Gastrocnemius Release in the Management of Chronic Plantar Fasciitis: A Systematic Review.
Publication Date
2022-04Journal Title
Foot Ankle Int
ISSN
1071-1007
Publisher
SAGE Publications
Volume
43
Issue
4
Pages
568-575
Language
en
Type
Article
This Version
VoR
Metadata
Show full item recordCitation
Arshad, Z., Aslam, A., Razzaq, M. A., & Bhatia, M. (2022). Gastrocnemius Release in the Management of Chronic Plantar Fasciitis: A Systematic Review.. Foot Ankle Int, 43 (4), 568-575. https://doi.org/10.1177/10711007211052290
Abstract
BACKGROUND: This systematic review aims to summarize the outcomes of gastrocnemius recession in the treatment of plantar fasciitis. METHODS: A systematic review was performed according to PRISMA guidelines using the PubMed, Embase, Emcare, Web of Science, Scopus, and CINAHL databases. A 2-stage title/abstract and full text screening process was performed independently by 2 reviewers. Randomized controlled trials, cohort, and case-control studies reporting the results of gastrocnemius recession in patients with plantar fasciitis were included. The MINORS and Joanna Briggs Institute Criteria were used to assess study quality and risk of bias. RESULTS: A total of 285 articles were identified, with 6 of these studies comprising 118 patients being ultimately included. Significant postoperative improvement in American Orthopaedic Foot & Ankle Society, visual analog scale, 36-Item Short Form Health Survey, Foot Forum Index, and Foot and Ankle Ability Measure scores were reported. Included studies also described an increase in ankle dorsiflexion range of motion and plantarflexion power. An overall pooled complication rate of 8.5% was seen, with persistent postoperative pain accounting for the most common reported complication. Gastrocnemius recession is associated with greater postoperative improvement than plantar fasciotomy and conservative stretching exercises. CONCLUSION: The current evidence demonstrates that gastrocnemius recession is effective in the management of plantar fasciitis, specifically in patients with gastrocnemius contracture who do not respond to conservative treatment. LEVEL OF EVIDENCE: Level III, Systematic review of level I-III studies.
Keywords
Articles, plantar fasciitis, gastrocnemius recession, gastrocnemius lengthening, systematic review
Identifiers
10.1177_10711007211052290
External DOI: https://doi.org/10.1177/10711007211052290
This record's URL: https://www.repository.cam.ac.uk/handle/1810/335961
Rights
Licence:
https://creativecommons.org/licenses/by/4.0/
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