Long-term outcome of extraarticular subtalar arthrodesis in children with cerebral palsy using modified Grice technique

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JOCHYMEK Jiří PETERKOVÁ Tereza

Rok publikování 2022
Druh Článek v odborném periodiku
Časopis / Zdroj ACTA ORTHOPAEDICA BELGICA
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
www http://www.actaorthopaedica.be/assets/3230/ActaOrthopBelg-88-223.pdf
Doi http://dx.doi.org/10.52628/88.2.9026
Klíčová slova subtalar arthrodesis; cerebral palsy; foot deformities; pes equinus
Popis The purpose of the study is to describe and anal: se long-term results of the modified Grice procedure with specially prepared pre-shaped autograft from iliac crest. 54 patients (101 feet) who underwent modified Grice procedure, were retrospectively analysed. Before and after the surgery, talocalcaneal (TC) angle and calcaneal inclination (CI) angle were measured and compared with post-operative values. Furthermore, AOFAS score was assess pre-and postoperatively as well as the subjective evaluation of the patients or their parents. Detailed analysis was performed separately for patients with different forms of CP. Postoperatively, TC angle and subjective assessment decreased, and CI angle and AOFAS score increased significantly compared to pre-operative values. The significant difference was observed among different CP groups in all observed parameters. Severe complications were not observed. The modified Grice procedure with specially prepared pre-shaped autograft showed promising long-term results.

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