Abstract
This study deals with a combined bony and soft-tissue procedure (Grice-Schede) for the treatment of pes (equino) planovalgus in children suffering from cerebral palsy. Results of 43 treated feet in 28 children were assessed clinically and radiologically at a mean follow-up time of 6.7 years (range from 0.6 years to 13.8 years). In all, 58.1% excellent or good results, 14.0% satisfactory and 27.9% poor results were found. The procedure can be recommended for patients with hemiplegic and diplegic conditions. It is not suited for patients with total body involvement.
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Aronson J, Nunley J, Frankovitch K (1983) Lateral talocalcaneal angle in assessment of subtalar valgus: follow-up of seventy Grice-Green arthrodesis. Foot Ankle 4:56–63
Baker LD, Dodelin RA (1959) The Grice extraarticular subastragalar fusion in the cerebral palsy patient. J Bone Joint Surg [Am] 41:366–367
Baker LD, Hill LM (1964) Foot alignment in the cerebral palsy patient. J Bone Joint Surg [Am] 46:1–15
Blair E, Stanley F (1985) Interobserver agreement in the classification of cerebral palsy. Dev Med Child Neurol 27:615–621
Bratberg JJ, Scheer GE (1977) Extra-articular arthrodesis of the subtalar joint. Clin Orthop 126:220–224
Coleman SS (1983) Complex foot deformities in children. Lea and Febiger, Philadelphia, pp 236–247
DeLuca PA (1992) Cerebral palsy. In: Drennan JC (ed) The child's foot and ankle. Raven Press, New York, pp 279–304
Dennyson WG, Fulford GE (1976) Subtalar arthrodesis by cancellous grafts and metallic internal fixation. J Bone Joint Surg [Br] 58:507–510
Drvaric DM, Schmitt EW, Nakano JM (1989) The Grice extraarticular subtalar arthrodesis in the treatment of spastic hindfoot valgus deformity. Dev Med Child Neurol 31:665–669
Engström A, Erikson U, Hjelmstedt A (1974) The results of extraarticular subtalar arthrodesis according to the Green-Grice method in cerebral palsy. Acta Orthop Scand 45:945–951
Gage JR (1991) Gait analysis in cerebral palsy. (Clinics in Developmental Medicine 121) MacKeith Press, London
Göb A (1976) Die Entstehung und die operative Behandlung des spastischen Plattfußes. In: Lange M, Hipp E (eds) Lehrbuch der Orthopädie and Traumatologie, Vol II. Ferdinand Enke Verlag, Stuttgart, pp 277–280
Grice DS (1952) An extra-articular arthrodesis of the subastragalar joint for correction of paralytic flat feet in children. J Bone Joint Surg [Am] 34:927–940
Grice DS (1955) Further experience with extra-articular arthrodesis of the subtalar joint. J Bone Joint Surg [Am] 37:246–259
Hamel J, Grossmann P, Becker W (1992) Sonographische Stellungsdiagnostik am kindlichen Rückfuß. Ultraschall Klin Prax 7:93–98
Hamel J, Müller G, Becker W (1993) Ein Fall von beidseitiger isolierter talonavicularer Synostose im Kindesalter — Beobachtungen zur Mechanik des Tarsus und der funktionellen Adaptation des Oberen Sprunggelenkes. Z Orthop 131:275–278
Huppertz R, Kaps HP (1991) Subtalare Arthrodese nach Grice — Langzeitergebnisse von 63 Operationen. Z Orthop 129:57–61
Keats S, Kouten J (1968) Early surgical correction of planovalgus foot in cerebral palsy. Extra-articular arthrodesis of the subtalar joint. Clin Orthop 61:223–233
Mahan KT (1992) Pes planovalgus deformity. In: McGlamry ED, Banks AS, Downey MS (eds) Comprehensive textbook of foot surgery, 2nd edn, Vol 1. Williams & Wilkins, Baltimore, pp 769–817
Manolikakis G (1990) Arthrodesen im Fußbereich bei spastischen Fußdeformitdten im Wachstumsalter. In: Stahl CH, Maaz B (eds) Die Arthrodesen an der unteren Extremität. Ecomed, Landsberg/Lech
McCall RE, Lillich JS, Harris JR, Johnston FA (1985) The Grice extraarticular subtalar arthrodesis — a clinical review. J Pediatr Orthop 5:442–445
Rang M (1990) Cerebral palsy. In: Morrissy RT (ed) Pediatric orthopaedics. Lippincott, Philadelphia
Ross PM, Lyne ED (1980) The Grice procedure: indications and evaluation of long-term results. Clin Orthop 153:194–200
Schede F (1929) Die Operation des Plattfußes. Z Orthop Chir 50:528–538
Staheli LT, Chew DE, Corbett M (1987) The longitudinal arch. A survey of eight hundred and eighty-two feet in normal children and adults. J Bone Joint Surg [Am] 69:426–428
Steinhäuser J (1978) Die Arthrodesen der Chopart'schen Gelenklinie. In: Otte P, Schlegel KF (eds) Bücherei des Orthopäden, Vol 20. Ferdinand Enke Verlag, Stuttgart
Stotz S (1986) Infantile Zerebralparese. In: Jäger M, Wirth CJ (eds) Praxis der Orthopädie. Thieme, Stuttgart, pp 474–490
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Hamel, J., Kissling, C., Heimkes, B. et al. A combined bony and soft-tissue tarsal stabilization procedure (Grice-Schede) for hindfoot valgus in children with cerebral palsy. Arch Orthop Trauma Surg 113, 237–243 (1994). https://doi.org/10.1007/BF00443810
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DOI: https://doi.org/10.1007/BF00443810