Grice subtalar arthrodesis followed to skeletal maturity.
A retrospective review of 45 patients (62 feet) who had undergone a Grice subtalar arthrodesis and who had reached skeletal maturity was undertaken. Preoperative deformities were due to flaccid and spastic paralysis, as well as congenital abnormalities. There were failures in 32% and poor results in 61%. Unrecognized ankle valgus, overcorrection of the hindfoot into varus, uncorrected calcaneus deformity, and anterior graft orientation largely contributed to the poor results. Weight-bearing radiographs of the feet and ankles are necessary to distinguish ankle valgus from hindfoot valgus. A subtalar arthrodesis cannot be used to compensate for ankle valgus, nor can it be used to correct the calcaneus component of a deformity without appropriate muscle-balancing procedures or osteotomies.
Scott
S M
SM
Intermountain Unit of the Shriners Hospitals for Crippled Children, Salt Lake City, Utah.
Janes
P C
PC
Stevens
P M
PM
D000843:Ankle Joint / Q000002:abnormalities / Q000601:surgery*; D001174:Arthrodesis; D002547:Cerebral Palsy / Q000150:complications; D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000601:surgery; D005530:Foot Deformities / Q000209:etiology / Q000601:surgery; D006801:Humans; D007223:Infant; D009436:Neural Tube Defects / Q000150:complications; D059348:Peripheral Nerve Injuries; D011051:Poliomyelitis / Q000150:complications; D012189:Retrospective Studies