During extra-articular subtalar arthrodesis, the
talus and calcaneus bones are fused together with a bone graft.
Also
Known As:
- Grice procedure:
extra-articular subtalar arthrodesis
- Extra-articular
subtalar fusion
- Flatfoot
correction surgery
- Foot surgery
- Pediatric
surgery
Conditions
Treated with Extra-Articular Subtalar Arthrodesis:
Extra-articular subtalar arthrodesis is performed in
order to correct flatfoot hindfoot deformity in children whose cartilage and
bones are still growing.
There are no comparable non-surgical alternatives to
extra-articular subtalar arthrodesis. Foot fusion and talocalcaneal joint
arthroplasty/replacement are surgical alternatives to the procedure.
Anesthesia
with Extra-Articular Subtalar Arthrodesis:
Extra-articular subtalar arthrodesis can be
performed with a local anesthetic and sedation. It can also be performed under
general anesthesia, which means that the patient is asleep and completely
unaware during the procedure.
Potential
Complications from Extra-Articular Subtalar Arthrodesis:
Possible risks following extra-articular subtalar
arthrodesis include infection, bleeding, reduced mobility, blood clots and a
negative reaction to the anesthesia. It is also possible to experience
arthritis in adjacent joints, to develop compensatory hindfoot varus and for
the bones to fail to grow together.
Prognosis
after Extra-Articular Subtalar Arthrodesis:
The prognosis for a positive end result following
extra-articular subtalar arthrodesis is very good. However, it is possible for
a degree of valgus deformity to return.
Recovery
from Extra-Articular Subtalar Arthrodesis:
Total recovery from
extra-articular subtalar arthrodesis takes eight to 12 weeks.