Endoscopic gastrocnemius recession procedure using a single portal technique: a prospective study of fifty four consecutive patients

International Orthopaedics
Gowreeson ThevendranChristopher Fang

Abstract

Gastrocnemius recession has become a popular procedure to treat the equinus ankle caused by a tight gastrocnemius. The aim of our study was to prospectively evaluate the safety and efficacy of the endoscopic gastrocnemius recession procedure using a single portal technique. The endoscopic gastrocnemius recession procedure was performed on 56 feet in 54 consecutive patients through a single lateral portal using the Smart Release Endoscopic Carpal Tunnel Release System. The minimum follow-up was 12 months. Functional outcomes were assessed with the Short Form 36 (SF-36), American Orthopaedic Foot and Ankle Society (AOFAS) Hindfoot score and modified Olerud and Molander (O&M) score. A modified Likert scale and visual analogue scores (VAS) were used to evaluate patient satisfaction and pain scores, respectively. Postoperative morbidities were documented for wound complications, scar hypersensitivity, sural nerve deficit and plantar flexion weakness. A p-value <0.05 was considered statistically significant. Endoscopic gastrocnemius recession procedure performed through a single lateral portal was successfully performed in all cases. Seven out of the eight component scores of the SF-36 questionnaire showed significant improvements. T...Continue Reading

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Citations

Jun 5, 2016·Foot and Ankle Clinics·Sean Wei Loong Ho, Gowreeson Thevendran
Jul 25, 2020·Surgical and Radiologic Anatomy : SRA·Simone MoroniMarko Konschake
Jan 14, 2020·Foot & Ankle Specialist·Roberto A BrandãoMark A Prissel
Mar 28, 2021·Archives of Orthopaedic and Trauma Surgery·Jeffrey RoccoMartin Thaler

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