Gastrocnemius Release in the Treatment of Achilles Tendinopathy: A Systematic Review
Background The aim of this study is to evaluate the use of isolated gastrocnemius release in the treatment of Achilles tendinopathy. The primary outcome is the change in patient-reported pain outcomes. Secondary outcomes include the change in patient-reported foot and ankle function, ankle range of...
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| Veröffentlicht in: | Indian journal of orthopaedics 2024-05, Vol.58 (5), p.470-483 |
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| container_title | Indian journal of orthopaedics |
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| creator | White, Christopher James Seyed-Safi, Parisah Ieong, Edmund Rudge, Benjamin |
| description | Background
The aim of this study is to evaluate the use of isolated gastrocnemius release in the treatment of Achilles tendinopathy. The primary outcome is the change in patient-reported pain outcomes. Secondary outcomes include the change in patient-reported foot and ankle function, ankle range of motion and strength, patient satisfaction and rate of surgical complications.
Methods
A systematic review was undertaken of studies involving patients treated with an isolated gastrocnemius release for Achilles tendinopathy. Randomised controlled trials, cohort studies, case–control studies and case series were eligible and identified from the following databases: MEDLINE and EMBASE.
Results
Isolated gastrocnemius release results in improved patient-reported outcome scores for pain and foot and ankle function. There is an increase in ankle range of motion but a reduction in ankle strength. Patients report a high rate of overall satisfaction. The most common surgical complications are sural nerve injury and wound infection.
Conclusions
Isolated gastrocnemius release may offer maintained and clinically meaningful improvements in pain and foot and ankle function with an associated reduction in ankle strength. |
| doi_str_mv | 10.1007/s43465-024-01114-6 |
| format | Article |
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The aim of this study is to evaluate the use of isolated gastrocnemius release in the treatment of Achilles tendinopathy. The primary outcome is the change in patient-reported pain outcomes. Secondary outcomes include the change in patient-reported foot and ankle function, ankle range of motion and strength, patient satisfaction and rate of surgical complications.
Methods
A systematic review was undertaken of studies involving patients treated with an isolated gastrocnemius release for Achilles tendinopathy. Randomised controlled trials, cohort studies, case–control studies and case series were eligible and identified from the following databases: MEDLINE and EMBASE.
Results
Isolated gastrocnemius release results in improved patient-reported outcome scores for pain and foot and ankle function. There is an increase in ankle range of motion but a reduction in ankle strength. Patients report a high rate of overall satisfaction. The most common surgical complications are sural nerve injury and wound infection.
Conclusions
Isolated gastrocnemius release may offer maintained and clinically meaningful improvements in pain and foot and ankle function with an associated reduction in ankle strength.</description><identifier>ISSN: 0019-5413</identifier><identifier>EISSN: 1998-3727</identifier><identifier>DOI: 10.1007/s43465-024-01114-6</identifier><identifier>PMID: 38694698</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Conservative Orthopedics ; Medicine ; Medicine & Public Health ; Orthopedics ; Review Article ; Surgical Orthopedics</subject><ispartof>Indian journal of orthopaedics, 2024-05, Vol.58 (5), p.470-483</ispartof><rights>Indian Orthopaedics Association 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c298t-6df39935b06865d54b4ff13a24b3223a56c832cfe43f7b1d1bebbe0d59ab855c3</cites><orcidid>0009-0009-2625-0052</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s43465-024-01114-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s43465-024-01114-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38694698$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>White, Christopher James</creatorcontrib><creatorcontrib>Seyed-Safi, Parisah</creatorcontrib><creatorcontrib>Ieong, Edmund</creatorcontrib><creatorcontrib>Rudge, Benjamin</creatorcontrib><title>Gastrocnemius Release in the Treatment of Achilles Tendinopathy: A Systematic Review</title><title>Indian journal of orthopaedics</title><addtitle>JOIO</addtitle><addtitle>Indian J Orthop</addtitle><description>Background
The aim of this study is to evaluate the use of isolated gastrocnemius release in the treatment of Achilles tendinopathy. The primary outcome is the change in patient-reported pain outcomes. Secondary outcomes include the change in patient-reported foot and ankle function, ankle range of motion and strength, patient satisfaction and rate of surgical complications.
Methods
A systematic review was undertaken of studies involving patients treated with an isolated gastrocnemius release for Achilles tendinopathy. Randomised controlled trials, cohort studies, case–control studies and case series were eligible and identified from the following databases: MEDLINE and EMBASE.
Results
Isolated gastrocnemius release results in improved patient-reported outcome scores for pain and foot and ankle function. There is an increase in ankle range of motion but a reduction in ankle strength. Patients report a high rate of overall satisfaction. The most common surgical complications are sural nerve injury and wound infection.
