Evaluation of Results of Endoscopic Gastrocnemius Recession

Trevino, Saul G.; Gibbs, Mark B.; Panchbhavi, Vinod K.

doi:10.1177/107110070502600503

Cited by 64 publications

(63 citation statements)

References 17 publications

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“…Although various literature cites the advantageous effects of EGR in the adult population [14,17] and the use of open gastrocnemius recession procedures in children with neuromuscular deformities such as cerebral palsy [5], there is no literature to date corresponding to the use of this specific EGR technique for pediatric patients who lack neurologic abnormalities. Usually the treatment of choice for these patients involves nonoperative care, but what if this treatment option fails?…”

Section: Discussionmentioning

confidence: 99%

“…These assessments were also followed postoperatively. All patients were screened for neuromuscular disorders because there is a higher recurrence of equinus in patients with neuromuscular abnormalities [3,8,17]. Each child or adolescent was assessed preoperatively for a definitive diagnosis (Table 1).…”

Section: Methodsmentioning

confidence: 99%

“…Limited dorsiflexion has also been surgically treated with Achilles tendon lengthening procedures and open gastrocnemius recession techniques [14]. Recently, several authors have described endoscopic gastrocnemius recessions [1,14,17]. This method is reportedly associated with fewer complications [17] and less likelihood of poor cosmesis [14,15].…”

Section: Introductionmentioning

confidence: 99%

“…Recently, several authors have described endoscopic gastrocnemius recessions [1,14,17]. This method is reportedly associated with fewer complications [17] and less likelihood of poor cosmesis [14,15]. Pinney et al [11] suggest endoscopic gastrocnemius recession (EGR) is indicated in adults demonstrating gastrocnemius equinus or in those adults exhibiting less than 10°of dorsiflexion with the knee extended and an increase in ankle range of motion with the knee flexed.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, adolescent athletes may require different baselines of dorsiflexion to function normally [13]. Providing an EGR to children and adolescents with gastrocnemius equinus may allow them the opportunity to overcome their physical limitations and any current or future lower extremity pathology related to their equinus [17]. In addition, this provides a surgical option where nonoperative methods have failed in the past.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Gastrocnemius Recession for Treating Equinus in Pediatric Patients

Grady¹,

Kelly²

2010

Clinical Orthopaedics &Amp; Related Research

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Gastrocnemius recessions have been performed as open or endoscopic procedures. Most of the literature describes the outcomes of these procedures in children with specific neurologic limitations. We report an alternative approach to endoscopic gastrocnemius recessions in neurologically healthy pediatric and adolescent patients whose gastrocnemius equinus could not be corrected nonoperatively. We prospectively followed 23 patients (16 boys, seven girls) who underwent 40 procedures for equinus deformity (n = 22) or osteoarthritis (n = 1). All patients had been directly referred for surgical treatment because all previous nonoperative treatments (stretching, night splints, orthotics, nonsteroidal anti-inflammatory drugs, and physical therapy) had failed. The indications for surgery were patients age 18 years or younger experiencing symptomatic equinus unresponsive to nonoperative care. Pre-and postoperative ankle dorsiflexion were measured. The minimum followup for study inclusion was 1 year (mean, 2.9 years; range, 2-5

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Endoscopic Gastrocnemius Recession for Treating Equinus in Pediatric Patients

Grady¹,

Kelly²

2010

Clinical Orthopaedics &Amp; Related Research

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The conjoint junction of the triceps surae: Implications for gastrocnemius tendon lengthening

et al. 2007

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Forty embalmed cadaver lower limbs were dissected to identify the morphology of the conjoint junction of the tendons of gastrocnemius and soleus and the location of the gastrocnemius tendon relative to bony landmarks. Five patterns of conjoint junction morphology were found: transverse (25%), oblique passing distally and medially (45%), oblique passing distally and laterally (5%) and arcuate as an inverted U (17.5%) and a U-shape (7.5%). Left-right asymmetry of the junction was observed in 31.6% of 19 paired cadaver legs. On the medial side of the calf the gastrocnemius tendon could be located between 38 and 46% of the proportion of the distance between the upper border of the calcaneus and the fibular head. Corresponding values for the midline and lateral side of the calf were 45-58% and 48-51%. The location of the gastrocnemius tendon relative to bony landmarks may help to guide incision planning for open or endoscopic division of the tendon.

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