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Further experience with Grice subtalar arthrodesis.

J R Moreland, G W Westin

    Clinical Orthopaedics and Related Research
    |June 1, 1986
    PubMed
    Summary
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    Grice-type subtalar arthrodesis for poliomyelitis residuals yielded satisfactory outcomes in 73% of cases. Proper surgical positioning is crucial to avoid complications like nonunion and varus deformity.

    Area of Science:

    • Orthopedic Surgery
    • Foot and Ankle Reconstruction

    Background:

    • Grice-type subtalar arthrodesis is a surgical procedure used to treat foot deformities.
    • Previous studies have evaluated its efficacy, but long-term outcomes require further investigation.

    Purpose of the Study:

    • To evaluate the long-term results of Grice-type subtalar arthrodesis.
    • To identify factors associated with satisfactory and unsatisfactory outcomes.

    Main Methods:

    • Retrospective review of 302 Grice-type subtalar arthrodeses performed between 1952 and 1973.
    • Minimum follow-up of two years, with 73 feet followed for over ten years.

    Main Results:

    • 73% of 244 operations for poliomyelitis residuals were satisfactory.

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  • Unsatisfactory results were primarily due to poor fusion position (varus) and nonunion.
  • Other diagnostic groups showed unpredictable results.

    • Conclusions:

    • Correct surgical positioning of the subtalar joint is essential for successful Grice-type subtalar arthrodesis.
    • Minimal degenerative arthritis was observed in feet with acceptable fusion positions.