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KMID : 1130920040080010039
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Journal of Korean Foot and Ankle Society
2004 Volume.8 No. 1 p.39 ~ p.45
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The Results of Treatment of Planovalgus Deformity by Modified Grice-Green Procedure
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Wang Joon-Ho
Lee Seok-Hyun
Lee Young-Koo
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Abstract
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Purpose:The author modified the technique of Grice-Green, for managing flexible flat foot, with severe hindfoot valgus and possible dorsiflexion more than 15°. The purpose of this study was to evaluate the efficacy and results of this modified technique.
Material and Methods : Total of 6 patients, 11 cases of pes planovalgus were operatively managed with Modified Grice-Green procedure from Nov. 1996 to April 2002. Total 11 cases in 6 patients were managed; 9 cases in 5 males, 2 cases in one female. The average age of the patients were 7.3 years (5.1-13.3 years). Average follow up period was 3.9 years (1.2-6.7 years). Patients were evaluated preoperatively and at last follow up radiologically and clinically. Radiologic evaluation were done by measuring the talocalcaneal and talo-1st metatarsal angles with the anteroposterior view; and by measuring the talo-1st metatarsal angles with the lateral view. The clinical outcome were rated by subjective and objective improvement level.
Results:On follow up, 9 cases were complete satisfied, 2 cases were satisfied with minor reservation and no case had major reservations or dissatisfaction. Objective results were rated as excellent in 9 cases, good in 2 cases. Average preoperative talo-calcaneal and talo-1st metatarsal angles on anteroposterior radiograms were 34.4° (16-40°) and 32° (8-48°) respectively; which postoperatively on last follow up were 20° (3-37°) and 15.6° (3-34°)respectively. Average Preoperative talo-1st metatarsal angle on lateral radiogram was 18.4° (6-30°); which postoperatively on last follow up was 6.7° (-6-17°).
Conclusions:Modified Grice-Green operative procedure is effective and satisfactory procedure for planovalgus deformity in children. but for more accurate results, more patients and further follow up period are needed.
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KEYWORD
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Pes planovalgus, Modified Grice-Green procedure
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