions: For clinical evaluation, we used the criteria of Kling et al.,18 which considers alignment and abnormal callosities. Children who were able to stand with less than 5° of residual valgus posture of the hind foot [Figure 4], had normal callosities, and pain-free mobilization without orthoses were considered as satisfactory. The foot with residual valgus more than 5°, difficulty in fitting to orthoses, or any pain without orthoses during mobilization were considered as unsatisfactory. Any pain during mobilization was considered as the requirement for usage of orthoses.

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