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Войти в исследования Orthopaedics & traumatology, surgery & research : OTSR · 2026
Ultrasound-guided minimally invasive release of the proximal medial gastrocnemius: A cadaveric study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Michaud Jeffrey, Micicoi Lolita, Marès Olivier, Cavailhes Jules, Bertrand Martin, Coulomb Remy, Kouyoumdjian Pascal, Cellier Nicolas
Аннотация
BACKGROUND: Posterior chain contractures contribute to functional impairment in foot and ankle disorders. Open gastrocnemius lengthening techniques are effective but invasive and associated with soft tissue morbidity. Ultrasound-guided percutaneous aponeurotic release represents a minimally invasive alternative. This study aimed to assess the feasibility, safety, and efficacy of an ultrasound-guided, single-operator medial gastrocnemius aponeurosis release technique.
METHODS: Six fresh-frozen cadavers (12 lower limbs) underwent ultrasound-guided proximal medial gastrocnemius aponeurosis release using a minimally invasive single operator technique. The extent of aponeurosis sectioning was categorized, and operative time, peri-procedural complications, and changes in ankle dorsiflexion were assessed.
RESULTS: More than 75% aponeurosis sectioning was achieved in 83% of cases (10/12). No neurovascular injuries were identified. Ankle dorsiflexion increased significantly from 9.7° ± 1.97 to 20.5° ± 4.59, mean gain 10.8°± 2.86 (p < 0.001).
CONCLUSIONS: This ultrasound-guided technique appears safe and effective. Clinical studies are warranted to confirm its applicability in vivo.
LEVEL OF EVIDENCE: IV; experimental study.
METHODS: Six fresh-frozen cadavers (12 lower limbs) underwent ultrasound-guided proximal medial gastrocnemius aponeurosis release using a minimally invasive single operator technique. The extent of aponeurosis sectioning was categorized, and operative time, peri-procedural complications, and changes in ankle dorsiflexion were assessed.
RESULTS: More than 75% aponeurosis sectioning was achieved in 83% of cases (10/12). No neurovascular injuries were identified. Ankle dorsiflexion increased significantly from 9.7° ± 1.97 to 20.5° ± 4.59, mean gain 10.8°± 2.86 (p < 0.001).
CONCLUSIONS: This ultrasound-guided technique appears safe and effective. Clinical studies are warranted to confirm its applicability in vivo.
LEVEL OF EVIDENCE: IV; experimental study.