title: Modified Grice-Green subtalar arthrodesis performed using a partial fibular graft yields satisfactory results in patients with cerebral palsy.
abstract: The aim of this study was to report the experience with the use of a modified Grice-Green technique, which was performed using a partial subperiosteal fibular bone graft because of valgus unstable foot in children with cerebral palsy. Fifteen feet of 11 patients were evaluated on the basis of the appearance of the feet, clinical symptoms, and radiographic measurements. After an average follow-up duration of 24 (9-39) months, all feet showed satisfactory clinical and radiological results. Solid fusion and sustained correction took place in all feet. The gap at the donor site was bridged with new bone in all cases. No donor-site morbidity was detected. This modification of the Grice-Green technique can be used effectively in the correction of planovalgus foot in cerebral palsy.
authors.affiliation: aDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Yeditepe University bDepartment of Orthopaedic Surgery, Faculty of Medicine, Marmara University, Istanbul, Turkey.
authors.forename: Melih
authors.initials: M
authors.lastname: Güven
authors.forename: Abbas
authors.initials: A
authors.lastname: Tokyay
authors.forename: Budak
authors.initials: B
authors.lastname: Akman
authors.forename: Mehmet E
authors.initials: ME
authors.lastname: Encan
authors.forename: Faik
authors.initials: F
authors.lastname: Altintaş
mesh_terms: D000293:Adolescent; D001174:Arthrodesis / Q000379:methods*; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D005531:Foot Deformities, Acquired / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D013380:Subtalar Joint / Q000601:surgery*