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The Effect of Gastrocnemius Recession and Tendo-Achilles Lengthening on Adult Acquired Flatfoot Deformity Surgery: A Systematic Review.

Publication ,  Journal Article
Chang, SH; Abdelatif, NMN; Netto, CDC; Hagemeijer, NC; Guss, D; DiGiovanni, CW
Published in: J Foot Ankle Surg
2020

The purpose of this study was to evaluate the available clinical and radiographic evidence for incorporation of a gastrocnemius recession or tendo-Achilles lengthening into the surgical correction of adult acquired flatfoot deformity. A systematic review of the literature was performed using PubMed, Embase, Cochrane, CINAHL, and Google Scholar. Among the relevant articles, the level of evidence and quality was identified using the Methodological Index for Non-Randomized Studies tool. No study explicitly examined whether clinical or radiographic outcomes after adult acquired flatfoot deformity correction are improved when incorporating a gastrocnemius recession or tendo-Achilles lengthening compared with when no such procedure is performed, nor have they directly compared outcomes between 2 procedures. Studies demonstrated an overall improvement in postoperative range of motion and plantar flexion power after gastrocnemius recession, but such findings are hard to separate from the clinical contribution of concomitant corrective procedures to the foot itself. All studies that analyzed anteroposterior talo-calcaneal angle, anteroposterior lateral talo-first metatarsal angle and calcaneal inclination angle revealed improvement of each parameter postoperatively. There were no high-level evidence studies in the literature explicitly quantifying ankle range of motion, plantar flexion power, or radiographic impact of gastrocnemius recession or tendo-Achilles lengthening on adult acquired flatfoot deformity correction. Although gastrocnemius-soleus complex contractures have certainly been demonstrated to coexist with adult acquired flatfoot deformity, support for lengthening procedures is largely based on expert opinion or case series and is difficult to distinguish from the clinical contribution of associated corrective procedures.

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Published In

J Foot Ankle Surg

DOI

EISSN

1542-2224

Publication Date

2020

Volume

59

Issue

6

Start / End Page

1248 / 1253

Location

United States

Related Subject Headings

  • Tenotomy
  • Retrospective Studies
  • Orthopedics
  • Humans
  • Foot
  • Flatfoot
  • Contracture
  • Calcaneus
  • Adult
  • 4207 Sports science and exercise
 

Citation

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ICMJE
MLA
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Chang, S. H., Abdelatif, N. M. N., Netto, C. D. C., Hagemeijer, N. C., Guss, D., & DiGiovanni, C. W. (2020). The Effect of Gastrocnemius Recession and Tendo-Achilles Lengthening on Adult Acquired Flatfoot Deformity Surgery: A Systematic Review. J Foot Ankle Surg, 59(6), 1248–1253. https://doi.org/10.1053/j.jfas.2020.03.016
Chang, Song Ho, Nasef Mohamed N. Abdelatif, Cesar de Cesar Netto, Noortje C. Hagemeijer, Daniel Guss, and Christopher W. DiGiovanni. “The Effect of Gastrocnemius Recession and Tendo-Achilles Lengthening on Adult Acquired Flatfoot Deformity Surgery: A Systematic Review.J Foot Ankle Surg 59, no. 6 (2020): 1248–53. https://doi.org/10.1053/j.jfas.2020.03.016.
Chang SH, Abdelatif NMN, Netto CDC, Hagemeijer NC, Guss D, DiGiovanni CW. The Effect of Gastrocnemius Recession and Tendo-Achilles Lengthening on Adult Acquired Flatfoot Deformity Surgery: A Systematic Review. J Foot Ankle Surg. 2020;59(6):1248–53.
Chang, Song Ho, et al. “The Effect of Gastrocnemius Recession and Tendo-Achilles Lengthening on Adult Acquired Flatfoot Deformity Surgery: A Systematic Review.J Foot Ankle Surg, vol. 59, no. 6, 2020, pp. 1248–53. Pubmed, doi:10.1053/j.jfas.2020.03.016.
Chang SH, Abdelatif NMN, Netto CDC, Hagemeijer NC, Guss D, DiGiovanni CW. The Effect of Gastrocnemius Recession and Tendo-Achilles Lengthening on Adult Acquired Flatfoot Deformity Surgery: A Systematic Review. J Foot Ankle Surg. 2020;59(6):1248–1253.
Journal cover image

Published In

J Foot Ankle Surg

DOI

EISSN

1542-2224

Publication Date

2020

Volume

59

Issue

6

Start / End Page

1248 / 1253

Location

United States

Related Subject Headings

  • Tenotomy
  • Retrospective Studies
  • Orthopedics
  • Humans
  • Foot
  • Flatfoot
  • Contracture
  • Calcaneus
  • Adult
  • 4207 Sports science and exercise