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Foot Ankle Int. 2010 May;31(5):377-84. doi: 10.3113/FAI.2010.0377.

Function and strength following gastrocnemius recession for isolated gastrocnemius contracture.

Author information

1
Northern Arizona University, Flagstaff, AZ 86015, USA. Nicole.Chimera@nau.edu

Abstract

BACKGROUND:

Isolated gastrocnemius contracture (IGC), which limits ankle dorsiflexion with full knee extension, can affect function and quality of life. Gastrocnemius recession is a treatment option for IGC when conservative treatment fails. The goal of this study was to assess range of motion, function, and plantarflexion strength pre- and 3-months post-gastrocnemius recession for subjects with IGC.

MATERIALS AND METHODS:

Ankle range of motion, function, and plantarflexion strength in seven legs (four subjects), clinically diagnosed with IGC, before and after surgery were compared to matched control subjects to elucidate pre- and post-surgical intervention differences. All subjects with IGC were also diagnosed with plantar fasciitis with one leg having an additional diagnosis of metatarsalgia.

RESULTS:

Subjects with IGC had significant post surgical improvements at 3 months after surgery in dorsiflexion range of motion (p = 0.016), function (p = 0.016) and isokinetic plantarflexion strength (p = 0.018).

CONCLUSIONS:

Surgical recession enhanced range of motion and self reported function while not inducing any detrimental effects to plantarflexion strength at a 3-month followup. Post-surgically IGC subjects were more similar to healthy controls.

PMID:
20460063
DOI:
10.3113/FAI.2010.0377
[Indexed for MEDLINE]

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