Información del artículo
La liberación proximal de los gemelos se realiza para corregir la retracción de éstos, que puede acompañar a patologías de pie y tobillo en el adulto. En este artículo mostramos una técnica sencilla en la que se libera la cabeza del gemelo medial a través de una mínima incisión.
Palabras clave:
Retracción de gemelos
Liberación proximal de gemelos
Metatarsalgia
Gastrocnemius release is performed to correct an isolated gastrocnemius tightness that may accompany foot and ankle pathology in the adult. This article shows a simple technique in which the medial head of the gastrocnemius is released through a minimal incision.
Key words:
Gastrocnemius tightness
Gastrocnemius proximal release
Metatarsalgia
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Bibliografía
[1.]
C.W. DiGiovanni, R. Kuo, N. Tejwani, R. Price, S.T. Hansen Jr., J. Cziernecki, B.J. Sangeorzan.
Isolated gastrocnemius tightness.
J Bone Joint Surg, 84–A (2002), pp. 962-970
[2.]
M.S. Downey, A.S. Banks.
Gastrocnemius recession in the treatment of nonspastic ankle equinus: a retrospective study.
J Am Podiatr Med Assoc, 79 (1989), pp. 159-174
[3.]
R.S. Hill.
Ankle Equinus. Prevalence and linkage to common footpathology.
J Am Podiatr Med Assoc, 85 (1995), pp. 295-300
[4.]
M.S. Aronow.
Triceps surae contractures associated with posterior tibial tendon dysfunction.
Tech Orthop, 15 (2000), pp. 164-173
[5.]
P. Tabrizi, W.M. McIntyre, M.B. Quesnel, A.W. Howard.
Limited dorsiflexion predisposes to injuries of the ankle in children.
J Bone Joint Surg, 82–B (2000), pp. 1103-1106
[6.]
T.E. Sgarlato, J. Morgan, H.S. Shane, A. Frenkenberg.
Tendo Achilles lengthening and its effect on foot disorders.
J Am Podiatr Med Assoc, 65 (1975), pp. 849-871
[7.]
W.M. Stotler, A. Van Bergeyk, A. Manoli.
Preliminary results of gastrocnemius recession in adults with nonspastic equinus contracture.
Traverse City, MI: American Orthopaedic Foot and Ankle Society 18th Annual Summer Meeting, (2002),
[8.]
M.J. Mueller, D.R. Sinacore.
Effect of Achilles tendon lengthening on neuropathic plantar ulcers. A randomized clinical trial.
J Bone Joint Surg, 85–A (2003), pp. 1436-1445
[9.]
G.S. Nishimoto, C.E. Attinger.
Lengthening the Achilles tendon for the treatment of diabetic plantar forefoot ulceration.
Surg Clin North Am, 83 (2003), pp. 707-726
[10.]
J.S. Early, S.T. Hansen.
Surgical reconstruction of the diabetic foot: a salvage approach for midfoot collapse.
Foot Ankle Int, 17 (1996), pp. 325-330
[11.]
L.C. Schon, M.E. Easley, S.B. Weinfeld.
Charcot neuroarthropathy of the foot and ankle.
Clin Orthop, 349 (1998), pp. 116-131
[12.]
S.J. Pinney, S.T. Hansen, B.J. Sangeorzan.
The effect on ankle dorsiflexion of gastrocnemius recession.
Foot Ankle Int, 23 (2002), pp. 26-29
[13.]
K. Rome.
Ankle joint dorsiflexion measurement studies. A review of the literature.
J Am Podiatr Med Assoc, 86 (1996), pp. 205-211
[14.]
M.L. Root, W.P. Orien, J.H. Weed.
Forces acting upon the foot during locomotion.
pp. 165-179
[15.]
L.M. Strayer.
Recession of the gastrocnemius: an operation to relieve spastic contracture of the calf muscles.
J Bone Joint Surg, 32–A (1950), pp. 671-676
[16.]
D.G. Wright, S.M. Desai, W.H. Henderson.
Action of the subtalar and ankle-joint complex during the stance phase of walking.
J Bone Joint Surg, 46–A (1964), pp. 361-382
[17.]
J.E. Herzenberg, B.M. Lamm, D.P. Corwin, J. Sekel.
Isolated recession of the gastrocnemius muscle: the Baumann procedure.
Foot Ankle Int, 28 (2007), pp. 1154-1159
[18.]
L.D. Baker.
A rational approach to the surgical needs of the cerebral palsy patient.
J Bone Joint Surg, 38–A (1956), pp. 3132-3133
[19.]
J.U. Baumann, H.G. Koch.
Lenghtening of the anterior aponeurosis of the gastrocnemius muscle.
Operat Orthop Traumatol, 1 (1989), pp. 254
[21.]
N. Silfverskiold.
Reduction of the uncrossed two-joint muscles of the leg to one-joint muscles in spastic conditions.
Acta Chir Scand, 56 (1924), pp. 315
[22.]
O. Vulpius, A. Stoffel.
Orthopadische Operationslehre.
Ferdinand Enke, (1913),
[23.]
O. Vulpius, A. Stoffel.
Orthopadische Operationslehre.
Verlag von Ferdinand Enke, (1924),
[24.]
B.M. Lamm, D. Paley, J.E. Herzenberg.
Gastrocnemius soleus recession; a simpler, more limited approach.
J Am Podiatr Med Assoc, 95 (2005), pp. 18-25
[25.]
L.S. Barouk.
Gastocnemius proximal release.
Forefoot reconstruction., pp. 158-167
[26.]
P.D. Hamilton, M. Brown, N. Ferguson, M. Adebibe, J. Maggs, M. Solan.
Surgical anatomy of the proximal release of the gastrocnemius: a cadaveric study.
Foot Ankle Int, 30 (2009), pp. 1202-1206
[27.]
S.M. Rush, L.A. Ford, G.A. Hamilton.
Morbidity associated with high gastrocnemius recession: retrospective review of 126 cases.
J Foot Ankle Surg, 45 (2006), pp. 156-160
[28.]
L.S. Barouk, P. Barouk, E. Toulec.
Resulltats de la liberation proximale des Gastrocnemiens. Etude Prospective Symposium Brievetè des Gastrocnemiens. Journees de Printemps SFMCP-AFCP.
Toulouse. Med Chir Pied, 22 (2006), pp. 151-156
Comunicación oral Estrategias y técnica en alargamiento gemelar. Mecánica clínica y terapeútica de pie y tobillo. Febrero 2011, Hospital Quirón, Madrid
Copyright © 2011. SEMCPT. Publicado por Elsevier España, S.L.U.
