Smetana V, Schejbalová A
Ortopedická klinika dĕtí a dospĕlých 2. lékarské fakulty KU, Praha.
Acta Chir Orthop Traumatol Cech. 1994;61(1):34-8.
The authors give an account of Grice's operation, i.e. extraarticular, talocalcaneal arthrodesis as one of the basic operations in infantile cerebral palsy in children and adolescents which can be used in the spastic as well as paretic form of the disease. It is valuable as after reposition it stabilizes the position of tarsal bone sub talo. The 65 operations by Grice's method in infantile cerebral palsy with very favourable results (failure or partial failure in five operations, i.e. 9.2%) and the authors' experience with this operations also in other neurogenic disorders indicates that the operation is justified in children and adolescents. It may be performed also in adults. According to the authors' experience this operation does not lead during subsequent development to deformities of the sole and does not merely substitute the well known triple arthrodesis sub talo. Its application is much wider. It can be combined with other surgical procedures on soft parts as well as bones, in particular with Young's operation and with temporary fixation of tarsal bones with Kirschner wires after reposition.
作者介绍了格赖斯手术，即距下关节外固定术，这是儿童和青少年脑瘫的基本手术之一，可用于痉挛型和麻痹型脑瘫。该手术很有价值，因为复位后它能稳定距下跗骨的位置。采用格赖斯方法对65例小儿脑瘫患者进行手术，效果非常好（5例手术失败或部分失败，即9.2%），作者在其他神经源性疾病中应用该手术的经验表明，该手术对儿童和青少年是合理的。它也可在成人中进行。根据作者的经验，该手术在后续发育过程中不会导致足底畸形，也不仅仅是替代著名的距下三关节融合术。其应用范围更广。它可以与其他软组织和骨骼的手术相结合，特别是与杨氏手术以及复位后用克氏针临时固定跗骨相结合。
