Functional Outcomes of Gastrocnemius Recession for Isolated Gastrocnemius and Gastrocnemius-Soleus Contractures:

摘要

Category:AnkleIntroduction/Purpose:Contracture of the gastrocnemius muscle with or without involvement of the soleus muscle has long been proposed as an etiologic factor in the development of chronic pathology of the foot and ankle including among others plantar fasciitis, hallux valgus, metatarsalgia, and symptomatic pes planovalgus deformity. Very few studies have analyzed the effect on strength and function of the gastrocnemius recession and those that have, are limited by sample size and functional outcome tools utilized. This prospective study reports on strength and functional effect of the gastrocnemius recession utilizing a validated outcome measure on the largest sample size yet reported.Methods:We developed two treatment arms to achieve our aims. Twenty-four patients (25 extremities) underwent a gastrocnemius recession for isolated gastrocnemius and gastrocnemius-soleus contracture. In one arm, eight patients (8 extremities) prospectively underwent range of motion, isokinetic and isometric testi...