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Subtalar arthrodesis in children
Insights
Subtalar arthrodesis effectively treats valgus foot deformities in children with complex neurological conditions. The Grice-Green-Batchelor procedure demonstrated superior outcomes, achieving high success rates for improved foot alignment.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Foot and Ankle Surgery
Background:
- Valgus foot deformity presents significant challenges in pediatric patients with conditions like cerebral palsy.
- Accurate assessment and surgical correction are crucial for functional improvement.
Purpose of the Study:
- To evaluate the clinical and radiological outcomes of three different subtalar arthrodesis techniques.
- To identify the most effective surgical approach for correcting valgus foot deformities in children.
Main Methods:
- Retrospective study of 30 patients (51 feet) with valgus foot deformities.
- Inclusion of children with cerebral palsy, myelomeningocele, and agenesis of the corpus callosum.
- Surgical procedures included extraarticular and intraarticular subtalar arthrodesis, with a focus on the Grice-Green-Batchelor procedure.
Main Results:
- Overall excellent or satisfactory results were achieved in 73% of the feet treated.
- The Grice-Green-Batchelor procedure yielded the best outcomes, with 84% excellent/satisfactory results.
- Bony union was achieved in 96% of feet undergoing the Grice-Green-Batchelor procedure.
Conclusions:
- Subtalar arthrodesis is an effective treatment for pediatric valgus foot deformities.
- The Grice-Green-Batchelor procedure is recommended for its high success rate and bony union.
- Preoperative weight-bearing ankle radiographs are essential for precise deformity assessment.
Abstract:
We present a clinical and radiological retrospective study of 30 patients (51 feet) with valgus deformity of the feet who had three different types of subtalar extraarticular and intraarticular arthrodesis. Children with cerebral palsy, myelomeningocele, and agenesis of the corpus callosum associated with progressive polyneuropathy were studied. The results were considered excellent and satisfactory in 73% of the feet. The combined Grice-Green-Batchelor procedure gave the best results, with 84% excellent and satisfactory results, with bony union in 96% of the feet. Weight-bearing films of the ankles in the anteroposterior plane are essential to determine the true extent of the deformity before operation.
