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The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 11 | Pages 1449 - 1451
1 Nov 2005
Benson MKD Bourne R Hanley E Harrison J Jodoin A Nicol R van Wyk L Weinstein PS


The Journal of Bone & Joint Surgery British Volume
Vol. 72-B, Issue 1 | Pages 146 - 146
1 Jan 1990
Hadlow A Nicol R


The Journal of Bone & Joint Surgery British Volume
Vol. 69-B, Issue 3 | Pages 482 - 482
1 May 1987
Brougham D Nicol R


The Journal of Bone & Joint Surgery British Volume
Vol. 65-B, Issue 5 | Pages 641 - 645
1 Nov 1983
Nicol R Menelaus M

Patients with spina bifida cystica commonly have significant disability from a combination of valgus deformity of the ankle and subtalar joints with lateral tibial torsion and plano-abduction deformity of the foot. These deformities can be corrected by a single procedure which combines a supramalleolar tibial osteotomy with a lateral inlay triple fusion. This procedure was carried out on 20 feet in 15 patients and the results were reviewed after an average of three years (range 18 months to 7 years). In 75 per cent of feet the combination of deformities was fully corrected, ulcers and callosities were eliminated in 95 per cent, the use of calipers minimised in 95 per cent, and in all patients the problem of shoe-wrecking was reduced. Complications included recurrent valgus deformity, delayed union of the tibial osteotomy and failure of midtarsal fusion.