Conclusions
Isolated gastrocnemius release may offer maintained and clinically meaningful improvements in pain and foot and ankle function with an associated reduction in ankle strength.</description><subject>Conservative Orthopedics</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Review Article</subject><subject>Surgical Orthopedics</subject><issn>0019-5413</issn><issn>1998-3727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kEtLxDAUhYMoOo7-AReSpZtq3m3cDaKjIAha1yFJb51KH2OSKvPvrY66dHUX5zsH7ofQCSXnlJD8IgoulMwIExmhlIpM7aAZ1brIeM7yXTQjhOpMCsoP0GGMr4RIljO1jw54obRQupihcmljCoPvoWvGiB-hBRsBNz1OK8BlAJs66BMearzwq6ZtIeIS-qrph7VNq80lXuCnTUzQ2dT4qf_ewMcR2qttG-H4587R8811eXWb3T8s764W95lnukiZqmquNZeOqELJSgon6ppyy4TjjHErlS848zUIXueOVtSBc0Aqqa0rpPR8js62u-swvI0Qk-ma6KFtbQ_DGA0nktCc57qYULZFfRhiDFCbdWg6GzaGEvNl02xtmsmm-bZp1FQ6_dkfXQfVX-VX3wTwLRCnqH-BYF6HMfTTz__NfgKEjoA7</recordid><startdate>20240501</startdate><enddate>20240501</enddate><creator>White, Christopher James</creator><creator>Seyed-Safi, Parisah</creator><creator>Ieong, Edmund</creator><creator>Rudge, Benjamin</creator><general>Springer India</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0009-2625-0052</orcidid></search><sort><creationdate>20240501</creationdate><title>Gastrocnemius Release in the Treatment of Achilles Tendinopathy: A Systematic Review</title><author>White, Christopher James ; Seyed-Safi, Parisah ; Ieong, Edmund ; Rudge, Benjamin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c298t-6df39935b06865d54b4ff13a24b3223a56c832cfe43f7b1d1bebbe0d59ab855c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Conservative Orthopedics</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Review Article</topic><topic>Surgical Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>White, Christopher James</creatorcontrib><creatorcontrib>Seyed-Safi, Parisah</creatorcontrib><creatorcontrib>Ieong, Edmund</creatorcontrib><creatorcontrib>Rudge, Benjamin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Indian journal of orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>White, Christopher James</au><au>Seyed-Safi, Parisah</au><au>Ieong, Edmund</au><au>Rudge, Benjamin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gastrocnemius Release in the Treatment of Achilles Tendinopathy: A Systematic Review</atitle><jtitle>Indian journal of orthopaedics</jtitle><stitle>JOIO</stitle><addtitle>Indian J Orthop</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>58</volume><issue>5</issue><spage>470</spage><epage>483</epage><pages>470-483</pages><issn>0019-5413</issn><eissn>1998-3727</eissn><abstract>Background
The aim of this study is to evaluate the use of isolated gastrocnemius release in the treatment of Achilles tendinopathy. The primary outcome is the change in patient-reported pain outcomes. Secondary outcomes include the change in patient-reported foot and ankle function, ankle range of motion and strength, patient satisfaction and rate of surgical complications.
Methods
A systematic review was undertaken of studies involving patients treated with an isolated gastrocnemius release for Achilles tendinopathy. Randomised controlled trials, cohort studies, case–control studies and case series were eligible and identified from the following databases: MEDLINE and EMBASE.
Results
Isolated gastrocnemius release results in improved patient-reported outcome scores for pain and foot and ankle function. There is an increase in ankle range of motion but a reduction in ankle strength. Patients report a high rate of overall satisfaction. The most common surgical complications are sural nerve injury and wound infection.
Conclusions
Isolated gastrocnemius release may offer maintained and clinically meaningful improvements in pain and foot and ankle function with an associated reduction in ankle strength.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>38694698</pmid><doi>10.1007/s43465-024-01114-6</doi><tpages>14</tpages><orcidid>https://orcid.org/0009-0009-2625-0052</orcidid></addata></record> |
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| ispartof | Indian journal of orthopaedics, 2024-05, Vol.58 (5), p.470-483 |
| issn | 0019-5413 1998-3727 |
| language | eng |
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| source | Free E-Journal (出版社公開部分のみ）; SpringerLink Journals - AutoHoldings |
| subjects | Conservative Orthopedics Medicine Medicine & Public Health Orthopedics Review Article Surgical Orthopedics |
| title | Gastrocnemius Release in the Treatment of Achilles Tendinopathy: A Systematic Review |
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