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

Autor: Chang SH; Assistant Professor, Foot and Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Boston, MA; Assistant Professor, Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Japan. Electronic address: bigtigers8888@gmail.com., Abdelatif NMN; Professor, Orthopedic Reconstructive Foot & Ankle Surgery & Sports Injury Consultant, Cairo University, Egypt., Netto CC; Assistant Professor, University of Iowa, Department of Orthopaedic and Rehabilitation, Iowa City, IA., Hagemeijer NC; Surgeon, Foot and Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Boston, MA; Surgeon, Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam Movement Sciences, University of Amsterdam, Amsterdam, The Netherlands., Guss D; Assistant Professor, Massachusetts General Hospital and Newton-Wellesley Hospital, Harvard Medical School, Boston, MA., DiGiovanni CW; Associate Professor, Massachusetts General Hospital and Newton-Wellesley Hospital, Harvard Medical School, Boston, MA.
Jazyk: angličtina
Zdroj: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2020 Nov - Dec; Vol. 59 (6), pp. 1248-1253. Date of Electronic Publication: 2020 Aug 20.
DOI: 10.1053/j.jfas.2020.03.016
Abstrakt: 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.
(Copyright © 2020 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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