Isolated gastrocnemius recession for achilles XXXX : strength and functional outcomes.

@entity1 @entity3681 @entity924 @entity158 @entity1159 @entity1118
BACKGROUND: Gastrocnemius recession has emerged as a viable intervention for @entity1 with recalcitrant foot and @entity3681 associated with @entity1159 . The purpose of this case-control study was to investigate the effects of an isolated gastrocnemius recession on @entity158 , @entity1 -reported function, and strength in @entity1 with @entity924 and an @entity1159 . METHODS: Thirteen @entity1 with @entity924 (mean age [and standard deviation], fifty-two    7.7 years) who received a gastrocnemius recession and ten matched-control subjects participated. A visual analog scale was used to assess @entity158 , and the Foot and Ankle Ability Measure was used to evaluate @entity1 -reported function in activities of daily living and sports. @entity1 were asked about their satisfaction with the results of the gastrocnemius recession. @entity3681 peak torque was assessed at 60  /sec and 120  /sec. Appropriate t tests were used to assess limb symmetry and strength differences between the groups. RESULTS: The mean duration of follow-up was eighteen months (range, twelve to twenty-eight months). Gastrocnemius recession provided significant @entity158 relief (mean preoperative visual analog scale score [and standard deviation], 6.8    1.8; mean follow-up visual analog scale score, 1.4    2.7; p < 0.05). Foot and Ankle Ability Measure outcomes showed between-group differences in activities of daily living (Achilles @entity924 group, 89.7; control group, 98.5; p = 0.05) and sports subscales (Achilles @entity924 group, 71.9; control group, 95.1; p = 0.05). The activities reported to be the most challenging included going up hills, climbing stairs, running, and jumping. Eleven of the thirteen @entity1 in the Achilles tendon group were satisfied with treatment. Side-to-side strength comparisons showed no differences at 60  /sec. Significant differences were observed at 120  /sec (Achilles @entity924 group, 21%; control group, 3%; p < 0.05); however, the involved limb reached a peak torque similar to that in the control limb. CONCLUSIONS: Isolated gastrocnemius recession provides significant and @entity1118 . Good function can be expected for activities of daily living, but power and endurance activities were more problematic for the Achilles @entity924 group. Isokinetic strength assessment may not effectively capture @entity1 -reported functional deficits. LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
