Mid-term Results of Intramuscular Lengthening of Gastrocnemius and/or Soleus to Correct Equinus Deformity in Flatfoot

Ke, Rong; Ge, Wen-tao; Li, Xingchen; Xu, Xiangyang

doi:10.1177/1071100715588994

Cited by 20 publications

(16 citation statements)

References 52 publications

(42 reference statements)

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“…Since equinus contracture occurs in 70% of the foot deformities, 23,39 this has to be corrected irrespective of the type of foot surgery to achieve lasting correction. 2,9,10,19,45 We performed lengthening of the gastrosoleus complex only in 18 feet. The others had either a primary insufficiency of the triceps surae or insufficiency following previous lengthening of the Achilles tendon, which needed to be addressed by augmenting the Achilles tendon with the tibialis posterior.…”

Section: Discussionmentioning

confidence: 99%

Management of Severe Equinovalgus in Patients With Cerebral Palsy by Naviculectomy in Combination With Midfoot Arthrodesis

Dussa

Döderlein²,

Forst

et al. 2017

Foot Ankle Int.

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Section: Discussionmentioning

confidence: 99%

Management of Severe Equinovalgus in Patients With Cerebral Palsy by Naviculectomy in Combination With Midfoot Arthrodesis

Dussa

Döderlein²,

Forst

et al. 2017

Foot Ankle Int.

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“…A mecânica alterada gera sintomas e patologias como fascite plantar, artrite do mediopé, disfunção do tendão tibial posterior, sobrecarga no antepé, tendinopatia do Aquiles, metatarsalgias, fraturas por estresse, úlcera diabética e artropatia Charcot. O tratamento efetivo dessas condições inclui abordar a contratura subjacente do gastrocnêmio, bem como a patologia relacionada ao pé e ao tornozelo (1)(2)(3)5,(7)(8)(9)(10) .…”

Section: Introductionunclassified

“…Além disso, a ressecção gastrocnêmica isolada também é realizada para tratar a fascite plantar, tendinose de Aquiles, metatarsalgia e ulceração diabética do antepé (11) . Atualmente, os métodos mais comumente usados são as técnicas de Strayer, Hoke, Barouk e Baumann (10)(11)(12)(13) . No entanto, vários riscos potenciais, como lesão nervosa, fraqueza muscular e recessão excessiva, estão associados a essas técnicas (2,10) .…”

Section: Introductionunclassified

“…Atualmente, os métodos mais comumente usados são as técnicas de Strayer, Hoke, Barouk e Baumann (10)(11)(12)(13) . No entanto, vários riscos potenciais, como lesão nervosa, fraqueza muscular e recessão excessiva, estão associados a essas técnicas (2,10) . Tais opções cirúrgicas de ressecção do gastrocnêmio vêm sendo mais debatidas e avaliadas em longo prazo, nos trabalhos divulgados recentemente (2,13) .…”

Section: Introductionunclassified

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Short gastrocnemius

et al. 2018

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Objective: To determine the prevalence of short gastrocnemius in orthopaedic patients treated in the emergency room and the foot and ankle outpatient clinic of a public hospital and to evaluate the relationship between prevalence and certain specific symptoms. Methods: This was an observational cross-sectional study conducted using a questionnaire completed by patients treated in February 2018. Results: Of the 160 patients studied, 21 (13.1%) had a diagnosis of shortening of the gastrocnemius. The condition was more prevalent in females than in males, with no differences in race, age, laterality or occupation. The most commonly associated symptoms were calf pain, back pain, equinism and metatarsalgia, which were all present in more than 2/3 of cases. Conclusion: Shortening of the gastrocnemius is a fairly common pathology that deserves greater attention in orthopaedic practice. Additional studies are needed to better correlate epidemiological findings with this pathology. Level of Evidence II; Diagnostics Studies.

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“…Most flatfoot deformities in children are asymptomatic, flexible, and will never require treatment. Flexible flatfoot deformity is characterized by collapse of the medial arch, hindfoot valgus, forefoot abduction, and tightness of the gastrocnemius or gastrocnemius-soleus complex [ 1 ]. Contemporary realignment procedures for adolescent flexible flatfoot include subtalar arthroereisis, medial displacement calcaneal osteotomy, spring ligament reconstruction, lateral column lengthening, and arthrodesis.…”

Section: Introductionmentioning

confidence: 99%

Double calcaneal osteotomy for severe adolescent flexible flatfoot reconstruction

Cao

et al. 2017

J Orthop Surg Res

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BackgroundThe timing and strategy of treatment for flatfoot still remain controversial. It is a difficult problem when facing severe adolescent flexible flatfoot because a single procedure cannot realign flatfoot deformity effectively.MethodsWe reviewed 13 adolescent flexible flatfoot patients who underwent double calcaneal osteotomy during May 2012 to June 2015. The mean age of patients was 15.2 ± 1.8 (range, 10–18) years. The American Orthopaedic Foot and Ankle Society Ankle-Hindfoot (AOFAS-AH) scores and SF-36 score were adopted to evaluate the preoperative and postoperative functions of the foot. Changes of hindfoot valgus angles, talonavicular uncoverage angles on AP view and talo-first metatarsal angles, and talar pitch angles and calcaneal pitch angles on the lateral film before and after surgery were measured.ResultsAll 13 patients (15 ft) were followed. The mean duration of follow-up was 34.5 ± 15.7 (range, 21–60) months. The hindfoot valgus angle improved from 16.5 ± 4.1 to 2.9 ± 1.6. On the foot AP view, the mean preoperative and postoperative talonavicular coverage angles were 24.9 ± 8.5 and 6.5 ± 3.6. On the lateral view of the foot, the average preoperative and postoperative talo-first metatarsal angles were 18.1 ± 5.5 and 4.9 ± 4.4. The mean preoperative and postoperative talar pitch angles were 36.4 ± 4.7 and 24.0 ± 5.6. The AOFAS-AH score improved from 68.9 ± 12.3 preoperatively to 94.6 ± 3.9 postoperatively.ConclusionWith additional procedures, double calcaneal osteotomy was an effective method for severe adolescent flexible flatfoot.

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Mid-term Results of Intramuscular Lengthening of Gastrocnemius and/or Soleus to Correct Equinus Deformity in Flatfoot

Abstract: Level IV, retrospective case series.

Cited by 20 publications

References 52 publications

Management of Severe Equinovalgus in Patients With Cerebral Palsy by Naviculectomy in Combination With Midfoot Arthrodesis

Management of Severe Equinovalgus in Patients With Cerebral Palsy by Naviculectomy in Combination With Midfoot Arthrodesis

Short gastrocnemius

Double calcaneal osteotomy for severe adolescent flexible flatfoot reconstruction

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