Moreland J R, Westin G W
Clin Orthop Relat Res. 1986 Jun(207):113-21.
Between 1952 and 1973, 302 Grice-type subtalar arthrodeses were performed with a minimum follow-up evaluation of two years and a maximum follow-up evaluation of 22 years. Seventy-three feet were followed more than ten years. Seventy-three percent of the 244 operations done for poliomyelitis residuals were considered satisfactory. The number of cases in other diagnostic groups ranged from six to 18 and showed unpredictable results. The major reasons for an unsatisfactory result were fusion in unacceptable position (usually varus) and nonunion of the arthrodesis. Correct positioning of the subtalar joint at surgery is essential for a satisfactory result, and recommendations are made as to how to obtain such a position. Minimal degenerative arthritis of adjacent joints occurred in feet fused in acceptable positions.
1952年至1973年间，共进行了302例Grice型距下关节融合术，最短随访时间为两年，最长随访时间为22年。73只足的随访时间超过了10年。因小儿麻痹后遗症而行的244例手术中，73%的结果被认为满意。其他诊断组的病例数从6例到18例不等，结果难以预测。结果不满意的主要原因是融合位置不理想（通常为内翻）和关节融合不愈合。手术时距下关节的正确定位对于获得满意结果至关重要，并就如何获得这样的位置提出了建议。融合位置满意的足部相邻关节出现的退行性关节炎极少。
