Results of the Treatment of Planovalgus Deformity of the Foot with Fibular Graft

Abstract

Abstract Introduction. One of the most frequently used methods for correction of planovalgus deformity of the foot is the method by Grice Green. Correction of the deformity can be achieved using a corticocancelous graft from proximal tibia, fibular graft as well as by using various types of screws. Aim. The aim of the study was to analyze the correction of the planovalgus deformity of the foot by using fibular graft. Methods. In our series of 29 patients we used fibular graft from the same side where the operation was performed. The American College of Foot and Ankle Surgeons score system was used for analyzing the results. Results. In 16 patients good results were attained, in 8 satisfactory and in 5 patients poor results. Mean postoperative follow-up period was 6.5 years (min. 2.2 years; max. 10.4 years). From the third postoperative week all patients were weight bearing. The plaster was removed after 5 weeks, and the patients were referred to physical rehabilitation. Conclusions. We consider that Grice Green procedure with fibular graft enables correction of planovalgus deformity of the foot, early patient mobilization and shortening the time in plaster cast immobilization.