Comparison of the efficacy of three isolated gastrocnemius recession procedures in a cadaveric model of gastrocnemius tightness

@article{Rong2016ComparisonOT,
  title={Comparison of the efficacy of three isolated gastrocnemius recession procedures in a cadaveric model of gastrocnemius tightness},
  author={Kai Rong and Xing-chen Li and Wen-tao Ge and Yang Xu and Xiangyang Xu},
  journal={International Orthopaedics},
  year={2016},
  volume={40},
  pages={417-423}
}
PurposeMany surgical techniques for isolated gastrocnemius recession have been described. [] Key MethodMethodsThe cadaveric model was established by distracting the knee with spacers composed of low-temperature thermoplastic material, and was identified by the Silfverskiöld test. Procedures of gastrocnemius recession described by Barouk, Baumann and Strayer were performed. The lengthening distance and improvement of ankle dorsiflexion were measured.
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17 Citations
Highly Influential Citations
2
Background Citations
4
Methods Citations
3

17 Citations

A novel technique of isolated gastrocnemius recession: A cadaveric comparison with Strayer procedure

Both Strayer technique and the novel technique of gastrocnemius recession lengthened the gastrocNemius and improved the ankle dorsiflexion in this cadaver trial and there was no significant difference in efficacy between them.

Macroscopic changes in sural nerve after gastrocnemius recession: a cadaver study.

Ankle dorsiflexion after isolated medial versus complete proximal gastrocnemius recession: A cadaveric study.

Anatomical basis of a safe mini-invasive technique for lengthening of the anterior gastrocnemius aponeurosis

Results of this study indicate that the novel ultrasound-guided surgery for the lengthening of the anterior gastrocnemius muscle aponeurosis (GIAR) might be an effective and safe procedure.

The Medial Gastrocnemius Recession, an Alternative Surgical Treatment for Isolated Gastrocnemius Contracture: A Cadaver Study With Discussion Emphasizing Variable Conjoint Tendon Anatomy.

The MGR procedure produced comparable dorsiflexion improvement results to the Baumann procedure in the authors' cadaver model, and must account for certain conjoint tendon anatomical variants when surgically treating IGC as traditional recession methods risk tendo-Achilles overlengthening.

Reconstruction of Overlengthening After Gastrocnemius Recession With an Achilles Tendon Allograft

A case of triceps surae overlengthening after gastrocnemius recession in a patient who underwent flatfoot deformity surgery, treated by an Achilles tendon allograft is reported.

The effect of gastrocnemius resection on knee flexion in a total knee arthroplasty model

Performing a gastrocnemius recession improves the knee extension in TKA knees with flexion contractures and may be a useful technique to improve terminal extension inTKA.

Calcaneal Z Lengthening Osteotomy Combined With Subtalar Arthroereisis for Severe Adolescent Flexible Flatfoot Reconstruction

For adolescents with flatfoot, calcaneal Z osteotomy combined with subtalar arthroereisis provided satisfactory results and the AOFAS-AH score improved.

Controversies in Surgical Treatment of Recalcitrant Plantar Fasciitis

In the future, the duration of nonoperative management for recalcitrant disease may be reduced, however, more randomized control trials showing positive results of the gastrocnemius recession may allow for shorterNonoperative management period creating a new standard treatment algorithm.

Proximal Medial Gastrocnemius Recession and Stretching Versus Stretching as Treatment of Chronic Plantar Heel Pain

Proximal medial gastrocnemius recession with a stretching program was a safe and efficient method of treating chronic plantar heel pain.

31 References

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  • Neal M. BlitzD. Eliot
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    The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
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Anatomical variation in the attachment of the gastrocnemius muscle to the soleus muscle will aid the surgeon in choosing a recession technique, performing the procedure, and preventing iatrogenic complications.