Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Purpose: Many surgical techniques for isolated gastrocnemius recession have been described. The purpose of the present study is to compare their therapeutic efficacy and intrinsic stability on a fresh cadaveric model of gastrocnemius tightness.
Methods: The cadaveric model was established by distracting the knee with spacers composed of low-temperature thermoplastic material, and was identified by the Silfverskiöld test. Procedures of gastrocnemius recession described by Barouk, Baumann and Strayer were performed. The lengthening distance and improvement of ankle dorsiflexion were measured.
Results: The mean ankle angle of the cadaveric models was -15.4° with the knee fully extended, and 8.4° with the knee flexed. The increased angle achieved by the Strayer procedure was significantly greater than that achieved by the Barouk procedure and the Baumann procedure with one cut (P < 0.05), but similar to that of the Baumann procedure with two cuts (P > 0.05). Compared with the intramuscular lengthening of the gastrocnemius (Baumann and Barouk procedures), the stability of the lengthening after the Strayer procedure was the lowest.
Conclusion: The three techniques of isolated gastrocnemius recession have different efficacy and stability in cadaver trials, depending on their own anatomical characteristics. Our study supplies an anatomical guide for the selection of a proper procedure.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00264-015-2860-1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Impact of slanted lateral rectus recession on pediatric patients with convergence insufficiency intermittent exotropia.
BMC Ophthalmol
August 2025
Postgraduate Training Base of Jinzhou Medical University (Third Medical Center of Chinese People's Liberation Army General Hospital) Ophthalmology, Beijing, 100039, China.
Background: Convergence insufficiency intermittent exotropia (CIX(T)) is a common type of strabismus in children, characterized by greater ocular deviation at near fixation compared to distance fixation. This study aimed to explore impact of slanted lateral rectus recession (S-LRc) compared to conventional lateral rectus recession (LR) on pediatric patients with CIX(T).
Methods: This retrospective study enrolled pediatric patients with CIX(T) at Shanxi Aier Eye Hospital between June 2022 and December 2024.
Strabismus fixus convergens secondary to protracted hydrocephalus.
BMJ Case Rep
August 2025
Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.
We present a rare case of a middle-aged male with his eyes fixed in hypotropia-esotropia for 12 years. He had been diagnosed with and operated on for posterior fossa pilocytic astrocytoma prior to symptom onset. Contrast-enhanced MRI of the brain and orbit revealed dilated ventricles, a shunt in situ and a distorted midbrain architecture.
View Article and Find Full Text PDFAnalysis of Strabismus Surgical Outcomes: A Retrospective Study of 2269 Cases from a Single Center.
Med Sci Monit
July 2025
Department of Ophthalmology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China.
BACKGROUND Strabismus, eye misalignment or squint, is constant or intermittent, and may be associated with refractive changes and amblyopia (lazy eye). These factors determine the approach to surgical correction. The present study aimed to retrospectively analyze type composition, refractive status, and surgical methods used with strabismus inpatients, to provide some reference for clinical practice.
View Article and Find Full Text PDFSkeletal muscle gauge: A superior predictor of neoadjuvant chemoimmunotherapy efficacy in locally advanced gastric cancer.
Clin Nutr ESPEN
July 2025
Department of Gastrointestinal surgery, The Second Affiliated Hospital of Nanchang University,Nanchang, China. Electronic address:
Background: Muscle parameters are closely related to the efficacy of neoadjuvant therapy, and this study aims to analyze the predictive value of a novel muscle parameter index (skeletal muscle gauge, SMG) for the efficacy of neoadjuvant chemotherapy and immunotherapy(NCI) in locally advanced gastric cancer(LAGC).
Method: A retrospective analysis was conducted on the clinical pathological data and abdominal CT images of patients with LAGC who received NCI at the Second Affiliated Hospital of Nanchang University from September 2020 to December 2023. The body composition, including skeletal muscle index (SMI), skeletal muscle radiation attenuation (SMRA), and the new skeletal muscle parameter- SMG (obtained by multiplying SMI and SMRA), was calculated using the SliceOmatic software before and after NCI.
Novel Approaches to Surgical Correction of Strabismus Based on Current Understanding of Orbital Pulley Anatomy.
J Binocul Vis Ocul Motil
July 2025
Director, Pediatric Ophthalmology and Strabismus, Eye Center South, Dothan, Alabama.
Recent anatomic and functional studies of the extraocular muscles have led to a new understanding that their proper function is dependent upon a complex collagenous orbital scaffolding. This structure, for which the term "pulley system" is a useful concise designation, maintains the positions of the eye muscles relative to the globe, to each other, and to the orbit. Disruption of this system results in muscle displacement and dysfunction.
View Article and Find Full Text PDF