Results of Grice operation in cerebral palsy patients

Abstract

In the Department of Orthopaedic Surgery and Traumatology, Ege University, Medical Faculty, 45 Grice-Green operations and adjuvant operations were performed to correct planovalgus deformity in 45 cerebral palsy patients. They were 14 males and 13 females, with minimum age 4, maximum age 11 , average age: 7, mean age 8. Follow-up period changed between 3 months and six years, with average one year. Grice procedure were perfomed on 12 feet alone, on 8 feet with heel cord lengthening, on 8 feet with peroneal lengthening, on 9 feet with heel cord lengthening and peroneal lengthening, on 6 feet with peroneal re-routing and 2 feet with heel cord lengthening and peroneal re-routing. Original technique with tibial graft and-wire insertion were used for stabilization. The results were excellent in 43 feet (%55.6), good in 18 feet (%40), poor in 2 feet (%4.4) High rate of satisfactory results were attributed to the preoperative good assessment and the combination of Grice procedure with the soft tissue operations.