Document Detail

Progressive neuromuscular planovalgus foot deformity treated with a modified extra-articular subtalar fusion.
MedLine Citation:
PMID:  19589311     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Obtaining a successful subtalar fusion in the pediatric population can be challenging. We present our results with a modified extraarticular method.
MATERIALS AND METHODS: - We retrospectively evaluated 12 patients (17 feet) with progressive neuromuscular planovalgus foot deformity that underwent an extra-articular subtalar arthrodesis with the combined Batchelor-Grice procedure. All patients were ambulatory and were treated conservatively with braces prior to the operation. The average followup was 10 (range, 5 to 17) years. Postoperatively the feet were immobilized in short leg casts for 6 weeks. Preoperative and postoperative appearance of the feet, the clinical symptoms and radiographic measurements were recorded.
RESULTS: Sustained correction and solid fusion took place in all feet. Foot appearance and gait pattern of the patients were improved, while preoperative complaints were reduced. Radiographic healing was noted in all cases.
CONCLUSION: This technique is an effective treatment for the correction of the deformity as it gives a greater assurance of solidarity than when either of the two procedures is used alone.
Maria Vlachou; Dimitris Dimitriadis
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Foot & ankle international     Volume:  30     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-10     Completed Date:  2009-10-08     Revised Date:  2014-08-27    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  647-52     Citation Subset:  IM    
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MeSH Terms
Achilles Tendon / surgery
Arthrodesis / methods*
Child, Preschool
Cohort Studies
Foot Deformities, Acquired / etiology*,  radiography,  surgery*
Neuromuscular Diseases / complications*
Retrospective Studies
Subtalar Joint*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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