Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Paediatrics
Abstract number: 25502
COMPARATIVE STUDY OF OPERATIVE RESULTS OF CALCANEAL
LENGTHENING OSTEOTOMY AND GRICE-GREEN PROCEDURE FOR THE
TREATMENT OF SPASTIC PLANOVALGUS DEFORMITY.
George KARALIOTAS, George MAZIS, Vasileios SAKELLARIOU, Haridimos
TSIBIDAKIS, Panayiotis SOUCACOS, Anastasios KANELLOPOULOS
1st Orthopaedic Department, University of Athens, Chaidari (GREECE)
Introduction: Pes planovalgus is a common deformity associated with cerebral palsy
and other neurological disorders. The purpose of our study is to evaluate the results
of two valid surgical techniques used for its treatment, extra-articular subtalar
arthrodesis (Grice-Green) and calcaneal lengthening osteotomy. Methods: Our
material includes two groups of patients who underwent extra-articular subtalar
arthrodesis and calcaneal lengthening osteotomy, consisting of eleven feet each,
who were chosen to match in sex and age. In order to evaluate the outcome of the
two surgical procedures we compared radiographic measurements, for which we
used standard anteroposterior and lateral views of the foot, and functional ability,
using Gross Motor Function Classification System. Results: Initial deformities and
functional ability status were similar in both groups. There was no significant
differences in improvement of their functional status postoperatively (p=0.632).
Radiographic measurements showed no significant differences in correction of the
deformity (p=0.785). Both procedures corrected talar position, abduction of the
forefoot and subluxation of talonavicular joint. Discussion: Both of these valid
operative techniques are suitable to correct spastic planovalgus deformity and the
choice of surgical procedure depends upon the evaluation of each valgus foot and
preference of the surgeon.
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