title: Technique, indications, and results of proximal medial gastrocnemius lengthening.
abstract: Gastrocnemius proximal lengthening was first performed to correct spasticity in children, and was adapted for the patient with no neuromuscular condition in the late 1990s. Since then, the proximal gastrocnemius release has become less invasive and has evolved to include only the fascia overlying the medial head of the gastrocnemius muscle. The indications for performing this procedure are a clinically demonstrable gastrocnemius contracture that influences a variety of clinical conditions in the forefoot, hindfoot, and ankle. It is a safe and easy procedure that can be performed bilaterally simultaneously, and does not require immobilization of the ankle after surgery.
authors.affiliation: Foot Surgery Center at the Sport's Clinic, 2 Rue Georges Nègrevergne, Merignac 33700, France. Electronic address: pierre.barouk@wanadoo.fr.
authors.forename: Pierre
authors.initials: P
authors.lastname: Barouk
mesh_terms: D003286:Contracture / Q000601:surgery*; D004863:Equinus Deformity / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D018482:Muscle, Skeletal / Q000601:surgery*
keywords: Equinus; Gastrocnemius; Hallux valgus; Metatarsalgia; Proximal gastrocnemius release