White Christopher James, Seyed-Safi Parisah, Ieong Edmund, Rudge Benjamin
West Hertfordshire Teaching Hospitals NHS Trust, Trauma and Orthopaedic Surgery Department, Watford General Hospital, Vicarage Road, Watford, WD18 0HB UK.
Indian J Orthop. 2024 Mar 2;58(5):470-483. doi: 10.1007/s43465-024-01114-6. eCollection 2024 May.
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.
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.
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.
Isolated gastrocnemius release may offer maintained and clinically meaningful improvements in pain and foot and ankle function with an associated reduction in ankle strength.
本研究旨在评估单纯腓肠肌松解术在跟腱病治疗中的应用。主要结局是患者报告的疼痛结局的变化。次要结局包括患者报告的足踝功能、踝关节活动范围和力量的变化、患者满意度以及手术并发症发生率。
对涉及接受单纯腓肠肌松解术治疗跟腱病患者的研究进行系统评价。随机对照试验、队列研究、病例对照研究和病例系列均符合要求，并从以下数据库中识别：医学文献数据库（MEDLINE）和荷兰医学文摘数据库（EMBASE）。
单纯腓肠肌松解术可改善患者报告的疼痛及足踝功能结局评分。踝关节活动范围增加，但踝关节力量下降。患者报告总体满意度较高。最常见的手术并发症是腓肠神经损伤和伤口感染。
单纯腓肠肌松解术可能在疼痛及足踝功能方面带来持续且具有临床意义的改善，同时踝关节力量会相应下降。
