9/15/2023 0 Comments Ridged flat foot measurements![]() The most significant modification of the Grice technique was devised by Batchelor, with a fibular peg inserted blindly from the talus neck through the sinus tarsi,10 but this technique resulted in a high nonunion rate.11ĭennyson and Fulford12 then devised something very close to arthroereisis procedures, substituting the fibular graft with a screw and placing cancellous bone graft into the sinus tarsi, with a union rate of 95%. The techniques used to correct this deformity can be grouped into three procedure categories: soft tissue, bone (osteotomies and arthrodesis) and arthroereisis.3 The first (soft tissue) should always be combined with bone or arthroereisis, inasmuch as a stable, lasting correction is rarely obtained with the application of the soft tissue procedure alone.4 Arthroereisis procedures were originally designed for pediatric treatment and generally involve joint-sparing techniques that correct the flatfoot deformity while preserving foot function.5 This approach stems from extraarticular subtalar arthrodesis, first described by Grice6 in 1952 “for correction of paralytic flatfeet in children,” striving to correct the deformity without stunting foot growth.7 A number of poor results, however, were seen with Grice’s original technique because grafting a block of corticocancellous bone harvested from tibia or iliac crest was difficult to perform.8 The risks associated with this technique were having a graft slip out of position postoperatively resulting in the recurrence of the valgus deformity or, to fit the graft tightly, the hindfoot being forced into a varus position resulting in overcorrection.9 Flexible flatfoot is one of the most common deformities of the human body.1 Whereas this condition is sometimes asymptomatic, it can also cause pain, difficulty walking, and physical impairment.2 ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |