Abstract
This study examined the effectiveness and safety of a uniportal endoscopic gastrocnemius
recession with a specifically designed uniportal endoscopic system. Fifty-three patients
underwent 60 endoscopic gastrocnemius recessions. Their mean range of ankle dorsiflexion
changed from a preoperative value of –2.9° ± 1.9° to a postoperative value of 12.8°
± 1.7°, for a total increase of 15.7° ± 1.8° of ankle dorsiflexion (p < .001). The average time from skin incision to closure was 4 minutes and 19 ± 33.6
seconds. Overall, 4 (6.67%) cases (procedures) were associated with a complication,
including 1 (1.67%) case of triceps surae weakness that resolved after physical therapy.
Three (5%) cases developed nerve complications, with 2 (3.33%) cases of transient
neuritis that spontaneously resolved at 5 and 8 weeks postoperatively, respectively,
and 1 (1.67%) that experienced persistent cutaneous anesthesia in the distribution
of the sural nerve along the lateral aspect of the foot up to 4 months postoperatively.
There were no cases of wound dehiscence or delayed healing, painful scar formation,
infection at the surgical site, hematoma, or deep venous thrombosis. Endoscopic gastrocnemius
recession with a uniportal system appears to be safe and effective.
Level of Clinical Evidence
Keywords
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References
- Isolated gastrocnemius tightness.J Bone Joint Surg Am. 2002; 84-A: 962-970
- Normal and Abnormal Function of the Foot.Clinical Biomechanics Corporation, Los Angeles1977
- Effect of Achilles tendon loading on plantar fascia tension in the standing foot.Clin Biomech. 2006; 21: 194-203
- Effects of Achilles tendon lengthening on neuropathic plantar ulcers. A randomized clinical trial.J Bone Joint Surg Am. 2003; 85-A: 1436-1445
- Tenotmie der end schnen der mm. gastroc el soleus mittels rutschenlassens nach vulpius.in: Orthopadische Operationslehre. Ferdinard Enke, Stuttgart1913: 29-31
- The effect of ankle dorsiflexion on gastrocnemius recession.Foot Ankle Int. 2002; 23: 26-29
- Surgical anatomy of the gastroc recession (strayer procedure).Foot Ankle Int. 2004; 25: 247-250
- Complications associated with uni-portal endoscopic gastrocnemius recession in a diabetic patient population: an observational case series.J Foot Ankle Surg. 2010; 49: 68-70
- Endoscopic gastronemius recession: preliminary report on 18 cases.J Foot Ankle Surg. 2004; 43: 302-306
- Endoscopic gastrocnemius recession as therapy for gastrocnemius equines.Z Orthop Unfall. 2007; 145: 499-504
- Endoscopic gastrocnemius recession for the treatment of gastrocnemius equinus.J Am Podiatr Med Assoc. 2005; 95: 410-413
- Evaluation of results of endoscopic gastrocnemius recession.Foot Ankle Int. 2005; 26: 359-364
- Endoscopic gastrocnemius recession: ultrasound-guided analysis of length gained.Tech Foot Ankle Surg. 2009; 8: 24-29
- Endoscopic gastrocnemius recession for treating equinus in pediatric patients.Clin Orthop Relat Res. 2010; 468: 1033-1038
Article info
Publication history
Published online: September 17, 2012
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
