A novel technique of isolated gastrocnemius recession: A cadaveric comparison with Strayer procedure

Background Strayer’s gastrocnemius recession is a common technique in treating ankle equinus of gastrocnemius origin. Nevertheless, this technique is associated with a few flaws. We aim to introduce a novel technique of isolated gastrocnemius recession and perform a cadaveric study to evaluate its s...

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Autores principales:	Ren Yi Kow, Aminudin Che-Ahmad, Mohd Adham Shah Ayeop, Muhammad Wafiuddin Ahmad, Shahril Yusof
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/94ed1e595fda4d51882cb4ae46d40146
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spelling	oai:doaj.org-article:94ed1e595fda4d51882cb4ae46d401462021-11-10T23:33:19ZA novel technique of isolated gastrocnemius recession: A cadaveric comparison with Strayer procedure2309-499010.1177/23094990211043987https://doaj.org/article/94ed1e595fda4d51882cb4ae46d401462021-09-01T00:00:00Zhttps://doi.org/10.1177/23094990211043987https://doaj.org/toc/2309-4990Background Strayer’s gastrocnemius recession is a common technique in treating ankle equinus of gastrocnemius origin. Nevertheless, this technique is associated with a few flaws. We aim to introduce a novel technique of isolated gastrocnemius recession and perform a cadaveric study to evaluate its safety and at the same time compare this novel technique with the existing Strayer procedure biomechanically. Methods Eight fresh cadaveric models of gastrocnemius tightness were established by isolated traction of the gastrocnemius muscles. Gastrocnemius recession was performed on all eight models with Strayer method and the novel method randomized equally. The safety of both the techniques was evaluated by identifying any iatrogenic injury to the surrounding structures. The lengthening and improvement of the ankle dorsiflexion was measured and compared between the two techniques. Results There was no iatrogenic sural nerve or saphenous vein injury in all eight models. There was no significant difference between the two techniques in terms of lengthening (24.25 mm vs 21.00 mm; p = 0.838) and improvement of ankle dorsiflexion (26.5° vs 26°; p = .829). Conclusions Both Strayer technique and the novel technique of gastrocnemius recession lengthened the gastrocnemius and improved the ankle dorsiflexion in this cadaver trial. Both procedures were safe with proper techniques, and there was no significant difference in efficacy between them. Level of Evidence Level II, randomized controlled trial.Ren Yi KowAminudin Che-AhmadMohd Adham Shah AyeopMuhammad Wafiuddin AhmadShahril YusofSAGE PublishingarticleOrthopedic surgeryRD701-811ENJournal of Orthopaedic Surgery, Vol 29 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Ren Yi Kow Aminudin Che-Ahmad Mohd Adham Shah Ayeop Muhammad Wafiuddin Ahmad Shahril Yusof A novel technique of isolated gastrocnemius recession: A cadaveric comparison with Strayer procedure
description	Background Strayer’s gastrocnemius recession is a common technique in treating ankle equinus of gastrocnemius origin. Nevertheless, this technique is associated with a few flaws. We aim to introduce a novel technique of isolated gastrocnemius recession and perform a cadaveric study to evaluate its safety and at the same time compare this novel technique with the existing Strayer procedure biomechanically. Methods Eight fresh cadaveric models of gastrocnemius tightness were established by isolated traction of the gastrocnemius muscles. Gastrocnemius recession was performed on all eight models with Strayer method and the novel method randomized equally. The safety of both the techniques was evaluated by identifying any iatrogenic injury to the surrounding structures. The lengthening and improvement of the ankle dorsiflexion was measured and compared between the two techniques. Results There was no iatrogenic sural nerve or saphenous vein injury in all eight models. There was no significant difference between the two techniques in terms of lengthening (24.25 mm vs 21.00 mm; p = 0.838) and improvement of ankle dorsiflexion (26.5° vs 26°; p = .829). Conclusions Both Strayer technique and the novel technique of gastrocnemius recession lengthened the gastrocnemius and improved the ankle dorsiflexion in this cadaver trial. Both procedures were safe with proper techniques, and there was no significant difference in efficacy between them. Level of Evidence Level II, randomized controlled trial.
format	article
author	Ren Yi Kow Aminudin Che-Ahmad Mohd Adham Shah Ayeop Muhammad Wafiuddin Ahmad Shahril Yusof
author_facet	Ren Yi Kow Aminudin Che-Ahmad Mohd Adham Shah Ayeop Muhammad Wafiuddin Ahmad Shahril Yusof
author_sort	Ren Yi Kow
title	A novel technique of isolated gastrocnemius recession: A cadaveric comparison with Strayer procedure
title_short	A novel technique of isolated gastrocnemius recession: A cadaveric comparison with Strayer procedure
title_full	A novel technique of isolated gastrocnemius recession: A cadaveric comparison with Strayer procedure
title_fullStr	A novel technique of isolated gastrocnemius recession: A cadaveric comparison with Strayer procedure
title_full_unstemmed	A novel technique of isolated gastrocnemius recession: A cadaveric comparison with Strayer procedure
title_sort	novel technique of isolated gastrocnemius recession: a cadaveric comparison with strayer procedure
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/94ed1e595fda4d51882cb4ae46d40146
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A novel technique of isolated gastrocnemius recession: A cadaveric comparison with Strayer procedure

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