دورية أكاديمية

Outcomes of Gastrocnemius Recession in Patients with Plantar Fasciitis and Achilles Tendinosis: A Retrospective Study of 160 Patients

التفاصيل البيبلوغرافية
العنوان: Outcomes of Gastrocnemius Recession in Patients with Plantar Fasciitis and Achilles Tendinosis: A Retrospective Study of 160 Patients
المؤلفون: Stroud, Wesley, Alexander, Bradley, Halstrom, Jared R., Barranco, Hannah M., Cage, Benjamin B., Greco, Elise M., Sinha, Tanvee, Shah, Ashish
المصدر: Foot & Ankle Orthopaedics ; volume 5, issue 4, page 2473011420S0046 ; ISSN 2473-0114 2473-0114
بيانات النشر: SAGE Publications
سنة النشر: 2020
الوصف: Category: Hindfoot Introduction/Purpose: Plantar fasciitis and achilles tendonopathy are two of the most common foot and ankle overuse conditions encountered in clinical practice. Several recent studies have shown isolated gastrocnemius recession to be a viable treatment option for these conditions when conservative management has failed. Patient outcomes have primarily been assessed through pain and functionality scores. While pain improvement and motion restoration are of utmost importance, plantar flexion power and endurance are also key to patients’ ability to return to everyday activities. Here, we assess patient outcome scores of individuals that underwent gastrocnemius recession for plantar fascitis and achilles tendonopathy to see if surgery was beneficial. Methods: We reviewed 160 patients who underwent isolated gastrocnemius recession for chronic plantar fasciitis and achilles tendinopathy by a single surgeon from June 2011 to August 2018. Data was collected regarding patient pre-operative and post- operative pain scores at 3 months, 1 year, and final follow-up, and post-operative PROMIS physical function (PF), pain interference (PI), and depression (D) t-scores at final follow-up. We also collected data regarding time to full weight bearing, time to 50% and 100% pain relief, time to return to work, time to return to ADL, and time for patient to be out of boot. The patient population was then stratified by preoperative diagnosis and if patients received formal physical therapy. The cohorts consisted of patients that had plantar fasciitis, Achilles tendinosis, or a combination of both. The other cohorts were patients that received formal physical therapy and those that did not receive physical therapy. Results: The average preopeartive VAS score fot plantar fasciitis Achilles tendinosis and a combination of both was 4.27 4.10 and 4.93 respectively. For patients that had 3 month follow up (96) all three cohorts saw a decrease in VAS scores at 3 months (1.98, 1.50, and 1.80 respectively). Patients who ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1177/2473011420s00461
DOI: 10.1177/2473011420S00461
الإتاحة: https://doi.org/10.1177/2473011420s00461Test
حقوق: https://creativecommons.org/licenses/by-nc/4.0Test/
رقم الانضمام: edsbas.8756A3DD
قاعدة البيانات: BASE