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Grice's operation for spastic flat foot.

L Romanini, A Carfagni, V Amorese

    Italian Journal of Orthopaedics and Traumatology
    |December 1, 1983
    PubMed
    Summary
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    This study presents a novel surgical technique for severe spastic pes valgus in children with cerebral palsy. The modified Grice procedure uses calcaneal bone grafts, offering a new approach to correct this complex foot deformity.

    Area of Science:

    • Orthopedic surgery
    • Pediatric orthopedics
    • Cerebral palsy research

    Background:

    • Severe spastic pes valgus is a debilitating condition in children with cerebral palsy.
    • Existing surgical techniques for pes valgus have limitations.
    • The Grice procedure is a common surgical approach, but modifications are explored.

    Purpose of the Study:

    • To report outcomes of a modified Grice procedure for severe spastic pes valgus in pediatric cerebral palsy patients.
    • To introduce a surgical technique utilizing calcaneal autografts.
    • To discuss novel methods for evaluating surgical results in pes valgus correction.

    Main Methods:

    • Surgical treatment of 24 children with cerebral palsy and severe spastic pes valgus.
    • A modified Grice procedure using bone grafts harvested from the calcaneus.

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  • Analysis of surgical outcomes using specific angular measurements and interpretation methods.

    • Main Results:

    • The study details the surgical treatment of 24 pediatric cases.
    • A modified Grice procedure involving calcaneal bone grafts was employed.
    • The authors propose a refined method for interpreting angular measurements in pes valgus evaluation.

    Conclusions:

    • The modified Grice procedure using calcaneal grafts is presented as a viable surgical option.
    • The study contributes to the understanding of surgical correction for spastic pes valgus.
    • A new approach to assessing surgical outcomes in pediatric foot deformities is discussed.