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See Latest ArticlesAchilles Lengthening Procedures
Foot and Ankle Clinics, 10/27/09
Chen L et al. – Contracture of the gastrocnemius–soleus complex with equinus deformity is a common hindfoot condition. With the medial column reduced, failure to achieve 10° of passive ankle dorsiflexion with the knee flexed and extended suggests a contracture. This article reviews the anatomical and evolutionary basis for human foot structure, implications of tight gastrocnemius, and specific disease states. Operative releases for lengthening, including proximal gastrocnemius recession, tendo–Achilles lengthening, and endoscopic recession, are detailed.
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