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Endoscopic Gastrocnemius Recession for the Treatment of Gastrocnemius Equinus

Lawrence A. DiDomenico, DPM ^*, Heiko B. Adams, DPM ^* and David Garchar, DPM 

^* Forum Health/Western Reserve Care System, Youngstown, OH. Dr. Adams is now in private practice, Louisville, KY.
Private practice, Charlotte, NC.

Corresponding author: Lawrence A. DiDomenico, DPM, Forum Health, Beeghly Medical Center, 6505 Market St, Ste 104, Youngstown, OH 44512.

Abstract

A prospective analysis was conducted of the amount of correction obtained and number of complications resulting from 31 endoscopic gastrocnemius recessions in 28 patients. The average amount of increase in ankle dorsiflexion was 18°. Few complications were encountered, with mild "soreness" and distal "bruising" being reported by four patients. The only other complaint was "weakness." The endoscopic gastrocnemius recession is a minimally invasive technique with a low rate of complications that offers a comparable amount of correction to that of traditional open procedures in the treatment of gastrocnemius equinus. (J Am Podiatr Med Assoc 95(4): 410–413, 2005)