Surgical Anatomy of the Endoscopic Gastrocnemius Recession

Mateen, Sara; Ali, Sayed; Meyr, Andrew J.

doi:10.1053/j.jfas.2021.10.030

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…Many of the complications described following gastrocnemius recession are common peri-operative complications such as wound infection, hypertrophic scaring or DVT, which may occur following any surgical procedure [ 12 ]. One specific concern regarding gastrocnemius recession, particularly in distal recession techniques, is the incidence of sural nerve injury [ 6 , 32 , 36 ]. However, our review shows that while sural nerve injury was the most common complication, the overall incidence remained relatively low at 5/123 (4.1%) cases.…”

Section: Discussionmentioning

confidence: 99%

Gastrocnemius release is an effective management option for Achilles tendinopathy: a systematic review

Arshad

Shdefat

Iqbal

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose This systematic review aims to summarise the outcomes of gastrocnemius release in the management of Achilles Tendinopathy. Methods A systematic review was performed according to PRISMA guidelines. A computer-based search was performed in PubMed, Embase, Cinahl, Scopus and ISI Web of Science. Two independent reviewers performed both title/abstract and full-text screening according to a-priori selection criteria. English-language original research studies reporting outcomes for gastrocnemius recession in patients with Achilles tendinopathy were included. Study quality and risk of bias were assessed using the MINORS criteria. Results Of the 229 articles identified following database searching, nine studies describing 145 cases of gastrocnemius recession were included in the review. Clinically important differences were reported across a range of validated patient reported outcome scores including VISA-A, FFI, FAAM and VAS pain score. Outcomes appear to be superior in patients with noninsertional Achilles tendinopathy, however further research is required to confirm this. Studies also reported an increase in ankle dorsiflexion range of motion and a good rate of return to sport/work. The overall complication rate was 10/123 (8.1%), with sural nerve injury being the most common complication, occurring in 5/123 (4.1%) of cases. Conclusion The results of this review suggest gastrocnemius release to be an effective treatment option in the management of patients with Achilles tendinopathy, who have gastrocnemius contracture and have previously failed to respond adequately to non-operative treatment. Level of evidence Level IV.

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