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Erschienen in: International Orthopaedics 11/2017

31.08.2017 | Original Paper

Efficacy of pedobarographic analysis to evaluate proximal medial gastrocnemius recession in patients with gastrocnemius tightness and metatarsalgia

verfasst von: Gustavo Vinagre, Matías Alfonso, Sebastián Cruz-Morande, Miguel Hernández, Carlos Villas

Erschienen in: International Orthopaedics | Ausgabe 11/2017

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Abstract

Purpose

Proximal medial gastrocnemius recession (PMGR) is a surgical procedure performed in patients with gastrocnemius tightness (GT). The purpose of this study is to evaluate the efficacy of pedobarographic analysis on PMGR in patients with GT and metatarsalgia.

Methods

This prospective study included 52 patients diagnosed with GT treated surgically with PMGR and 49 non-operated upon patients (control group). A total of 55 PMGRs (three bilateral) were performed as an isolated or combined procedure in the treatment group. Passive ankle dorsiflexion with knee flexion and extension was evaluated in all patients. In addition, pedobarographic analysis was performed before and after surgery.

Results

Median preoperative ankle dorsiflexion was −10.0° (equinus) with extended knee and 10.0° with flexed knee and postoperative differences in median ankle dorsiflexion was 12.5° (extended knee) (p = 0.000) and 5.0° (flexed knee) (p = 0.002). After the PMGR, the median area of the contact surface (−3.0 cm2) (p = 0.009), the maximum (−13,239.0 Pa) (p = 0.019) and mean pressure (−2,942.0 Pa) and the forefoot force (−70.0 N) (p = 0.000) decreased. An increase in hindfoot force (20.0 N), hindfoot bearing time (4.0 ms) (p = 0.005), and forefoot bearing time (1.0 ms) was also observed.

Conclusions

Pedobarographic analysis is an efficient tool to evaluate surgical procedures that assess metatarsal overload. PMGR is an effective surgical procedure to improve passive ankle range of motion and decrease forefoot plantar overload.
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Metadaten
Titel
Efficacy of pedobarographic analysis to evaluate proximal medial gastrocnemius recession in patients with gastrocnemius tightness and metatarsalgia
verfasst von
Gustavo Vinagre
Matías Alfonso
Sebastián Cruz-Morande
Miguel Hernández
Carlos Villas
Publikationsdatum
31.08.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 11/2017
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-017-3621-0

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