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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.


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A bar diagram showing the preoperative, postoperative, and last followup talocalcaneal angle measurements
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Figure 5: A bar diagram showing the preoperative, postoperative, and last followup talocalcaneal angle measurements

Mentions: Sixteen feet had residual valgus deformity more than 5° at the last followup visit, 10 patients had nonunion, and 6 had inadequate correction. Varus deformity was not seen in any of the feet. Mean preoperative TC angle was 48.5° (range 39-59° SD: 3.20976) which decreased to 38.5° (range 27-59°; SD: 7.60039) postoperatively [Figure 5]. The preoperative mean calcaneal pitch angle was 31.9° (range 22-37°; SD: 2.91179) which decreased to 29.1° (range 22-36°; SD: 4.20110) postoperatively [Figure 6]. The decrease in TC angle and calcaneal pitch angle was significant between preoperative and postoperative measurements (P<0.001). Mean TC and calcaneal pitch angles were measured as 42.1° (range 27-61°; SD: 10.53868) and 29.5° (range 23-37°; SD: 4.39644), respectively, at the last visit. At the last followup, there were 14 feet with TC angles more than 50°; out of the 14 feet, 8 had nonunion and 6 had inadequate correction. Although the increase in TC angles in the group with satisfactory outcome was not significant compared to controls, it was significant in the group with an unsatisfactory outcome (P<0.05) [Table 1].


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 bar diagram showing the preoperative, postoperative, and last followup talocalcaneal angle measurements
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: A bar diagram showing the preoperative, postoperative, and last followup talocalcaneal angle measurements
Mentions: Sixteen feet had residual valgus deformity more than 5° at the last followup visit, 10 patients had nonunion, and 6 had inadequate correction. Varus deformity was not seen in any of the feet. Mean preoperative TC angle was 48.5° (range 39-59° SD: 3.20976) which decreased to 38.5° (range 27-59°; SD: 7.60039) postoperatively [Figure 5]. The preoperative mean calcaneal pitch angle was 31.9° (range 22-37°; SD: 2.91179) which decreased to 29.1° (range 22-36°; SD: 4.20110) postoperatively [Figure 6]. The decrease in TC angle and calcaneal pitch angle was significant between preoperative and postoperative measurements (P<0.001). Mean TC and calcaneal pitch angles were measured as 42.1° (range 27-61°; SD: 10.53868) and 29.5° (range 23-37°; SD: 4.39644), respectively, at the last visit. At the last followup, there were 14 feet with TC angles more than 50°; out of the 14 feet, 8 had nonunion and 6 had inadequate correction. Although the increase in TC angles in the group with satisfactory outcome was not significant compared to controls, it was significant in the group with an unsatisfactory outcome (P<0.05) [Table 1].

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