Gastrocnemius Recession Leads to Increased Ankle Motion and Improved Patient Satisfaction After 2 Years of Follow-Up

Abstract The isolated gastrocnemius contracture present in neurologic healthy patients results in a significant limitation of ankle dorsiflexion causing pathologic gait patterns and a greater risk of further foot disorders. Gastrocnemius recession is an established procedure to increase ankle dorsif...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2017-05, Vol.56 (3), p.589-593
Main Authors: Holtmann, Julia Alessandra, MD, Südkamp, Norbert P., PhD, Schmal, Hagen, MD, Mehlhorn, Alexander T., MD
Format: Article
Language:English
Subjects:
Achilles tendon
Adolescent
Adult
Aged
Aged, 80 and over
Ankle Joint - physiology
Contracture - surgery
Female
Follow-Up Studies
gastrocnemius equinus
gastrocnemius recession
Humans
isolated gastrocnemius contracture
Male
Middle Aged
Muscle, Skeletal - surgery
Orthopedic Procedures
Orthopedics
Patient Satisfaction
Range of Motion, Articular - physiology
Retrospective Studies
Strayer
Tendons - surgery
triceps surae
Young Adult
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Summary:Abstract The isolated gastrocnemius contracture present in neurologic healthy patients results in a significant limitation of ankle dorsiflexion causing pathologic gait patterns and a greater risk of further foot disorders. Gastrocnemius recession is an established procedure to increase ankle dorsiflexion. However, little evidence is available of the use of gastrocnemius recession in these patients. Complication rates, recurrence of gastrocnemius contracture, and the prevalence of additional foot disorders needs further evaluation. A study group of 64 operated limbs undergoing gastrocnemius recession was evaluated to determine the prevalence of foot disorders, pre- and postoperative ankle dorsiflexion, and incidence of complications. A subgroup of 15 (23.4%) patients without additional operative procedures was examined regarding ankle dorsiflexion, strength (Janda method), sensitivity in the operated limb, and the pre- and postoperative Foot Function Index scores. The prevalence of foot disorders showed pes planus (41%), hallux valgus (38%), metatarsalgia (19%), hammertoe deformity (13%), and symptomatic Haglund exostosis (11%). At 31 months of follow-up, the patients had significantly benefited from increased ankle dorsiflexion of 13.3° ± 7.9° ( p  
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2017.01.037