Die extraartikuläre Arthrodese nach Grice und Green mit Implantation eines Fibulaspans – Nachuntersuchung von 92 Patienten

Bollmann, Christine; Altmann, Franz; Raabe, J.-J.

doi:10.1055/s-0034-1396245

Cited by 8 publications

(2 citation statements)

References 13 publications

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“…Another advantage of SA is the low complication rate postoperatively 22,23 in comparison with osteotomies and arthodeses. 16,20 This is also consistent with our results. No complications occurred in either of our two groups.…”

Section: Discussionsupporting

confidence: 93%

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Radiological outcome after treatment of juvenile flatfeet with subtalar arthroereisis: A matched pair analysis of 38 cases comparing neurogenic and non-neurogenic patients

Kubo¹,

Krauspe²,

Hufeland³

et al. 2019

Journal of Children's Orthopaedics

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Purpose Therapy of juvenile neurogenic flatfoot (JNF) with subtalar arthroereisis (SA) is currently under critical clinical investigation. In this retrospective matched pair analysis, the radiological outcome after arthroereisis in paediatric patients with infantile cerebral palsy and JNF was compared with children with juvenile flatfeet (JF) without neurological diseases. Methods From October 2007 to April 2018 80 patients with 149 flatfeet underwent surgery with SA. Inclusion criteria were: 1) JNF or JF with age at surgery ≤ 13 years; 2) treatment with SA; 3) presence of three sets of biplane radiographs (preoperative, postoperative and follow-up (FU)). The radiographs were analyzed for: 1) navicular-cuboidal-index (NCI); 2) talocalcaneal angle anteroposterior; 3) talocalcaneal angle lateral; 4) calcaneal-pitch (CP); and 5) talometatarsal-index (TMTI). Following this, 25 patients with 38 flatfeet could be included. Results The mean age at SA of the JNF group was 9.2 years (JF group: 9.3 years) and the mean time of FU was 35.2 months (JF group: 39.4 months). In comparison with preoperatively, a significant decrease of the NCI was seen in both groups (p = ≤ 0.05 and p = ≤ 0.001) in the FU radiographs. The analysis of CP and TMTI in the JF group also resulted in a significant improvement (p = ≤ 0.001 and p = ≤ 0.05). Overall, the comparison between the JNF and JF group showed no significant differences in regard to the analyzed postoperative parameters. Conclusion Based on this data, treatment of flatfeet by SA in patient with neurological disorders shows an improvement of radiological parameters comparable with neurologically unimpaired patients and might be considered as additional treatment option. Level of evidence: IV

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Section: Discussionsupporting

confidence: 93%

“…Further therapy options for JNF are different types of arthrodeses. Here, Bollmann et al 20 showed a significant improvement in long-term examinations of radiological parameters after Grice-Green subtalar arthrodesis but the loss of range of movement in the subtalar joint must be critically considered in those young patients.…”

Section: Discussionmentioning

confidence: 93%