Patient reported outcomes and ankle plantarflexor muscle performance following gastrocnemius recession for Achilles tendinopathy: A prospective case-control study
© 2019 European Foot and Ankle Society Background: Prospective studies to guide the application of a gastrocnemius recession for Achilles tendinopathy are limited. Our aim was to prospectively evaluate patient reported outcomes and muscle performance. Methods: Patients with unilateral recalcitrant Achilles tendinopathy who received an isolated gastrocnemius recession (n = 8) and a healthy control group (n = 8) were included. Patient reported outcomes, ankle power during walking and stair ascent, and the heel rise limb symmetry index (total work) were collected. Results: Improvements in pain and self-reported function were observed (six months and two years). Sport participation scores reached 92% by two years. Patients demonstrated lower ankle power during stair ascent and decreased limb symmetry during heel rise six months following treatment (p ≤ .02). Conclusions: Study findings regarding long-term improvements in patient pain, self-reported function and sport participation, and early preservation of ankle function during walking, can help refine patient selection, anticipated outcomes, and rehabilitation strategies.
Foot and Ankle Surgery
DiLiberto, Frank E.; Nawoczenski, Deborah A.; Tome, Josh; and DiGiovanni, Benedict F., "Patient reported outcomes and ankle plantarflexor muscle performance following gastrocnemius recession for Achilles tendinopathy: A prospective case-control study" (2020). Faculty Articles Indexed in Scopus. 45.